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KMID : 0387320000100020041
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Korean Journal of Health Policy and Administration
2000 Volume.10 No. 2 p.41 ~ p.77
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A Study on Policy Making Process in the Separation of Prescribing and Dispensing
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Lee Sang-Yi
Yoon Tai-Young
Kim Chul-Woung
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Abstract
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This study aimed at the analysis, from the perspective of rationality of policy making process in the separation of prescribing and dispensing. This study id to identify the characteristics and problems of the policy process to introduce the new drug-prescription system, and make policy recommendations.
In terms of the separation of prescribing and dispensing, the development of policy making process can be divided into two periods; periods before and after the inauguration of the government of people.
In the period before the government of people, one of the major characteristics of policy decision on the new system was the powerful influence of interest groups. At that time, the ministry lacked the problem-solving ability and commitment on the policy. Consequently, during the former period, the policy making process had been driven by interest groups. Therefore, the original purpose of the policy to secure the public heath was lost.
During the latter period, there was also the strong influence of interest groups, complexity of interest, the ministry´s inability of problem solving. However, in this period, it is notable that this policy has drawn nation-wide attention, several civic groups have participated in the policy making process, and that the number and voice of these groups have remarkably increased.
With regards to rationality, incrementalism model is highly suitable to explain the policy making process in the former period. But in the latter peirod when the new drug-prescription system became a national issue and civic groups began to participate in this matter more actively, rational model is more explanatory than incrementalism to understand the process.
During the latter period, the original goal of this policy was not distorted by a few interest groups thanks to the rapid development of civil movement and thereby a big influence of civic groups on the policy making, For that reason, a high level of rationality is found in the policy-making process of the latter period.
Some suggestions to achieve the rationality in the policy making process based on the results of thin study are as follows;
First, the public´s participation should be ensured in the policy making process. Second, the government should make continuous efforts to enhance its ability of long-erm planning and policy implementation, and increase rationality of policy making process. Third, balance among interest groups should take place in the process of policy making. Forth, sound, constructive, and logical activity of interest groups is necessary to express and promote their interests.
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KEYWORD
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the separation of prescribing and dispensing, policy making process, rationality
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