• 제목/요약/키워드: Policy making

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의료보장정책의 형성과 문제점 (Policy Formulation of Health Insurance and Its Problems in Korea)

  • 이규식
    • 보건행정학회지
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    • 제10권1호
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    • pp.57-94
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    • 2000
  • Korea's social health insurance system was introduced in 1977, which has made a universal coverage possibly by July 1989. Korean government had pursued a single objective for the last decade to put the whole population under the coverage of medical security, and the objective was achieved within 12 years. The rapid accomplishment is primarily due to such factors as limited benefits, high copayment rate, low contributions as well as rapid economic growth. There are several sources of pressure for the implementation of social health insurance such as health professional group, labor unions, politicians, international organizations etc.. However it is important to look at the feasibility of social health insurance. Among other things, it is necessary to identify the administrative infrastructure of insurance system and to assess income for source of fund. As many developed countries, Korea began to apply health insurance to the employees of the large firms, and the expansion based on employment status. Thus the several funds system was inevitable according to the gradual expansion strategy. However many persons had criticized several funds system in respect with equity and efficiency aspects. In the short history of the Korean health insurance, whether one fund or sever or funds had been the most controversial issue. In Febrary 1999, the National Assembly passed the act of one fund system. From July 2000 separate funds will be unifed under new health insurance scheme. In this study we will analyze the policy making process on implementation, expansion and integration of health insurance system of Korea. And also analyse problems related to policy making.

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Psychosocial Risks: Is Risk Management Strategic Enough in Business and Policy Making?

  • Langenhan, Melissa K.;Leka, Stavroula;Jain, Aditya
    • Safety and Health at Work
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    • 제4권2호
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    • pp.87-94
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    • 2013
  • Background: In times of continuous change and volatile markets, organizations are increasingly characterized by downsizing, work intensification, and resource rationalization. This has resulted in diversification, and the emergence of newrisks within the field of occupational health and safety, with an important impact. This paper focuses on one such type of risk in the modern workplace-psychosocial risks. The current study aimed to explore stakeholder perspectives, regarding the extent to which psychosocial risks are incorporated into strategic risk management practices, at both the business and policy level. Methods: Semi-structured interviews were conducted with 14 professionals, representing employer, expert, policy maker, and trade union stakeholder perspectives. Results: It was found that the majority of organizations do not sufficiently, if at all, understand and incorporate psychosocial risks into strategic decision making, whereby the key barrier related to practical difficulties of not knowing how to manage psychosocial risks adequately. Conclusion: The study found that there is a need to close the gap between policy and practice on a number of levels. Future recommendations comprise a policy framework and infrastructure underpinned by educational initiatives, partnerships, and networks to drive a shift in attitudes toward recognizing the duality of the concept of risk (including both potential negative and positive outcomes) and moving beyond simple regulatory compliance.

Evolution of High-Tech Start-Up Ecosystem Policy in India and China: A Comparative Perspective

  • Krishna, HS
    • Asian Journal of Innovation and Policy
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    • 제7권3호
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    • pp.511-533
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    • 2018
  • As the developed and developing economies make the transition to knowledge-based economies, the high-tech sector has been the primary engine in enabling this transformation. Given this context, the policy making and implementation abilities of the countries' local administration assume significance. This study therefore attempts to examine the policy evolution undertaken by China and India which resulted in the emergence of high-tech startup ecosystems in these countries. Further, using a theoretical framework for an ideal entrepreneurial ecosystem, it tries to understand the similarities and differences prevalent currently in the Indian and Chinese high-tech startup ecosystem. The results of the study indicate that although both the countries took different paths, from a macro-perspective, they follow the same pattern as observed in the US and Israel policy making - that of the change in the role of Government as a regulator to that of an enabler of the entrepreneurial ecosystem. The differences and similarities between the key entrepreneurial ecosystem components provide additional knowledge about the currently prevailing conditions of the ecosystem in these countries.

