J Korean Med Assoc.  2012 Jul;55(7):676-684. 10.5124/jkma.2012.55.7.676.

Patient satisfaction versus political support: Korea's drug-dispensing law revisited

Affiliations
  • 1Department of Preventive Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea.
  • 2Korea Insurance Research Institute, Seoul, Korea. changwooda@gmail.com
  • 3Department of Hospital Management, Konyang University, Daejeon, Korea.
  • 4Graduate School of Healthcare and Policy, The Catholic University of Korea, Seoul, Korea.

Abstract

In 2000, Korea enacted a controversial law prohibiting doctors from dispensing drugs. Doctors have opposed this law, and in theory, the law inconveniences patients. We assessed the relationship between patients' satisfaction with drug dispensation and their overall support for the law by using a logit model to determine the effects of the law on patients and which patients are likely to support the law. We employed random digit dialing and obtained a sample of 540 adults who had used drugs since the law was enacted. We collected the data through phone interviews. The results indicate that the respondents were generally dissatisfied with the law regardless of sociodemographic or regional characteristics. However, with other factors controlled for, those respondents from the same region as the ruling political party were significantly more likely to support the law. This implies that regional politics influenced the policymaking process through which the law was crafted and enacted.

Keyword

Health policy; Regionalism; Drug dispensation

MeSH Terms

Adult
Health Policy
Humans
Jurisprudence
Korea
Logistic Models
Patient Satisfaction
Politics
Surveys and Questionnaires

Reference

1. Cho B. Conflicts between civil society and medical doctors shown in the doctor's strike. J Korean Bioethics Assoc. 2000. 1:201–229.
2. Lee KS. The problem of the payment for drug of national health insurance and its improvements. The NHIC discussion for the drug payment in National health insurance. 2001. Seoul: Korean Hospital Association;95.
3. Kim WS. Division of role between physician and pharmacist on drug and development of national health insurance: the ten years of love and hatred. Korean Soc Secur Stud. 2010. 26:159–193.
4. Hwang HS. Principal-agent relations in the policy process: reinterpreting the formation process of the 'drug prescription & dispensing separation' policy. Korean Policy Stud Rev. 2005. 14:29–56.
5. Jeong HS. Impact of Koreas reform for separation between prescribing and dispensing of drugs on profits of doctor's clinics and pharmacies. Korean J Health Policy Adm. 2004. 14:44–64.
Article
6. Jo HS, Lee SH. Trend on the curtailments of medical and drug expenditure before and after the separation between prescription and dispensing in general hospitals. Korean J Health Policy Adm. 2002. 12:23–35.
Article
7. Jo Y. Interest conflict and two-level games in Korean democratic consolidation: the case of the division of the roles of doctors and pharmacists. J Asiat Stud. 2001. 44:276–278.
8. Kwon S. Pharmaceutical reform and physician strikes in Korea: separation of drug prescribing and dispensing. Soc Sci Med. 2003. 57:529–538.
Article
9. Kim SH. Cultural analysis of conflicts around medical reform:in case of pharmaceutical practices. Soc Welf Policy. 2009. 36:89–116.
10. Lee KW, Kim J, Ahn TK. The conflict over the separation of prescribing and dispensing practice (SPDP) in Korea: a bargaining perspective. Korean J Health Policy Adm. 2002. 12:91–113.
Article
11. Yoon HG. A study on the possible consensus on the medical issues through medical knowledge. Health Soc Sci. 2003. 14:29–57.
12. Jee CN. A study on the elite recruitment and the regionalism of Youngnam and Honam: focusing on governments of Kim Dae-Jung, Roh Moo-Hyun and Lee Myung-Bak. Soc Sci Stud. 2011. 35:269–302.
Article
13. Choi HK. Study on voting propensity and regionalism of Korean. 1990. Seoul: Korean Psychological Association.
14. Park HT. The decline of mass democracy in South Korea: personalized politics, state nationalism, political regionalism, and mass democracy [dissertation]. 1993. Athens: University of Georgia.
15. Choe SH, Kim Dae-Jung. New York Times. 2009. 08. 18. cited 2012 Jun 11. Available from: http://topics.nytimes.com/topics/reference/timestopics/people/k/_kim_dae_jung/index.html.
16. Votes for presidential candidates. Dong-A Daily. 1997. 12. 20.
17. Lee SY. The study on the nature of the welfare state under the Kim Dae Jung and Roh Moo Hyun regime: focusing on civic participation in the policy decision making procedure for the national health insurance. Korean J Soc Welf Stud. 2011. 42:31–54.
Article
18. Kim SY. The dynamics of advocacy coalitions in Korean healthcare policy-making: a comparative case study. Korean Policy Stud Rev. 2010. 19:1–44.
19. Shim JC. Failure of separation of drug prescribing and dispensing: an empirical analysis of the goal and reality. 2001. Seoul: Congressman Shim JC Office.
20. Lee WH. Separation of drug prescribing and dispensing assessment report: public survey. 2003. Seoul: Congressman Lee WH Office.
21. Shin E, Hwang JM, Park YG. Survey of patient satisfaction about drug dispensing law. 2002. Seoul: The Catholic University of Korea.
22. Lee KS, Kim JD. Korea Institute for Health and Welfare Policy. History and assessment of separation of drug prescribing and dispensing. 2012. Seoul: Kechuk Culture Co.;199.
Full Text Links
  • JKMA
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr