Reorganization strategies to enhance healthcare professionalism in the health and medical administration system

Purpose: This study aims to identify current structural and operational challenges within Korea’s Ministry of Health and Welfare (MOHW), review the organization of health and medical administrative systems in other countries, and propose reorganization strategies to enhance professional expertise in health policy and governance.Current Concepts: The main challenges facing the MOHW include weak coordination between health and welfare functions, a declining proportion of the health budget, and a shortage of health-sector professionals. Among 148 countries analyzed, 114 (77.0%) operate a Ministry of Health structure, 18 (12.2%) a Ministry of Health and Welfare, seven (4.7%) a Ministry of Health and Other Affairs, five (3.4%) a Ministry of Health, Welfare, and Other Affairs, and four (2.7%) other types of administrative structures. Many countries have recently reorganized their administrative systems to address emerging health issues such as substance abuse, digital health transformation, medical innovation, and infectious disease preparedness. In addition, several have established dedicated units for communication, coordination, and integrated management.Discussion and Conclusion: To strengthen professionalism in Korea’s Health and Medical Administration System, two structural strategies are proposed: (1) establishing an independent Ministry of Health, or (2) expanding the second vice-ministerial office within the existing MOHW framework. Given the rapid evolution of the healthcare environment and the increasing complexity of global crises, an evidence-based and rational reorganization is urgently needed. Building broad consensus with healthcare professionals will be essential to reinforce expertise and ensure effective leadership in national health administration.