공중보건정책과 건강 형평성 (Public Health Policy and Health Equity)

  • 김창엽
    • 보건행정학회지
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    • 제26권4호
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    • pp.256-264
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    • 2016
  • Equity-focused public health policy has solid theoretical and practical basis, in addition to ethical one. In the Republic of Korea (hereafter Korea), however, equity in health has not had a high priority in policy goals, regardless of policy areas and particular actors or approaches. Equitable health has been only a minor concern in most public health issues and their decision-making. Generic public health policies are needed to reduce inequity in health, but the importance of a firm basis for sound policy-making cannot be overemphasized. Health equity should be 'mainstreamed' in all public health policies. Potential approaches include intersectoral collaboration, health impact assessment, and 'Health in All Policies.' Public policy agendas for equitable health cannot be formulated without measurement and recognition of the problem. Korea is still suffering from the lack of reliable information on the current status of health inequity, resulting in a relatively weak awareness of the problem among both the general public and policy-makers. More information is needed to increase recognition and awareness that will increase intervention and actions. The absence of decision-making and actions should not be justified even by the lack of information on determinants and pathways of health inequities. Generic plausible solutions can often work in the real world according to political and social commitment. I have discussed several aspects of public health policy from the perspective of health equity, focusing on current status and plausible explanation. Policy process, agenda setting in particular, is highlighted and theories and concepts are presented along with analysis and description of current situation.

건강보험정책심의위원회 가입자 단체의 의사결정 참여에 영향을 미치는 요인 (Factors Affecting the Insured Organizations Participation in Decision Making Process in Health Insurance Policy Committee)

  • 한주성;김창엽
    • 보건행정학회지
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    • 제27권4호
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    • pp.336-346
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    • 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.

대북정책 결정의 정치적 환경과 대통령의 영향력 : '서해평화협력특별지대' 정책결정 과정을 중심으로 (The Political Environment and the President's Influence for Policy toward North Korea: Focusing on the process of 'Special Zone of Peace and Cooperation in the West Sea' policy making)

  • 김윤영;최선
    • 의정연구
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    • 제24권1호
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    • pp.31-66
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    • 2018
  • 본 연구는 한국의 대북정책 결정과정에서 대통령의 영향력이 제한적으로 나타나게 되는 제도적 요인과 정치적 환경을 분석하는 것을 목적으로 한다. 대통령은 국가수반으로서 대북정책에 대한 최고 결정권을 보유하고 있다. 하지만 대북정책에서 대통령의 영향력이 언제나 절대적인 것은 아니다. 권력분립과 민주주의의 제도화에 의한 관료정치, 분점정부 여부나 대통령의 남은 임기 등 정책을 추진하는 시점의 정치적 환경, 정책의 특수성 등 여러 요인들이 대북정책에 대한 대통령의 영향력을 제한하는 요인으로 작동할 수 있다. 본 연구는 2007년 남북한 정상의 합의로 계획되었던 '서해평화협력특별지대' 조성에 관한 정책결정 과정의 동학을 분석하여, 그 과정에서 대통령의 영향력이 제도적 환경과 정치적 여건에 의해 제한적으로 나타나고 있음을 살펴보았다.

전자정부 활용실태와 서비스컨텐츠의 고도화를 위한 정책방향 (A Direction of Policy for Electronic Service Contents System in e-Government)

  • 김영미
    • 디지털융복합연구
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    • 제6권1호
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    • pp.1-10
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    • 2008
  • Electronic service delivery is an integral mission that is shouldered upon e-government to carry out. And it also has become an important way of making client-centered administration work more effectively. It is quite convenient from citizens' perspective to utilize public services that are electronically transformed. This study identifies a set of electronic services currently provided by e-government and proposes policy measures for further driving e-government to develop its services in a direction of making people's life more convenient.

