건강보험 재정과 보건정책 결정

류창욱 한국정책학회 2012 한국정책학회 학술대회 Vol.2012 No.2

자유조합주의(free-corporatism)

류창욱 한국정책학회 2019 한국정책학회 학술대회 Vol.2019 No.-

이 연구는 조합주의(corporatism)를 국가 중심의 국가조합주의에서 역동적 시민사회 중심의 자유조합주의(free-corporatism)로 발전시켜 사회통합에 대한 신념구조를 구성하고, 이를 통해 조화로운 전 지구적 공동체의 지속가능한 평화를 이룰 것을 주장한다. 자유민주주의 체제의 다원주의 국가에서 사회적 특권계층 또는 기득권층이 권력주체와 결탁하여 국가를 포획하고 결과적으로 공공이익을 희생시키는 일을 막기 위해서는 국민이 시민사회의 다양한 집단에 참여하는 자유조합주의를 발전시켜야 하고, 그 제도적 방안인 공익로비스트집단을 공론화의 과정을 거쳐 법제화해야 한다.

국회 청원제도를 통한 보건의료 입법사례 연구: 13–20대 보건복지위원회 청원을 중심으로

류창욱 한국보건행정학회 2019 보건행정학회지 Vol.29 No.4

The right to petition is a classical right of the people in constitutional states, and in Korea, it is a statutory right in the Constitution, the National Assembly Law, the Petition Law, and the Local Autonomy Act. The healthcare community first made a successful petition to the National Assembly when it achieved the amendment of the Government Organization Act through a petition to the National Assembly for the independence of the Ministry of Health, and this achievement served as the basis for further petitions. Since then, the healthcare community has successfully achieved the enactment and amendment of related occupational laws through National Assembly petitions, such as the amendment of Article 41, Paragraph 7 of the former Medical Insurance Act (Korean Medical Association, 14th Assembly), enactment of the Dental Health Act (Korean Dental Association, 15th Assembly), and amendment of the Health Functional Foods Act (Korea Pharmaceutical Association, 16th Assembly). Its petition accomplishment rate is higher than the total petition accomplishment rate of the Health and Welfare Committee of the National Assembly. However, along with the overall decrease in the number of National Assembly petitions, the Korean Medical Association and Korea Pharmaceutical Association have not achieved any results through petitioning since the 16th Assembly (June 2000), and the Korean Hospital Association and Korean Nurses Association have not achieved any results through petitioning since the 17th Assembly (April 2004). Furthermore, no National Assembly petitions have been made at all for 5 years (2014–2018). The Korean Medical Association and Korea Pharmaceutical Association previously showed a high petition accomplishment rate through their accumulated experience with National Assembly petitions and vigorous policy assistance from doctors/pharmacists/nurses turned lawmakers. More specifically, healthcare organizations have achieved results by actively conducting organized activities with the National Assembly, as implemented by a national assembly director and employees, and in case of petitions for legislation, each group has established infrastructure for reviewing the relevant laws by appointing a legislative director, as well as a legal advisor and advisory counsel. Although the organization that has submitted the most petitions to the National Assembly is the Korean Hospital Association, the group with the highest petition success rate is the Korean Medical Association, which may be linked to the relatively high proportion of doctors who have become lawmakers. Furthermore, the fact that other healthcare organizations were highly interested in petitioning the National Assembly has had major implications for the petition activities of healthcare organizations.

자유조합주의, 공익로비스트집단, 그리고 사회민주주의

류창욱 한국정책개발학회 2020 정책개발연구 Vol.20 No.1

This study argues for forming a structure of beliefs in social integration by developing corporatism from state-centric state-corporatism to dynamic civic society-centered free corporatism, and thereby, achieving sustainable peace among harmonious global communities. Free corporatism, whereby people participate in various groups in civil society, must be developed, and public-service lobby groups and an institutional plan must be enacted through the publicized process to prevent the socially privileged class or the establishment from capturing countries by colluding with the subject of power and eventually sacrificing public interests in pluralist nations with liberal-democratic systems. 이 연구는 조합주의(corporatism)를 국가 중심의 국가조합주의에서 역동적시민사회 중심의 자유조합주의(free-corporatism)로 발전시켜 사회통합에 대한신념구조를 구성하고, 이를 통해 조화로운 전 지구적 공동체의 지속가능한 평화를 이룰 것을 주장한다. 자유민주주의 체제의 다원주의 국가에서 사회적 특권계층 또는 기득권층이 권력주체와 결탁하여 국가를 포획하고 결과적으로공공이익을 희생시키는 일을 막기 위해서는 국민이 시민사회의 다양한 집단에 참여하는 자유조합주의를 발전시켜야 하고, 그 제도적 방안인 공익로비스트집단을 공론화의 과정을 거쳐 법제화해야 한다.

어떤 민주주의?

