The Journal of Korean Medicine (대한한의학회지)

The Society of Korean Medicine (대한한의학회)
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Institutional Analysis on Organizational Changes of Korean Medicine Hospitals

보건의료 제도환경에 따른 한방병원의 변화 - 제도주의적 관점의 적용 -

  • Park, Minjung (Graduate School of Public Health, Seoul National University) ;
  • Lim, Buoungmook (School of Korean Medicine, Pusan National University) ;
  • Cha, Wungseok (Department of Medical History, College of Korean Medicine, Kyung Hee University) ;
  • You, Myoungsoon (Graduate School of Public Health, Seoul National University)
  • 박민정 (서울대학교 보건대학원) ;
  • 임병묵 (부산대학교 한의학전문대학원 인문사회의학부) ;
  • 차웅석 (경희대학교한의과대학 의사학교실) ;
  • 유명순 (서울대학교 보건대학원)
  • Received : 2014.02.22
  • Accepted : 2014.03.21
  • Published : 2014.03.31
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Abstract

Objectives: Korean medicine hospitals, since they first emerged in the early 1970s, have rapidly become a new member of the hospital population. As it was a new organizational frame for traditional medicine, we tried to analyze the changes of Korean medicine hospitals coping with institutional environment and their relative positioning in the whole health care sector. Methods: On the basis of Scott and his colleagues' identification of the three components of institutional environments, changes in organizational logics, actors, and governance of Korean medicine hospitals during the period from 1971 to 2010 were analyzed. Results: First, Similar to previous literature on institutional eras of Korean health sector, three distinct periods were characterized: the foundation of Korean medicine hospitals to consolidate the legal status(1971~1986), a rapid increase of entrepreneurial hospitals through cultural-cognitive legitimacy(1987~2001), and the reinforcement of specialization and competition(2002~present). Conclusions: Results suggested that: (1) changes in institutional environments hada heavy impact on structural and behavioral changes among Korean medicine hospitals, but the pace was slower than that of western medicine hospitals. (2) In structure, Korean medicine hospitals have positioned themselves as unofficial long-term care hospitals, focusing on chronic diseases(e.g. cerebrovascular disease). Our study demonstrated that organizational theories can provide useful framework for the analysis of Korean medicine and related policies. Indeed, one of the most important implications of this study is that understanding changes in institutional environments is important to understand the process of how members of the health care sector live, grow, change, decline and survive.

Keywords

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