Healthcare reform policies involve multiple stakeholders and complex decision-making processes, making them suitable for analysis from a governance perspective. This study examines recent healthcare reform initiatives in Korea, particularly medical workforce policy, as a policy implementation case and analyzes the governance structure underlying policy conflict. This research applies a governance framework focusing on stakeholder participation, allocation of decision-making authority, and institutionalization of consultation mechanisms. Using qualitative document analysis, the study investigates the policy formulation and implementation process, stakeholder interactions, and conflict management. The findings show that decision-making was centralized within the government, while prior consultation with key stakeholders was limited. Fragmented representation within the medical community weakened coordination among stakeholders, and participation by citizens and patient groups was restricted, undermining policy legitimacy. Furthermore, administrative control-oriented responses were prioritized after conflict emerged, limiting collaborative governance. These results indicate that healthcare reform policy conflict is closely associated with governance arrangements in policy implementation. The study highlights the need to strengthen stakeholder participation, institutionalize consultation mechanisms, and establish shared decision-making structures to improve governance in healthcare policy implementation.
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Abstract 1. 서론 1.1 연구의 배경 및 문제제기 1.2 연구의 범위 및 방법 1.3 선행연구 검토 2. 이론적 배경 및 분석틀 2.1 본 연구의 이론적 배경 2.2 한국 보건의료체계의 형성과 기본 구조 2.3 본 연구의 분석틀 3. 의료개혁 정책을 사례를 통한 거버넌스 구조 분석 3.1 2024년 의료개혁 정책의 주요 내용과 갈등 구조 3.2 정책 추진 과정의 거버넌스 구조 분석 3.3 의료개혁 정책 사례의 거버넌스 한계 분석 4. 보건의료 정책 추진 거버넌스 재구성 방안 4.1 보건의료 거버넌스와 의료인력 정책의 쟁점연계 4.2 이해관계자 참여 기반 거버넌스 구축 4.3 공동 의사결정 기반 정책 추진 구조 설계 4.4 단계별 정책 추진 거버넌스 구축 4.5 환자 중심 보건의료 정책 추진 5. 결론 5.1 연구결과의 요약 5.2 정책적 함의 5.3 연구의 의의 및 한계 Acknowledgements References