• Title/Summary/Keyword: Institutionalism

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A Study on Rebates in the Pharmaceutical Industry from the Perspective of New Institutionalism (의약품 리베이트의 원인과 처방에 관한 신제도론적 해석)

  • Lee, Ha-Young;Kwon, Yong-Jin
    • Health Policy and Management
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    • v.21 no.1
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    • pp.132-157
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    • 2011
  • The purpose of this article is to examine the cause of policy non-compliance in the case of pharmaceutical rebates from the perspective of rational choice institutionalism. In Korea, there have been rebates practices between pharmaceutical companies and hospitals since the introduction of the Actual Remuneration System for insured medicine in 1999. The government has chosen the policy means of punishment to eliminate pharmaceutical rebates but the illegal practices are still widespread. Institution in rational choice institutionalism usually reflects the incentives and preferences of actors, and the Actual Remuneration System has resulted in a the lack of procedures to ensure savings on drug expenditures. Pharmaceutical rebates are the product of the institutions which reflect their incentives: the Actual Remuneration System, the current pricing policy for generic drugs, the drug distribution system, and so on. In the end, the problem of the rebates is the consequence of policy non-compliance as actors' rational choice because their incentives lead to opportunistic behaviors. We should therefore understand the incentive structure of policy stakeholders, which is derived from the view of new institutionalism; also, the newly designed Korean drug pricing policy reform must be compatible with the incentive structure.

Overcoming Negotiation Asymmetry in Transboundary Water Relations: The Rhine River Basin Case

  • Rho, Helen Hyun
    • Proceedings of the Korea Water Resources Association Conference
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    • 2015.05a
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    • pp.230-230
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    • 2015
  • When and why do states cooperate in international basins? In recent years, there have been increasing attempts to apply international relations theories such as realism and neo-liberal institutionalism in understanding prospect of cooperation among sovereign states over shared rivers. Realists of hydropolitics argue that fate of cooperation resides in hands of hegemons and distribution of aggregate power among riparian states. Such pessimistic contention has been challenged by neo-liberal institutionalists, especially through regime theory. However, regime theory barely explains why and how cooperation emerges in the first place prior to regime formation. Therefore, the research suggests the game theory from neo-liberal institutionalism as an alternative theoretic approach. The accountability of Oye (1986)'s theoretical framework is illustrated through the case of cooperation in the Rhine River Basin.

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The Emotional Dimensions of North Korean Politics through the Lens of Historical Institutionalism

  • Kim, Hwajung
    • Journal of Contemporary Eastern Asia
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    • v.21 no.2
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    • pp.13-26
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    • 2022
  • This study explores the following research question to address issues linked to emotions, identity, and institutions: how has the cult (institution) of the three Kims affected North Koreans' strong sense of nationalism (emotion), which is based on their Juche ideology (identity)? This paper investigates four fundamental elements of historical institutionalism: time boundedness, path dependency, institutional changes, and the shadow of the past. First, time boundedness illustrates how culture and education have been used to build trust and loyalty in the general public to construct individual and family cults. Second, path dependence reveals how the Songbun system has resulted in strong nationalism throughout Rodongdang's institutionalization. Third, institutional changes highlight the significance of age divides, as different age groups do not always support the three Kims' cult. Finally, the shadow of the past helps us understand the primary processes for generating mass ardent nationalism in the form of powerful impulses for self-sacrifice.

Health Care Reform in OECD Countries : A Comparative Policy Analysis (OECD 국가의 보건의료개혁 : 역사적 전망과 정책적 과제)

  • 이종찬
    • Health Policy and Management
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    • v.6 no.1
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    • pp.1-28
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    • 1996
  • The paper analyzes OECD health systems from the perspective of historical institutionalism. Criticizing the dependence of Korea's national health program on Pacific countries such as Japan and the U.S., it suggests that European experiences of national health programs can be a model of the Korean health system in the future. Based on an inquiry into Italian and British cases of national health systems, the author emphasizes (1) the role of local governemts in national health programs, and (2) the integration of a national health program with public health programs.

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The Research for the New Institutional Analysis in Change of the Separation of the Dispensing of Drugs : On the focus of Rational Choice Institutionalism (의약분업 정책변동의 신제도론적 분석 : 합리적 선택 신제도주의를 중심으로)

  • Park, Min-Jeong
    • Health Policy and Management
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    • v.17 no.4
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    • pp.1-30
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    • 2007
  • This study aims to analyze the policy change which is caused by conflicts between interest groups when the Separation of the Prescribing from the Dispensing of Drugs (SPDD) was enforced. With the theory of New Institutionalism, the reason why the policy was to be changed can be explained by the concept of property right and transaction cost. As the government did not consider the change of property right and transaction cost between actors before introducing new institution, it was hard to adapt the SPDD. Though, under the established institution, the institutional change can cause the alteration in property right and transaction cost, government just focused on the new institution's execution. Therefore, the group which suffers the loss could not accommodate to the change of institution. For this reason, the adaptation of SPDD also caused huge conflicts between doctors and pharmacists. Then, this research shows that the reason why they conflict to the some issues in the content of PSPDD and why the issues was changed with the property right and transaction cost.

