• 보건행정학회지
• /
• 제22권4호
• /
• pp.467-496
• /
• 2012

Public participation in the decision making for scarce health resources is important because health policy requires trust based consensus, which can be achieved by public's understanding and involvement of related policies. In the past, opportunities for interaction between health policy decision makers and lay public were rare in Korea. As political impulses towards public participation in health policy have increased, a few of deliberation methods were attempted. However, there is little research, reporting such cases with a critical examination of relevant theories and previous studies. We first critically review the literature on public participation within theories of democracy, governance, and empowerment. Next, we report a case of a citizen council experiment, which was held to examine public's preferences among different benefit options regarding new drugs and medical technologies. Specifically, in an one-day long citizen council with a total of 28 lay public, twelve questions of whether a drug or a technology should be included in the benefit package of health insurance were asked. Pre- and post-surveys investigated participants' perception of public engagement in health policy. Although it was experimental, the citizen council ensured that lay public could be careful enough to rationally compare the costs and benefits of different options and collectively make decisions. Further, results from pre- and post-survey showed a strong willingness of members to be involved in health care decision making. In the conclusion, we emphasize that better theories and methods need to be developed for more cases of citizen participation in health care policy and management.

• Journal of Preventive Medicine and Public Health
• /
• 제47권6호
• /
• pp.298-308
• /
• 2014

Objectives: To assess the current public participation in-local health policy and its implications through the analysis of policy networks in health center programs. Methods: We examined the decision-making process in sub-health center installations and the implementation process in metabolic syndrome management program cases in two districts ('gu's) of Seoul. Participants of the policy network were selected by the snowballing method and completed self-administered questionnaires. Actors, the interactions among actors, and the characteristics of the network were analyzed by Netminer. Results: The results showed that the public is not yet actively participating in the local public health policy processes of decision-making and implementation. In the decision-making process, most of the network actors were in the public sector, while the private sector was a minor actor and participated in only a limited number of issues after the major decisions were made. In the implementation process, the program was led by the health center, while other actors participated passively. Conclusions: Public participation in Korean public health policy is not yet well activated. Preliminary discussions with various stakeholders, including civil society, are needed before making important local public health policy decisions. In addition, efforts to include local institutions and residents in the implementation process with the public officials are necessary to improve the situation.

• 정보화정책
• /
• 제18권4호
• /
• pp.59-84
• /
• 2011

인터넷정보는 네티즌들의 정책과정참여와 정부신뢰에 큰 영향을 미칠 것으로 추론되며, 그 영향은 인터넷정보의 질을 높게 인식할수록 클 것이다. 이를 실증적으로 규명하기 위해 인터넷정보의 질을 구성하는 요소를 파악하고, 인터넷정보의 질에 대한 네티즌의 인식이 정책과정참여와 정부신뢰에 미치는 영향을 분석했다. 전국의 20-30대 네티즌을 대상으로 2010년 11월 20일부터 2010년 11월 30일까지 온라인 설문조사를 실시하였으며, 회수된 300부 중 불성실 응답을 제거하고 연구대상으로 적절하지 않은 자료를 제외한 266부의 데이터를 토대로 분석하였다. 분석결과는 첫째, 인터넷정보의 질에 대한 긍정적 인식은 온라인 정책과정참여를 증가시키는 반면에 오프라인 정책과정참여를 약하게 감소시킨다. 둘째, 온라인 정책과정 참여는 오프라인 정책과정참여를 활성화시키고 있다. 셋째, 오프라인 정책과정참여는 정부신뢰에 부정적인 영향을 강하게 미치는 것으로 나타난 반면에 온라인 정책과정참여의 정부신뢰에 대한 영향은 나타나지 않았다. 이러한 결과는 인터넷정보의 질이 향상되면, 오프라인 정책과정참여는 조금 약화되는 반면에 온라인 정책과정참여는 상당히 활성화될 것임을 의미한다. 이어서 온라인 정책과정참여는 오프라인 정책과정참여를 대폭 증가시킴으로써 정부신뢰를 크게 약화시킬 개연성이 있음을 의미한다.

