Article

Public Health Disasters and the Evolution of Pandemic Response Structures: A Case Study of MERS in Korea*

Jiyoun Chang 1
Author Information & Copyright
1Jiyoun Chang is a PhD candidate at Ewha Womans University, Seoul, Korea. E-mail: jiyoun.chang72@gmail.com.

© Copyright 2017 Graduate School of Public Administration, Seoul National University. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Oct 25, 2016; Revised: Nov 01, 2016; Revised: Mar 06, 2017; Accepted: Mar 08, 2017

Published Online: Apr 30, 2017

Abstract

This study focuses on the Korean MERS epidemic and analyzes how governance structures were set up to respond to it. Compared to other countries’ responses, which were built on both hierarchical and network structures, the Korean MERS response structure evolved over time. In the first period hierarchy characterized the relationship between the central government and hospitals. In the second period, heterarchy replaced hierarchy, and in the last period heterarchy evolved into a network governance structure. Furthermore, it was found that leadership, communication, information sharing and use of information technology affected the formation of the response structures. I conclude by exploring limitations in my research and suggesting paths and perspectives for further research.

Keywords: public health disasters; governance structure; infectious disease; epidemic/pandemic response; MERS; Korea