지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
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Background: Engaging and Involving stakeholders who have different interests in changing health care policies are difficult task. As the literature on the governance in Korean health care field is rare, this study aims to provide empirical evidence of 'governing health policy'-the ways health care policy is made, implemented, and evaluated from a political perspective. Methods: The authors of this study conducted interviews with elites in policy and clinical areas, which was considered to be the most effective approach to gather in-depth information about the background of changing payment policy as well as the barriers or contributors for making the policy sustainable. A total of 14 experts (3 government officials, 2 representatives from medical profession, 3 professors form academic field, and 6 healthcare providers from New DRG pilot program hospitals) participated in 2 hour long interviews. Results: There was a perception gap of the feasibility and substantiality of new payment system among elites. The score was higher in government officers than those in scholars or clinical experts. Next, the interviewees indicated that Korean New DRG might not sustain without significant efforts to improving democratic aspects of the governance. It is also notable that all interviewees except healthcare providers provided negative expectation of the contribution of new payment system to increase administration efficiency. For clinical efficiency, every stakeholders perceived there was no increased efficiency after introduction of New DRG payment. Like general perception, there was a wide gap between the perception of stakeholders in quality change after implementing the new payment system. Finally, interview participants negatively assumed about the likelihood of New DRG to remain a case of successful reforms. Conclusion: This study implied the importance of social consensus and the governance of health policy.
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참고문헌 (78)
참고문헌 신청
Scott WR / 2001 / Institutions and organizations / Sage
Shepsle KA / 1989 / Studying institutions: some lessons from the rational choice approach / J Theor Politi 1(2):131~147
Freidson E / 2001 / Professionalism: the third logic / Polity
백한주 / 2012 / 신(新)의료전문가주의 / 대한류마티스학회지 19(6):316~325
박호진 / 2011 / 한국 개원의사들에서 의학전문직업성의 의미 / 대한의사협회지 54(11):1154~1163
Shepsle KA / 1989 / Studying institutions: some lessons from the rational choice approach / J Theor Politi 1(2):131~147
Freidson E / 2001 / Professionalism: the third logic / Polity
백한주 / 2012 / 신(新)의료전문가주의 / 대한류마티스학회지 19(6):316~325
박호진 / 2011 / 한국 개원의사들에서 의학전문직업성의 의미 / 대한의사협회지 54(11):1154~1163
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