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KMID : 0904520190510010015
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Health and Medical Sociology
2019 Volume.51 No. 1 p.15 ~ p.40
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The change of Korean doctors’ professionalism and their dominance over health care system
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Cho Byong-Hee
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Abstract
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Unlike Western countries, in Korea, doctors established the solid medical dominance over the health care system by owning hospitals and clinics as well as learning highly professional medical knowledge by the 1980s. However, the situation has changed when the government introduced the national health insurance and the big hospitals has been built during the 1990s, which shared the large portion of the health care market. Since a lot of patients were gathered, big hospitals has developed a kind of assembling line of treatment. Doctors became overworked and exhausted. Their communication with patients were limited. Their rights were forced to transfer to nurses, as showed in PA. Small hospitals faced with the shortage of patients. However, doctors thought that the fundamental cause of their hardship were due to low level of health insurance cost, not to big hospitals. Patients showed the positive attitude for the health care services. However, frequently happening violence against doctors implies the lowering trust for doctors. In conclusion, doctors came to lose their dominance in the health care system, even if heath care are getting influential more than before
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KEYWORD
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doctor, professionalism, medical dominance
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