류창욱 재단법인 내일을여는역사재단 2019 내일을 여는 역사 Vol.75 No.-

정약용과 국회전자청원

류창욱 철학문화연구소 2021 철학과 현실 Vol.131 No.-

자유조합주의(free-corporatism)

류창욱 재단법인 내일을여는역사재단 2015 내일을 여는 역사 Vol.59 No.-

보건의료전문가 출신 국회의원이 보건의료정책 형성에 미친 영향에 관한 연구

류창욱 ( Chang Ug Ryu ),이재희 ( Jae Hee Lee ) 한국보건행정학회 2015 보건행정학회지 Vol.25 No.4

In most democratic countries, influential professional interest groups often become a part of the iron triangle in the policy making process. One of the typical methods by which professional interest groups participate in policy making process may be by having interest group members in the national assembly, who are sympathetic to the group, implementing policies through legislation. In this study we found that from the Constitutional National Assembly through the 18th National Assembly, 147 members of the National Assembly of the Republic of Korea have been ex health care professionals. The research analyzed the roles of these members in health care law amendments as requested by the professional organizations. This study analyzed 11 major cases that involved nullification or amendment of legislations in favor of the healthcare profession, against the basic policies of the government. The study showed that in the 11 major cases, policies were amended in the direction intended by the National Assembly members and other organizations with similar interests, which was against the policy stance of the government. However, these cases did not unilaterally imply that the National Assembly has been captured by the interest groups through the legislators with health care professional background; rather, they should be perceived to be influenced by the exhibited loss of governability by the government in respect to healthcare policy decisions, loss of initiative due to lack of controllability, and reversals and inconsistencies of the policies.

한국 근대 의료 건축물에 관한 연구

한동관(HAN Dong Gwan),류창욱(RYU Chang Ug),고상균(KO Sang Kyun),정재국(JUNG Jae Kook),문종윤(MOON Jong Youn),박윤형(PARK Yoon Hyung) 大韓醫史學會 2011 醫史學 Vol.20 No.2

It was the late Chosun Dynasty and Daehan Empire era that Western Medicine has firstly been introduced to Korea, previously operating on a basis of Korean traditional medicine. Western Medicine has been introduced by American missionary and Japanese Imperialism. An introduction of Western Medicine made it feasible to proceed new type medical care including operation, leading to require a new form of medical facilities. In the beginning, new facilities were constructed by Japanese Imperialism. Other hand many of facilities including Severance Hospital were established by missionaries. First of all, Daehan Empire established and managed a modern type of medical facility named "Jejoongwon" in 1885 as a government institution hospital. The Red Cross Hospital built in 1889. Afterwards, Jejoongwon and the Red Cross Hospital were taken over to missionary hospital and Japanese Imperialism, respectively. Japanese Imperialists firstly have protected their nationals residing in Chosun but have proceeded care a few Chosun people to exploit medical treatment as a mean to advertise superiority of the Empire of Japan. The facility that has firstly been established and managed was Jeseang Hospital in Busan in 1877, leading to establish in Wonju, Wonsan, and Mokpo. Afterwards, Japan has organized "Donginhoi" as a civil invasion organization, leading for "Donginhoi" to established "Dongin Hospital" in Pyeongyang, Daegu, and Seoul. Since 1909, governmental leading medical facility named Jahye Hospital was established according to an imperial order, leading to establish 32 hospitals all over the nation. American missionaries have established and managed 28 hospitals started from Severance Hospital built in 1904. However, Chosun doctors started to having educated and opening up their own hospital since 1920, leading for many of medical facilities to be established, but most of them have taken different roles followed by 6.25 War and economic development period. However, some of them are currently under protection as cultural assets, and some of them are now preserved. Buildings have originally been structured of wood as a single story in the beginning, but bricks started to be steadily used, leading to build two story building. Each of clinic department started to be separated since 1920, establishing operation room and treatment room. Now, a change of perception as to buildings that need to be preserved and an attention from government and doctors are required since modern medical facilities keep disappearing.

국소 조각 골을 이용한 후방 추체간 유합술에서 탈무기질화 골기질의 이식골 강화제로서의 효과

최대정,안동기,이송,박훈석,전영원,양승진,류창욱 대한척추외과학회 2008 대한척추외과학회지 Vol.15 No.3

Study design: A randomized, controlled study Objectives: We wanted to investigate whether osteogenesis can be enhanced when a small amount of demineralized bone matrix (1 cc/segment) is mixed with local bone chips. Summary of the Literature Review: Demineralized bone matrix (DBM) has been used for spinal arthrodesis. However, there are only a few reports about its use as a composite graft with local bone chips for posterior lumbar interbody fusion Materials and Methods: Degenerative spine patients, who would normally be treated by decompression and posterior lumbar interbody fusion with using a pedicle screw system and one cage, were randomly, prospectively selected for whether they would be treated with using local bone chips mixed with 1cc of DBM (Group I: 15 patients and 19 segments) or local bone chips (Group II: 12 patients and 13 segments) for graft material. The sampling bias was investigated for gender, age, endocrine diseases, previous operation, habits (alcohol drinking, smoking), steroid medication, bone mineral density and the amount of local bone. The amount of bone formation was measured at 6 months after operation. On the sagittal and coronal reconstruction CT images, the bone formation outside of the cage was measured, and this was interpreted in a “blinded”fashion by 2 independent doctors who did not take part in the operations. Results: There was no sampling bias between the 2 groups except for age (Group I= 65.3±7.1, Group II=58.9±6.0, p=0.010). The ratio of local bone chips and DBM was 5.98:1 in Group I. There was moderate concurrence between the 2 interpreters (kappa coefficiency= 0.494, p<0.001 for the sagittal plain images and kappa co-efficiency=0.467, p<0.001 for the coronal plain images) and Group I showed significantly more bone formation (p=0.003). Conclusion: DBM that is mixed with local bone chips, even with small amount, enhanced bone formation in the posterior lumbar interbody fusion. This is regarded to act as a graft enhancer to increase the fusion rate, even when using local bone chips for graft material, for the cases that show unfavorable conditions for fusion or for the cases that are prone to loosening of hardware.