• 보건행정학회지
• /
• 제27권4호
• /
• pp.336-346
• /
• 2017

Background: Due to the asymmetry of information and knowledge and the power of bureaucrats and medical professionals, it is not easy for citizens to participate in health care policy making. This study analyzes the case of the insured organization participating in the Health Insurance Policy Committee (HIPC) and provides a basis for discussing methods and conditions for better public participation. Methods: Qualitative analysis was conducted using the in-depth interviews with the participants and document data such as materials for HIPC meetings. Semi-structured interviews were conducted with purposively sampled six participants from organizations representing the insured in HIPC. The meanings related to the factors affecting participation were found and categorized into major categories. Results: The main factors affecting participating in the decision making process were trust and cooperation among the participants, structure and procedure of governance, representation and expertise of participants, and contents of issues. Due to limited cooperation, participants lacked influence in important decisions. There was an imbalance in power due to unreasonable procedures and criteria for governance. As the materials for meetings were provided inappropriate manner, it was difficult for participants to understand the contents and comments on the meeting. Due to weak accountability structure, opinions from external stakeholders have not been well received. The participation was made depending on the expertise of individual members. The degree of influence was different depending on the contents of the issues. Conclusion: In order to meet the values of democracy and realize the participation that the insured can demonstrate influence, it is necessary to have a fair and reasonable procedure and a sufficient learning environment. More deliberative structure which reflects citizen's public perspective is required, rather than current negotiating structure of HIPC.

• 보건행정학회지
• /
• 제26권3호
• /
• pp.219-225
• /
• 2016

Background: Intention to leave was an important managerial issue among physicians working in public health centers. This study was conducted to explore the relationship between job participations and intention to leave among physicians working in health centers. Methods: A cross-sectional questionnaire survey was conducted to gather information about job participation, intention to leave and demographics among physicians (n=243) in public health centers in Korea. Job participation was measured by 15 items categorized 3 dimensions. Multiple regression analysis was performed to determine the effect of job participation on intent to leave among physicians working in public health center. Results: Participation of medical treatment and administrative job were significantly associated with intention to leave adjusted for sex, age, income, working area, working duration, tenure, and overall job satisfaction. Therefore, physicians who actively participated in administrative job showed a lower turnover intention. Physicians who actively participated in medical treatment job had a higher quit intention. Conclusion: To retain qualified physicians in public health center, education should be reinforced to physician for administrative capacity building.

• 보건행정학회지
• /
• 제24권4호
• /
• pp.330-341
• /
• 2014

Background: The purpose of this study is to investigate the factors that affect the participation of union members who involved in the Korean health cooperatives. Methods: Questionnaires were collected from 1,041 respondents who voluntarily participated in seven health cooperatives. In order to verify the hypothesis, collected data were analyzed using binomial logistic regression. Results: Longer tenure, higher collective motive, organizational age were associated with types of participation. In operative participation, marital status, higher reward motive, better accessibility to the cooperatives influenced concern about the high-level participation. Organizational age were associated with the high-level participation in management participation. Longer tenure, interaction with staff, management participation were involved in additional investment. Conclusion: This is the first study to statistically prove that the influencing factors on the participation in the health cooperatives. Based on these findings, the provision of differentiated strategies should be useful for increase of participation.

• 환경영향평가
• /
• 제2권2호
• /
• pp.33-39
• /
• 1993

Public participation in the Environmental Impact Assessment(EIA) has been implemented since the August 1 of 1991 with the Environmental Policy Act promulgation in the August 1 of 1991. It is structured to comment on draft Environmental Impact Statement(EIS) through open reviewing, public meeting and hearing. Though public participation has an important role in determining environmental significance, it is room for improvement. With positive public participation and system development such as Environmental Impact Assessment Act on June 11 of 1993, the effectiveness of it will be improved. This article is composed of status of public participation, comparison with other countries, comparison analysis by items of EIS prepared before and after public participation, and contents of public opinions in EIS.