Exploratory Study on New Institutionalist Approach for Media Institution (미디어 제도의 신제도주의적 접근을 위한 탐색적 연구)

  • Shim, Young Sub;Heo, Chanhaeng
    • Korean journal of communication and information
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    • v.69
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    • pp.170-194
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    • 2015
  • New institutionalism is one of the research perspective, explaining political, economic, social phenomena through institutions. It is seeking more accurate diagnosis and solution of societal problem. What is good media for community? And how it should be operate? These questions are related to design and improvement of media system. Now we need to better approaching method for higher explanatory power about media institutions. From this context, the purpose of this study is exploring application of new institutionalism to media system. The major findings are as follow: At first, the new institutionalistl approaches can be apply the research fields of media policy/law and media organizations. Two, we suggest main research questions and research methods to each of that. This study has implication as more systematic and integrated approach to the research fields of media institution.

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Study on the Institutional Change of Early Childhood Education Quality Assurance in China: From the Perspective of Historical Institutionalism (중국 유아교육의 질 보장제도 변천에 관한 연구: 역사적 제도주의 관점에서의 분석)

  • Wang, Jing;Lee, Seung-Mie
    • Human Ecology Research
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    • v.58 no.1
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    • pp.87-103
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    • 2020
  • This study discusses the institutional change of Chinese early childhood education quality assurance institution (ECEQAI) from the three dimensions of the perspective of historical institutionalism of that refer to the external environment, dynamic mechanism containing with nation-market-society, and the invisible ideology of the institutional change. Chinese ECEQAI was divided into five historical periods, which were 17 years after the founding of China (1949-1966), the Great Cultural Revolution (GCR) period (1966-1976), the early stage of Reform and Opening-up (RO) (1976-1995), the social change period (1995-2010) and the new period (2010-now). This study also concludes five separate change models for Chinese ECEQAI that correspond to the five periods. The first was a compulsory and gradual institutional change model influenced by the Soviet model and dominated by national power. The second was compulsory and radical change model controlled by the counter-revolutionary group. The third was a compulsory and gradual institutional change model dominated by national power. The fourth was induced and gradual institutional change model driven by market power and forced by society power. The fifth was a compulsory and gradual institutional change model led by national power and forced by society power. Finally, the future change direction of China's ECEQAI was further pointed out, that was the government-leading and tend to balanced three-pole power model of "Nation-Market-Society", as well as the "three-pole power relationship" of indepth communication and positive interaction.

A Study of a New Direction of Internet Addiction Convergence Policy through the New Institutionalism's Point of View (신제도론의 관점에서 본 인터넷 중독 융합정책의 새로운 방향에 대한 연구)

  • Koh, Young-Sam
    • Journal of Digital Convergence
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    • v.15 no.3
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    • pp.39-46
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    • 2017
  • This study investigates the problems resulting from the Internet addiction policy management in South Korea and discusses a direction for rational policies by developing a system that facilitates interactive discussions among interest individuals and groups. The Korean society has experienced conflicts of interests among the government, the private sector and civil society in the policy. In addition, heightened competition among government ministries has led the Internet addiction policy management to be susceptible to how citizens respond to the claims of interested parties, thereby having the rationality of the policy management less count. To address these issues, this study investigates the current Internet addiction policy and explores the potential of new governance from a perspective of new institutionalism. This study suggests that the system of the Internet addiction policy should be restructured to transfer control over the policy from the central to local government and develop governance centered on the consensus of the government, the private sector, and civil society.

The Analysis for Legal Evolution of Affirmative Action in University Admissions in the U. S. A. (대학입학과 관련된 미국 소수집단우대정책 역사적 변화 분석)

  • Lim, Soojin
    • Korean Journal of Comparative Education
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    • v.22 no.4
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    • pp.149-178
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    • 2012
  • The initial purpose of Affirmative Action(AA) in the U. S. was to increase access to, and ensure the equitable distribution of, opportunities for racial minority groups in order to redress past discrimination. Over the last several decades, support for AA has grown and waned as structural, political and social currents have shifted. Most recently, AA in university admissions policy was once again tested as The University of Texas at Austin successfully defended its use of AA in admissions and now faces Supreme Court review concerning the lawsuit. Fisher v. University of Texas at Austin. The purpose of this study is to illustrate the evolution of AA in university admissions reflected on major legal cases for and against it. AA is analyzed from the integrative approach based on the historical institutionalism. l.e., influenced by structure, political dynamics, institutions and critical actors.

A Study on the Awareness of Records Management by the Republic of Korea Army Personnel: From a Viewpoint of New Institutionalism (육군 구성원의 기록관리 인식에 대한 연구: 신제도주의적 관점으로)

  • Lee, Ji-Eun;Kim, Gi-Yeong
    • Journal of Korean Society of Archives and Records Management
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    • v.21 no.1
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    • pp.97-116
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    • 2021
  • This study aims to analyze the level of members' awareness of records management in the Republic of Korea Army within the institutional context extensively. Accordingly, in-depth interviews were conducted after comparing and analyzing the institutional systems that restricted the members' record management activities. As a result, it was identified that the members were confused by the inconsistency among the systems that defined the work procedures, and that the value of responsibility and efficiency in the records management system does not match the organization's goals. Therefore, the legal justification of the system should be improved in harmony with the responsibilities and efficiency and to match them with the organization's objectives. Moreover, the improved system should be internalized by the members through instructions that are relevant to the content of the system. This study intends to increase awareness in the records management system and improve the system as well.