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KMID : 1142820180020020087
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Bio, Ethics and Policy
2018 Volume.2 No. 2 p.87 ~ p.107
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Registered Doctor System for Children Korea: An Approach from Theories of Justice
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Kim Jun-Hewk
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Abstract
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Several local governments in South Korea introduce a registered doctor system for children, which have been started from Seoul. Two proposals, the Registered Dentist System for Children and Adolescent and the Health Management Doctor System for Children, are implemented by the Seoul government. The primary objectives of these services are an expansion of primary health care, control of health care cost, and mitigation of health inequality. The services have been expanded after the pilot projects had completed. The Seoul Dental Association and the Korean Association of Pediatric Practitioners oppose these services because of lack of consultation with the professional community, financial limitation, degradation of health service quality, and excessive administrative burdens. This paper reviews the implemented policies and argues that there is a gap between the objectives of the registered doctor system and the aims of the implemented policies. In effect, the current services could not guarantee sustainability and legitimacy of the policy. Therefore, this paper tries to secure the validity of the registered doctor system for children based on the justice. For this purpose, three main positions of the health justice are introduced and suggestions for improvement of the just registered doctor system for children are made.
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KEYWORD
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Registered Doctor System for Children, Theory of Justice, Utilitarianism, Prioritarianism, Luck Egalitarianism
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