ORIGINAL RESEARCH article
Front. Public Health
Sec. Public Health Policy
Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1673605
This article is part of the Research TopicWidening Participation and Access to Medicine as a CareerView all 9 articles
Rushed Health Workforce Reform in South Korea: A Kingdon's Multiple Streams Framework Analysis of the 2024 Medical School Quota Expansion
Provisionally accepted
Yuri Lee1
Hyun-Young Shin2*- 1Myongji College, Seoul, Republic of Korea
- 2The Catholic University of Korea Seoul St Mary's Hospital, Seocho-gu, Republic of Korea
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Abstract Background: In 2024, South Korea expanded medical school quotas to address physician shortages in underserved regions and essential specialties. Public concerns emerged over equity and distribution amid political pressure, limited stakeholder participation, and opaque workforce forecasts. Objective: To explain how political dynamics, stakeholder exclusion, and weak integration of evidence shaped rapid policy change, and to assess implications for workforce planning and essential-care access. Methods: We conducted a mixed-methods policy analysis using qualitative data from policy documents, legislative records, and media coverage, alongside secondary quantitative data on physician distribution and residency application trends. Thematic coding and triangulation were guided by the three streams of Kingdon's Multiple Streams Framework: problem, policy, and politics. Results: The findings reveal that policy urgency was driven by focusing events such as maternal emergencies and pediatric access crises. While numeric expansion was politically favored, workforce projections were inconsistent and failed to address specialty-specific and regional gaps. Political actors prioritized electoral considerations over evidence-based, inclusive reform strategies. Conclusion: Quota expansion alone is unlikely to resolve disparities. Sustainable reform requires transparent forecasting, targeted incentives, capacity for priority specialties/regions, and participatory governance with multi-stakeholder collaboration.
Keywords: Medical Education, Health Policy, workforce planning, Kingdon's multiple streams, Essential care
Received: 26 Jul 2025; Accepted: 17 Oct 2025.
Copyright: © 2025 Lee and Shin. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Hyun-Young Shin, shydeborah@catholic.ac.kr
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