[논문]공공기관의 공공성 이행 검토: 의료분쟁조정중재원 사례를 중심으로

양화인

doi:10.4332/kjhpa.2021.31.3.280

공공기관의 공공성 이행 검토: 의료분쟁조정중재원 사례를 중심으로
The Publicness of Public Institutions: Case Study on the Korea Medical Dispute Mediation and Arbitration Agency 원문보기

Health policy and management = 보건행정학회지, v.31 no.3, 2021년, pp.280 - 291

양화인 (고려대학교 행정학과)

Abstract ▼ AI-Helper

Background: Based on the fact that the Korea Medical Dispute Mediation and Arbitration Agency is a public institution established by social demands for medical disputes, this study reviews the publicness of public organization and discusses its policy implications. Methods: Through Moore's strategic triangle, which consists of legitimacy and support, public value and operational capacity, the process of creating public value is examined. For the analysis, case studies were conducted using related literature data from 2012, when the agency was established, to the present. Results: As a result of the analysis, first, the related law examined in the operational capability has been revised dozens of times, but the revised law has its own contradictions and limitations. The human resource system is also being improved, but there is a problem with the fairness and reliability of the arbitration process, especially due to the limitations of the appraiser system. Second, in terms of legitimacy and support, a regional gap occurred despite efforts to improve accessibility through the expansion of the organization. And the arbitration agency failed to reconcile conflicts caused by stakeholders' perception of each other as a trade-off relationship. Third, the public value result shows that, despite many explicit (statistical) achievements, citizens' use of the past dispute resolution means (litigation) has not decreased. Likewise, the perception of value makers (citizens) is important for creating public value as an invisible result, but it has not yet been formally investigated, so the performance can not be recognized. Conclusion: While the organization's efforts for continuous change and improvement are encouraging, it is not perceived as a better means of resolving disputes and improving quality of services. Therefore, it is necessary to reconsider the institutional design centered on value creators.

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표/그림 (6)

표 Table 1. Moore's framework for evaluation of public value performance
그림 Figure 1. Research model.
그림 Figure 2. Status of applications for mediation of medical disputes by region (2016–2020).
표 Table 2. Statistical performance for medical dispute mediation
표 Table 3. Exceeding average case processing period (unit: day)
표 Table 4. Number of application

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공공기관의 공공성 이행 검토: 의료분쟁조정중재원 사례를 중심으로
The Publicness of Public Institutions: Case Study on the Korea Medical Dispute Mediation and Arbitration Agency 원문보기

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공공기관의 공공성 이행 검토: 의료분쟁조정중재원 사례를 중심으로 The Publicness of Public Institutions: Case Study on the Korea Medical Dispute Mediation and Arbitration Agency 원문보기

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공공기관의 공공성 이행 검토: 의료분쟁조정중재원 사례를 중심으로
The Publicness of Public Institutions: Case Study on the Korea Medical Dispute Mediation and Arbitration Agency 원문보기

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