政策執行過程에서의 政策對應에 관한 硏究 : 의약분업 정책사례를 중심으로

다국어 초록 (Multilingual Abstract)

This study concentrates on exploring how the government has responded to the sharp confrontation between such strong professional interest groups as the associations of medical doctors and pharmacists, and analyzing the strategies and characters of profit-oriented intervention by the interest groups and political responses by the government.
Main parts of this study consist of 5 chapters. Chapter I is the introductory part describing the purpose, scope and structure of the study. Chapter II presents the theoretical background of political responses in the policy implementation process, reviewing and discussing the significance and character of political implementation by the government and intervention by the interest groups. Chapter III provides the status of the policy for specializing dispensary and medical practice, examining the concept, necessity and background of promoting the policy, and its outcome. Chapter IV investigates the character of the interest groups in connection with their interest-oriented purpose, government strategy and change in relation or in line with the separation policy, and points out some problems on the part of government. Chapter V draws conclusion from the issues discussed above.
From this study, it became evident to make following approaches to overcome the collective conflicts and achieve the desired outcomes in policy:
First, the government should take a firm stance as a defender of public interest by maintaining the initial political objective and base, instead of being easily led by the forced pressure from interest groups;
Second, the government should not remain simply as a mediator but push actively through with firm political attitude in dealing with such critical issues as the separation of dispensary and medical practice that is directly associated with the national health, utilizing every means to persuade them morally, induce or, if necessary, force them to refrain from interest taking acts;
Third, an autonomous body should be launched to prompt dialogue or compromise between the interest groups with similar or overlapping territory of business.
For successful settlement of the separation policy in the future, more cooperation and understanding are requested by medicinal and pharmaceutical world, government and concerned people in the process.
The meaning of this study may be summed up as follows: First, the process of political decision is to solve problems on the way to realizing an ideal future. No matter how desirable it is, the desired political effect can't be yielded if the fixed policy is lightly changed or biased during its implementation process. Second, even when the purpose and intent of a policy is clearly defined and so chosen, is can be affected by numberless interactive factors like political environment, intervention or conflict of interest groups. In other word, a policy may be re-formed repeatedly in response to new requirements or mutual modification in the implementation process. Therefore, implementation of a policy can't be separated from the politics but may be an essential part of it.

목차 (Table of Contents)

• 목차
• Abstract = vi
• 제1장 서론 = 1
• 제1절 연구의 목적 = 2
• 제2절 연구방법 및 분석의 틀 = 4
• 1. 연구방법 및 내용 = 4
• 2. 연구의 분석 틀 = 4
• 제2장 정책집행과정에서의 정책대응에 관한 이론적 배경 = 7
• 제1절 정책집행의 의의와 정치적 특성 = 7
• 1. 정책집행의 의의 = 7
• 2. 정책집행과정의 정치적 특성 = 13
• 제2절 이익집단에 관한 논의 = 18
• 1. 이익집단의 개념과 영향력 = 19
• 2. 이익집단의 이익투입과 갈등중재 = 24
• 제3절 정책대응 = 31
• 1. 대응전략 = 31
• 2. 대응결과로서의 정책변동 = 39
• 제3장 의약분업정책의 현황 = 45
• 제1절 의약분업의 의의와 유형 및 필요성 = 45
• 1. 의약분업의 의의 = 45
• 2. 의약분업의 유형과 필요성 = 48
• 제2절 선진국의 의약분업 고찰 = 50
• 제3절 한국 의약분업정책의 추진배경 및 경과 = 56
• 1. 1997년 이전의 의약분업정책 = 57
• 2. 1997년 이후의 의약분업정책 = 59
• 3. 정부의 의약분업 관련 조치 = 69
• 4. 의약분업 추진경과에 대한 시사점 = 71
• 제4절 의약분업 정책집행이후의 성과 = 73
• 1. 의약분업의 추진성과 = 73
• 2. 의약분업과 건강보험재정 = 78
• 제4장 이익집단의 이익투입에 대한 정책대응 = 85
• 제1절 의약분업관련 이익집단의 특징 = 85
• 1. 전문이익집단 = 86
• 2. 시민단체 = 91
• 제2절 이익집단의 이익투입 내용 및 과정 = 94
• 1. 갈등의 원인(쟁점) = 94
• 2. 이익집단의 이익투입 = 102
• 제3절 정부의 대응전략과 특성 = 111
• 1. 정책인지 = 111
• 2. 대응전략 = 113
• 3. 대응전략의 배경 및 특성 = 115
• 제4절 정부의 대응결과로서의 정책변동 = 122
• 1. 정책변동의 배경 = 122
• 2. 정책집행과정에서의 정책변동 = 125
• 제5절 정부의 정책대응의 문제점과 = 132
• 1. 정책대응의 문제점 = 134
• 2. 정책과제 = 137
• 제5장 결론 = 142
• 참고문헌 = 145