의약분업정책과 사회적 갈등

다국어 초록 (Multilingual Abstract)

Severe conflicts took place between civil society and medical doctors, when the government tried to implement the policy of dividing prescription and preparation of drugs between doctors and pharmacists. The conflicts were developed in the 3 aspects, such as between doctors and pharmacists, between civil organizations and medical doctors, and among doctors themselves. Medical doctors argued the tight regulation of pharmacists' illegal prescribing behavior, but their concern was related to their discontents with low fee schedules of the health insurance system. However, the more fundamental feature the conflicts could be found in lowering socioeconomic status of doctors due to the growth of the hospital and pharmaceutical capital. Another factor to lead the conflicts was the growth of civil concern on health affairs and civil organizations' initiative to promote health care reform. Medical doctors were not prepared with handling this civil initiative and were reluctant to accepting their active role in formulating health policies. Thus the conflicts were inevitable.

목차 (Table of Contents)

• 1. 의약분업이 초래한 사회적 갈등
• 2. 의료체계의 모순과 의료개혁
• 3. 의약분업정책의 전개
• 4. 갈등의 시발 : 의사와 약사 사이의 갈등
• 5. 갈등의 전개 : 의권투쟁
• 6. 의료계 내부의 갈등
• 7. 결론
• 참고문헌
• ABSTRACT