South Korea demonstrated its ability to respond effectively with rapid policy measures and implementation in the early stages of the pandemic. However, at the end of second year of the pandemic, South Korea reached a peak in its number of daily new cases. Why didn’t South Korea maintain the initial successful performance? To answer the question, this study examined South Korea's pandemic response process through Complex Adaptive Systems (CAS), focusing on actors’ behavior according to the phase transition. We found that the South Korean government failed to interact with the rapidly evolving public due to the different evolving pace. Dissonance between the government and the public resulted in distrust, fatigue, and resistance to the government's policy among people. From the case study of South Korea, this study emphasizes that not only individual governments, but also the international community, should anticipate and interact with the rapidly evolving public to prepare for the pandemic and post-pandemic era.
QiuWRutherfordSMaoAChuC. The pandemic and its impacts. Heal Cult Soc. 2017;9:1–11.
2.
ChoiS. A hidden key to COVID-19 management in Korea: Public health doctors. J Prev Med Public Heal. 2020;53(3):175.
3.
LeeHLeeHSongK-H, et al.Impact of public health interventions on seasonal influenza activity during the COVID-19 outbreak in Korea. Clin Infect Dis. 2021;73(1):e132–e140.
4.
YouJ. Lessons from South Korea’s COVID-19 policy response. Am Rev Public Adm. 2020;50(6-7):801–808.
5.
WHO. Republic of Korea: WHO Coronavirus Disease (COVID-19) Dashboard | WHO Coronavirus Disease (COVID-19) Dashboard. World Health Organization. https://covid19.who.int/region/wpro/country/kr. Published 2022. Accessed March 20, 2022.
6.
OhS-Y. From a ‘super spreader of MERS ‘to a ‘super stopper ‘of COVID-19: Explaining the evolution of South Korea’s effective crisis management system. J Asian Public Policy. 2022;15(2):250–265.
7.
MoonMJ. Fighting COVID-19 with agility, transparency, and participation: Wicked policy problems and new governance challenges. Public Adm Rev. 2020;80(4):651–656.
8.
ShawRKimYHuaJ. Governance, technology and citizen behavior in pandemic: Lessons from COVID-19 in east Asia. Prog Disaster Sci. 2020;6:100090.
9.
ChenHShiLZhangYWangXSunG. A cross-country core strategy comparison in China, Japan, Singapore and South Korea during the early COVID-19 pandemic. Global Health. 2021;17(1):1–10.
10.
DigheACattarinoLCuomo-DannenburgG, et al.Response to COVID-19 in South Korea and implications for lifting stringent interventions. BMC Med. 2020;18(1):1–12.
11.
ReisRFde Melo QuintelaBde Oliveira CamposJ, et al.Characterization of the COVID-19 pandemic and the impact of uncertainties, mitigation strategies, and underreporting of cases in South Korea, Italy, and Brazil. Chaos, Solitons Fractals.2020;136:109888.
12.
PainaLPetersDH. Understanding pathways for scaling up health services through the lens of complex adaptive systems. Health Policy Plan. 2012;27(5):365–373.
13.
RouseWB. Health care as a complex adaptive system: Implications for design and management. Bridg Acad Eng. 2008;38(1):17.
14.
AngeliFMontefuscoA. Sensemaking and learning during the COVID-19 pandemic: A complex adaptive systems perspective on policy decision-making. World Dev. 2020;136:105106.
15.
DegelingCJohnsonJKerridgeI, et al.Implementing a one health approach to emerging infectious disease: Reflections on the socio-political, ethical and legal dimensions. BMC Public Health. 2015;15(1):1307.
16.
WhyleEOlivierJ. Social values and health systems in health policy and systems research: a mixed-method systematic review and evidence map. 2020.
17.
SwansonRCAtunRBestA, et al.Strengthening health systems in low-income countries by enhancing organizational capacities and improving institutions. Global Health. 2015;11(1):1–8.
18.
EllisB. Complexity in practice: Understanding primary care as a complex adaptive system. J Innov Heal Informatics. 2010;18(2):135–140.
19.
SturmbergJP. Health and disease are dynamic complex-adaptive states implications for practice and research. Front Psychiatry. 2021;12:595124.
20.
LevinSXepapadeasTCrépinA-S, et al.Social-ecological systems as complex adaptive systems: Modeling and policy implications. Environ Dev Econ. 2013;18(2):111–132.
21.
StreeckWThelenK. Beyond Continuity: Institutional Change in Advanced Political Economies. Oxford University Press; 2005.
22.
ClaudiusG. Complex and Adaptive Dynamical Systems: A Primer. Springer; 2008.
23.
KokKPWLoeberAMCGrinJ. Politics of complexity: Conceptualizing agency, power and powering in the transitional dynamics of complex adaptive systems. Res Policy. 2021;50(3):104183.
24.
AbrahamT. Risk and outbreak communication: Lessons from alternative paradigms. Bull World Health Organ. 2009;87(8):604–607.
25.
BauerJMHerderPM. Designing socio-technical systems. In: Philosophy of Technology and Engineering Sciences. Elsevier; 2009:601–630.
26.
StakeRE. The Art of Case Study Research. sage; 1995.
27.
YinRK. The Case Study Anthology. Sage; 2004.
28.
HerM. How is COVID-19 affecting South Korea? What is our current strategy?Disaster Med Public Health Prep. 2020;14(5):684–686.
29.
OhJLeeJ-KSchwarzDRatcliffeHLMarkunsJFHirschhornLR. National response to COVID-19 in the Republic of Korea and lessons learned for other countries. Heal Syst Reform. 2020;6(1):e1753464.
