공중보건증진, 개인의 선택권, 환경보호 가치의 충돌로 인한 정책옹호연합의 형성과 변화 = Clashing Public Vlaues, Advocacy Coalitions and Policy Changes

다국어 초록 (Multilingual Abstract)

In this paper, we applied the advocacy coalition framework (ACF) to analyze the policy changes surrounding the fluoridation program in Korea. While fluoridation programs were actively pursed by the Ministry of Health and Welfare in Korea to promote preventive public health efforts, opponents raised questions on the safety of the fluoride and argued that implementation of the program violates individuals’ right to refuse fluoride treatment. Opponents, especially environmentalists, also raised issues with potential harms to environment. As commonly found in the ACF analysis, a diverse array of coalitions were formed, taking positions on the fluoridation program, based on their core values surrounding the issue, such as public responsibility to protect health and prevent diseases of vulnerable groups versus protection of individual rights and environment from potential harms. To note, we were able to find coalitions’ persistent and active efforts to influence decision-making process with new knowledge and information regarding the effectiveness, safety, and efficiencies of the fluoridation program. The prominent role of knowledge transfer and validation should be evaluated further in future research to understand the impact of such strategies.

목차 (Table of Contents)

• Ⅰ. 서론
• II. ACF(옹호연합모형)의 이론적 고찰
• III. 수불사업의 개요
• IV. 수불사업에 대한 ACF 모형의 적용
• 1. 외적변수
• 2. 신념체계 - 수불사업에서 나타난 신념체계
• 3. 수불사업 추진 과정에서의 옹호연합의 활동 및 추진 전략
• 4. 정책학습과 전문포럼
• V. 결론
• 참고문헌
• Abstract

참고문헌 (Reference)

1 전진석, "의약분업 정책변화에 대한 연구: 정책옹호연합 모형을 적용하여" 한국정책학회 12 (12): 59-88, 2003

2 양승일, "옹호연합모형(ACF)을 활용한 정책변동 분석-그린벨트정책을 중심으로" 한국도시지리학회 8 (8): 41-52, 2005

3 보건복지부, "수돗물불소화사업의 치아우식 예방효과 및 안정성" 보건복지부 2003

4 보건복지부, "수돗물불소화사업의 역사와 진실" 보건복지부 2002

5 김대영, "수돗물불소화사업에 대한 진주시민의 의식실태조사" 26 (26): 2002

6 김상겸, "수돗물불소화사업에 관한 헌법적 고찰" 한국헌법학회 9 (9): 315-349, 2003

7 문혁수, "수돗물불소화 사업의 성과평가에 관한 연구" 서울대학교 치과대학 및 부속치학 연구소 2000

8 김순양, "보건의료 정책형성 과정의 동태성:옹호연합모형(ACF)을 통한 의료보험 통합일원화 논쟁의 해석" 한국정책학회 15 (15): 1-34, 2006

9 김종배, "공중구강보건학개론" 고문사 1990

10 장지호, "경유승용차 판매허용의 정책변동연구: 옹호연합모형(Advocacy Coalition Framework)의 적용" 한국행정학회 38 (38): 175-196, 2004

11 R. Masters, "Water treatment procedures, lead toxicity and crime" 1999

12 G.M. Whitford, "The metabolism and toxicity of fluoride, In Monographs in Oral Science" Basel Karger 1989

13 P.A. Sabatier, "The Advocacy Coalition Framework: An Assessment, In Theories of the Policy Process" Westview Press 1999

14 P.A. Sabatier, "Policy Change and Learning: An Advocacy Coalition Approach" Westview Press 1993

15 Hugh Heclo, "Issue Networks and the Executive Establishment, In the New American Political System" American Enterprise Institute 1978

16 김동만, "ACF(Advocacy Coalition Framework)를 적용한 정책변동 연구: 신두리사구 정책사례" 18 (18): 2001

17 백승기, "ACF(Advocacy Coalition Framework) 모형에 의한 정책변동 사례 연구: 출자총액제한제도를 중심으로" 한국행정학회 42 (42): 371-394, 2008

18 보건복지부, "2011년 국민보건의료실태조사: 의료이용분석결과" 2011