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KMID : 1170320150210040021
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Korean Journal of Health Economics and Policy
2015 Volume.21 No. 4 p.21 ~ p.41
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Citizen Participation in the Decision-making Process for Drug Reimbursement : Experts' Points of View Involved in This Process
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Lee Bo-Ram
Suh Hae-Sun
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Abstract
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For more efficient and equitable distribution of health care resources, there have been several discussion and attempts to engage publics in health care related decision making. This is because policy makers recognized that decisions are consisted of two components which are technical facts and values, and citizens can advise about the latter. Before considering public participation in Korea, we intend to examine experts`` view on citizen participation in the decision-making process for drug reimbursement. In-depth face-to-face interviews were carried out during May and September 2013 with fifteen experts individually having considerable experience of the drug reimbursement evaluation or public participation experience. Thematic content analysis was performed and validated by member checking. All interviewed experts agreed to the need for public participation. Most of interviewees preferred a separate advisory body like a ``Citizens Council``. They expected to ensure equity and enhance transparency in decision-making process and to increase acceptance of policies through public participation. However, they had concerns about the problem of representativeness and the lack of expertise in publics. The purpose of public engagement is to enhance citizens`` own power in policies that influence their lives. Various efforts should be accompanied to organize public participation in health care.
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KEYWORD
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Consumer Participation, Decision Making, Health, Insurance, Reimbursement
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