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자연자원정책의 정치적 합리성에 관한 연구 : 주민 만족도를 적용하여 (Political Rationality of Natural Resources Policy - Analysis of Residents Gratification -)

  • 박용길
    • 한국환경과학회지
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    • 제13권10호
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    • pp.855-861
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    • 2004
  • This study analysed the influencing factors involved in deciding the policy through the analysis of procedure in the policy on the natural resources in local governments. To evaluate the political consensus of decision making in policy determination as political rationality in natural resources policy, we analyzed the degree of the satisfaction from the residents. Among the analysis factors of the satisfaction of natural resources policy, the most significant independent factors were the goal and the method of the policy, the institutional conditions and interested groups, the appropriateness of the content of decision making, supervising and controlling, cooperating relations, the effect of policy, and the consistency. From the analysis of the effect and the goal of policy, we found $70.5\%$ of residents was against the policy and only $27.8\%$ consented. Considering the appropriateness of supervising and controlling in accordance with the process of the policy decision and its execution, the influence of local governments and institutions concerned enjoying comparatively more economic benefits was strong, however, the involvement of the residents and supervising and monitoring institutions were found negligible.

이해관계 갈등조정의 위기와 기회 - 소비자단체소송제도의 도입 - (Risk and Opportunity of Interest Conflict Settlement : Introduction of Consumer Collective Lawsuit (Verbandsklage))

  • 민현선;장주성
    • 한국디지털정책학회:학술대회논문집
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    • 한국디지털정책학회 2006년도 춘계학술대회
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    • pp.39-44
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    • 2006
  • The purport of this paper is to deduce political implication and significance of the proposed redress scheme of 'Consumer Collective Lawsuit (hereinunder "CCL")' under way to be introduced by the Korean government via various assessments per each phase of policy implementation process. To this end, the paper classifies the subject policy (referring to CCL) implementation process into 4 phases: policy origination, policy enactment, policy advertisement, and policy execution. Based on the said classification, assessments per each phase together with pros and cons analysis have been conducted. Through the aforementioned analysis, the paper concludes the following political implication and significance of CCL under way of introduction: - 1. In the case of policy origination led by external parties, a social consensus by and from involved parties with various interests is the most critical; 2. Prior feasibility and/or suitability study is also crucial in the policy implementation procedure; 3. To mitigate inter-ministerial conflicts that might arise from the due policy making procedure, democratization of conflict settlement mechanism, and institutionalization of participation in and disclosure of policy making process are cal led upon; and 4. Prior planning wi th respect to the public relation and advertisements of the subject policy on the table poses substantial significance.

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환경정책, 재분배정책, 경제성장에 관한 정치경제학적 분석 (A Political Economic Analysis of Environmental Policy, Redistributive Policy, and Economic Growth)

  • 김재훈
    • KDI Journal of Economic Policy
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    • 제33권2호
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    • pp.145-175
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    • 2011
  • 본 논문은 경제적 불평등이 정치적 의사결정과정을 통하여 환경정책과 재분배 정책에 어떻게 영향을 미치는지를 분석하고 있다. 정치과정을 배제한 경제적 균형에서는 환경정책(배출세)의 도입이 미도입시와 비교하여 경제성장률의 상승을 가져올 수 있지만 그 효과에 불확실성이 존재함을 보이고 있다. 이와 달리 정치경제적 균형에서는 경제적 불평등도의 변화에 따라 환경정책과 재분배정책의 선택이 달라지는 것을 보이고, 그러한 정책 선택이 경제성장에 미치는 영향을 분석하고 있다. 보다 구체적으로 경제적 불평등도가 일정 수준으로 개선되어야 환경정책이 도입되고, 환경정책의 도입은 보다 강화된 재분배정책의 요구로 이어져 단기적으로 경제성장에 부정적인 영향을 줄 수 있음을 보이고 있다. 본 논문에서는 이러한 정치경제적 분석을 기초로 정책적 함의를 논의하고 있다.

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