The process of National Health Insurance coverage for Chuna Manual Therapy in Korea: A qualitative study
Autor: | Me-riong Kim, Jieun Yu, Byung-Cheul Shin, Byungmook Lim, Hyun-Min Kim, Jinho Lee, Eunhye Hyun |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Original article
Process (engineering) 0211 other engineering and technologies 02 engineering and technology Multiple Streams Framework (MSF) 03 medical and health sciences Politics 0302 clinical medicine Documentation 021105 building & construction Miscellaneous systems and treatments Government Traditional Korean Medicine business.industry Traditional Korean medicine RZ409.7-999 Chuna Manual Therapy (CMT) Public relations 030205 complementary & alternative medicine Complementary and alternative medicine National Health Insurance (NHI) Manual therapy Qualitative study business Inclusion (education) Qualitative research |
Zdroj: | Integrative Medicine Research Integrative Medicine Research, Vol 11, Iss 1, Pp 100746-(2022) |
ISSN: | 2213-4239 2213-4220 |
Popis: | Background Chuna Manual Therapy (CMT) has been widely used in Korea, and coverage in Korean National Health Insurance (NHI) was finally implemented in 2019. The objectives of this study were to analyze the process of NHI coverage for CMT qualitatively, and to summarize important roles, streams, and implications regarding its inclusion in the modern public health insurance system. Methods Related literature was collected and 8 key personnel involved in the policy-making process were qualitatively interviewed, and Zahariadis’ version of the Multiple Streams Framework (MSF) was applied to analyze the policy agenda setting and the roles of stakeholders. Results Through the collaborative efforts of various stakeholders, a pilot coverage project for CMT was implemented in 2017, and coverage was expanded nationwide in 2019. MSF showed that it was mainly achieved through three streams: governmental change (political stream), demand from the general public and KM doctors (problem stream), and strengthening/reinforcement of the feasibility and acceptability of the policy (policy steam). Also, the roles of policy entrepreneurs and resulting changes were shown to be significant for the overall process. Conclusion NHI coverage for CMT was realized through collective policy and research efforts from the government and academic sectors. The roles of stakeholders were shown to be significant in the overall process, and documentation of their involvement is hoped to be of use of other countries that utilize traditional and/or manual medicine. |
Databáze: | OpenAIRE |
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