• 환경영향평가
• /
• 제4권2호
• /
• pp.151-156
• /
• 1995

Public participation in Environmental Impact Assessment (EIA) process has been implemented since the introduction of EIA project on August 1 1991, followed with Environmental Policy Act promulgation on August 1 1990. Though public participation has room for improvement. This study compared before and after the introduction of public participation on EIS preparation cost, project cost, EIS preparation term and project term through 293 EISs analysis. Also public opinions in EIS after introduction of public participation were analyzed. The results are expected to be contributed to the system improvement of public participation.

• 디지털융복합연구
• /
• 제20권4호
• /
• pp.45-54
• /
• 2022

본 연구에서는 행정안전부에서 운영한 대표적인 국민참여 플랫폼인 '광화문 1번가'가 출범한 2018년부터 2021년까지 기간 동안의 다양한 국민참여 과정을 분석하여 국민참여 플랫폼의 실질적인 운영 및 성과들을 살펴보고자 한다. 이를 통해 국민참여를 통한 정책화 과정을 성공적으로 유도할 수 있었던 영향요인은 다음과 같이 도출하였다. 첫째, 국민참여를 독려하기 위한 온라인 참여 채널을 다양화 하였다. 둘째, 국민참여를 독려하고 확대를 위해 대국민 아디이어 공모 및 국민심사에 대한 보상을 시행하였다는 점 역시 중요하다. 셋째, 국민들의 아이디어를 세련화하고 정제하기 위하여 전문가 등의 참여를 독려하였다. 이러한 연구결과를 통해 우리정부가 지속적으로 국민참여를 통한 정책화 과정을 유도하는데 일조할 수 있으리라 판단된다. 향후 국민참여를 통한 정책화를 위한 성공요인을 도출함에 있어서 계량적인 분석기법을 활용하여 국민참여과정, 온라인채널을 통한 의사소통, 전문가와의 협업 등의 영향요인들이 국민참여 과정에 어떻게 영향을 주는지를 증명하는 연구를 후속적으로 수행해야 할 것이다.

• 과학기술학연구
• /
• 제9권1호
• /
• pp.1-31
• /
• 2009

과학기술 분야의 시민참여의 필요성과 정당성은 이미 충분히 인정되고 있다. 이에 따라서 여러 국가에서 이를 제도화하고 있으며 많은 STS학자들은 이를 대상으로 연구를 진행하고 있다. 그러나 최근 들어 비제도화된 시민참여 혹은 사회운동적 성격을 지닌 시민참여에 대한 관심이 부각되고 있다. 이는 그동안 진행된 제도화된 시민참여에 초점을 맞춘 연구들이 포괄하지 못한 것으로서 시민참여의 다양한 양상과 역동성을 보여주고 있다. 이 연구는 비제도화된 시민참여와 이와 유사한 문제의식을 나타내고 있는 '수행되지 않은 과학(Undone Science)' 등에 대한 이론적 논의를 간략하게 정리하고, 이를 통해서 살펴볼 수 있는 한국의 2가지 사례를 구체적으로 분석해볼 것이다. 첫 번째 사례는 '환경보건' 분야로서, 이 분야는 한국에서 2000년대 초에 본격적으로 정책 연구의제로 등장하였고 이어서 법제도화 되었다. 두 번째 사례는 산업보건 분야에서 2000년대 초부터 크게 쟁점화 되었던 '근골격계 직업병' 문제이다. 우리는 이 두 사례를 통해서 시민사회 노동조합이 '환경보건'과 근골격계 직업병' 문제를 제기하면서 어떻게 이 문제들을 정부의 정책 연구 의제로 만들었는가를 살펴보게 될 것이다. 이는 한국에서 비제도화된 시민참여 혹은 '수행되지 않은 과학' 하기가 어떤 식으로 나타나고 있는지를 보여줄 것이다.