中国医学委员会与韩国医学研究支持制度的变迁——以配对基金设立为例

Junho Jung
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摘要

自1945年光复以来,外援对韩国医学的发展起到了至关重要的作用。特别是以“明尼苏达计划”为代表的美国对韩国医学教育的支援,被认为是韩国医学教育从日本式转变为美式的重要契机。然而,对研究的分析有限,而研究一直是医学院及其附属医院的一项关键职能。本文考察了20世纪70年代韩国医学研究支持制度的建立,并以中国医学委员会(CMB)为研究对象。它探讨了捐助机构如何通过所谓的配对基金政策将责任和权力转移给韩国同行,以及这种退出战略如何影响韩国医学研究的资助和利用。作为这一政策转变的背景,本研究还考察了20世纪70年代美国援助政策转变的地缘政治背景,以显示援助不仅是如何引入的,而且在塑造韩国医学研究体系方面也是如何退出的。中国医学委员会的案例展示了民间援助机构如何在尼克松主义和美国对外援助政策变化的宏观地缘政治背景下制定和实施退出战略,并在此过程中塑造了韩国的医疗研究资助制度和自己争取资金的努力。研究韩国演员在外国捐助者驱动的决策过程中的积累和表现,而不是援助与援助后的二元叙事,提供了一个更批判性地看待塑造当代韩国医学研究资助体系的过程的机会。
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China Medical Board (CMB) and the Changes in the Korean Medical Research Support System: Focusing on the Case of Matching Fund Establishment
Foreign aid has had critical impact on the development of Korean medicine since liberation in 1945. In particular, U.S. aid to Korean medical education, represented by the Minnesota Project, is often marked as a major turning point from Japanese-style to American-style medical education in Korea. However, there has been limited analysis of research, which has been a key function of medical schools and their affiliated hospitals. This paper examines the establishment of a system of medical research support in South Korea in the 1970s, focusing on the case of the China Medical Board (CMB). It explores how donor agencies transferred responsibility and authority to Korean counterparts through policy called matching-fund, and how this exit strategy affected the funding and utilization of medical research in Korea. As a backdrop to this policy shift, this study also examine the geopolitical context of U.S. aid policy shifts in the 1970s to show how aid was not only introduced but also exited in shaping the Korean medical research system. The case of the China Medical Board shows how a private aid organization formulated and implemented an exit strategy in the macro geopolitical context of the Nixon Doctrine and changes in U.S. foreign aid policy, and in the process shaped the Korean medical research funding system and its own efforts to secure funding. Rather than a binary narrative of aid versus post-aid, examining the accumulation and manifestation of Korean actors’ own experiences in foreign donor-driven decision-making provides an opportunity to look more critically at the process of shaping the contemporary Korean medical research funding system.
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