한국과 일본의 노인장기요양보험제도 제정과정에 관한 비교연구 : 정책네트워크모형을 중심으로 = (A) Comparative Study on the Enactment Process of Korea and Japan Long-Term Care Insurance for the Elderly : Focused on the Policy Network Theory

다국어 초록 (Multilingual Abstract)

This study is to compare and analyze the policy decision process between Korea Long-Term Care Insurance and Japan's using policy network theory as an analysis tool, and to lead political and theoretical implications.
The result of the study is summarized as follows ;
First, a policy agenda about Long-Term Care problem for the Elderly set up by the government-leading both Korea and Japan. and the number of policy participation(actors) increased to characteristics of policy process stage. but there is a difference between Korea and Japan in a background of setting up policy agenda about Long-Term Care problem.
In Korea, the policy necessity of providing a developed welfare policy in advance is prior to social need under the policy environment not making social issue. whereas, Japan had not adequate solution of the serious limitation situation concerning the Long-Term Care problem for the Elderly under the separated social welfare system, and of controlling a rapid increase in medical expenditure for the Elderly.
Second, establishment of policy agenda is related to political environment, and the change shape of power relation resemble between two countries according to the characteristic of policy process stage.
Third, interaction among policy actors is corporative from early policy agenda establishment stage in Korea and Japan. but it changes to dissenting or critical rapidly as being announced the frame of system to the people.
Also, it shows that main policy actors play a role in policy making decision and the connection structures of network is similar to both counties although it has a difference in the interaction frequency.
Fourth, although the number of policy actors and the extent of their opinion reflection to the policy effect are different, it shows that policy network pattern is very similar to from policy agenda setting stage to parliament(The National Assemble) policy decision stage as a result of government-leading policy process.
The theoretical and political implications of this study are as follows.
First, as we can know policy process of Japan Long-Term Care system, we can not say that policy network operate well owing to a lots of policy actors. it is very important that we should build up opened-interaction system to share their practical and open-minded opinions through a public- hearing, an open forum formally or informally with policy participations, and the number and the variety of policy participation too.
Second, I can find that this study shows a different aspect(facts) as compared with a published study(thesis) relating to policy making-decision of Japan Long-Term Care system. From this study, I find out that Japan's system has a lots of limitation by analyzing the effect of policy outcomes and policy actors, their interaction.
Third, social welfare system can be made by political agreement. developing policy process, I can find political mechanism working between president, the Government Party and the non-Government Party, and interest groups.
Fourth, the government exclusively took the lead of the network over al the policy process. On the other hand, the role of the National Assembly on the policy-making was so small and trivial. exclusively the government-leading network has a demerits about the reflection of too much government's opinion to the policy outcomes(effect).
Fifth, From this study, we can find that policy process pushed forward according to the government's schedule and it lacks of people's consent. In aspect of coming into force of LTC system, social welfare system can not turn back, once it enforced. In my opinion, we should consider enough social consent and people's economic capability on finances supply, lack of a public facilities infra. also, we should introduce LTC system after the complete preparation in a long-term insights.

목차 (Table of Contents)

• 목차 = 0
• 제1장 서론 = 1
• 제1절 연구목적 = 1
• 1. 문제제기 = 1
• 2. 연구목적 = 4
• 제2절 연구방법 및 범위 = 5
• 1. 연구방법 = 5
• 2. 연구범위와 한계 = 6
• 제2장 이론적 배경 = 10
• 제1절 노인장기요양보험제도의 체계 = 10
• 제2절 정책과정이론 = 18
• 제3절 정책네트워크이론 = 19
• 1. 정책네트워크의 구성요소 = 19
• 2. 정책네트워크모형의 특성과 유형화 = 23
• 제4절 선행연구의 검토 = 28
• 제5절 연구의 분석틀 = 34
• 제3장 한국과 일본의 노인장기요양보험제도 정책환경 비교분석 = 37
• 제1절 한국의 노인장기요양보험제도 정책환경 = 37
• 1. 정책유산 = 37
• 2. 노인복지정책변화 = 40
• 3. 정치·사회·경제적 환경 = 40
• 제2절 일본의 개호보험제도 정책환경 = 44
• 1. 정책유산 = 44
• 2. 노인복지정책변화 = 46
• 3. 정치·사회·경제적 환경 = 47
• 제3절 정책환경 비교분석 = 50
• 1. 정책유산 = 50
• 2. 노인복지정책변화 = 51
• 3. 정치·사회·경제적 환경 = 51
• 4. 정책환경이 정책네트워크에 끼친 영향 = 54
• 제4장 한국과 일본의 노인장기요양보험제도 제정과정에서 정책네트워크 및 정책산출 비교분석 = 55
• 제1절 정책의제형성기 = 55
• 1. 한국의 노인장기요양보험제도 = 55
• 1) 정책의제형성과정(1999.10∼2003.2) = 55
• 2) 정책네트워크 및 정책산출 분석 = 58
• 2. 일본의 개호보험제도 = 62
• 1) 정책의제형성과정(1989.12∼1994.12) = 62
• 2) 정책네트워크 및 정책산출 분석 = 64
• 3. 정책의제형성기 정책네트워크와 정책산출 비교분석 = 74
• 제2절 정책대안모색기 = 75
• 1. 한국의 노인장기요양보험제도 = 75
• 1) 정책대안모색과정(2003.3∼2004.12) = 75
• 2) 정책네트워크 및 정책산출 분석 = 78
• 2. 일본의 개호보험제도 = 93
• 1) 정책대안모색과정(1995.1∼1996.4) = 93
• 2) 정책네트워크 및 정책산출 분석 = 94
• 3. 정책대안모색기 정책네트워크와 정책산출 비교분석 = 106
• 제3절 정부안결정기 = 108
• 1. 한국의 노인장기요양보험제도 = 108
• 1) 정부안결정과정(2005.1∼2006.2) = 108
• 2) 정책네트워크 및 정책산출 분석 = 113
• 2. 일본의 개호보험제도 = 128
• 1) 정부안결정과정(1996.5∼1996.10) = 128
• 2) 정책네트워크 및 정책산출 분석 = 129
• 3. 정부안결정기 정책네트워크와 정책산출 비교분석 = 142
• 제4절 국회 심의결정기 = 144
• 1. 한국의 노인장기요양보험제도 = 144
• 1) 국회심의결정과정(2006.3∼2008.6) = 144
• 2) 정책네트워크 및 정책산출 분석 = 146
• 2. 일본의 개호보험제도 = 165
• 1) 국회심의결정과정(1996.11∼2003.3) = 165
• 2) 정책네트워크 및 정책산출 분석 = 165
• 3. 국회심의결정기 정책네트워크와 정책산출 비교분석 = 174
• 4. 법 성립부터 법 시행전까지 상황 비교분석 = 176
• 제5절 정책네트워크 구성요소별 차이점과 유사점 = 178
• 1. 정책참여자의 범위 = 178
• 2. 참여자의 이해 및 권력관계 = 179
• 3. 정책참여자간 상호작용 = 180
• 4. 정책네트워크모형의 유형 및 특성 = 182
• 5. 정책산출이 정책환경에 끼친 영향 = 183
• 제5장 결론 = 184
• 제1절 연구결과 요약 = 184
• 제2절 정책제언 = 188
• 참고문헌 = 193
• Abstract = 205