국민건강증진종합계획 건강형평성 대표지표 개발 및 건강격차 해소 전략
Developing key indicators of health equity and strategies for reducing health disparity in National Health Plan
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Objectives: This study was to propose the representative index to evaluate the health equity and also to suggest the national strategy and policy in the National Health Plan. Methods: We performed literature reviews on health equity index and indicators, case reports, policy reports, and articles from abroad and domestic regions written in English or Korean. International and domestic advisory conference and focus group interviews were also performed in order to arrange strategy and policy recommendations for health equity. Results: The health equity index in the National Health Plan 2020 should be healthy life expectancy years according to income level. Monitoring indicators as the epidemiological assessment is to be based on policy and strategy setting. Openness is an important value of health equity, a specialized advisory committee for information and statistics should be established to produce the indicators and to institutionalize for putting the value into action. Indicator production and openness should be led by the state. A legal institutional basis should be established if necessary. We finally have proposed a strategy and policy management system for health equity. Conclusions: We summarized a comprehensive strategy that connects the strategy system and the performance management system for national health policy for equity so that the indicator does not end in the calculation but leads to national health equity strategy through index production.
Abstract
Objectives: This study was to propose the representative index to evaluate the health equity and also to suggest the national strategy and policy in the National Health Plan. Methods: We performed literature reviews on health equity index and indicators, case reports, policy reports, and articles from abroad and domestic regions written in English or Korean. International and domestic advisory conference and focus group interviews were also performed in order to arrange strategy and policy recommendations for health equity. Results: The health equity index in the National Health Plan 2020 should be healthy life expectancy years according to income level. Monitoring indicators as the epidemiological assessment is to be based on policy and strategy setting. Openness is an important value of health equity, a specialized advisory committee for information and statistics should be established to produce the indicators and to institutionalize for putting the value into action. Indicator production and openness should be led by the state. A legal institutional basis should be established if necessary. We finally have proposed a strategy and policy management system for health equity. Conclusions: We summarized a comprehensive strategy that connects the strategy system and the performance management system for national health policy for equity so that the indicator does not end in the calculation but leads to national health equity strategy through index production.
참고문헌 (45)
- Centre for Research on Inner City Health, "Urban Heart @Toronto: an evidence-based standard for measuring the well-being of Toronto’s neighbourhoods" (2014), St. Michael’s Hospital
- City of Toronto, "Toronto strong neighbourhoods strategy (TSNS) 2020", City of Toronto, ~ (2016)
- Frohlich, K. L., "Transcending the known in public health practice : the inequality paradox : the population approach and vulnerable populations", American Journal of Public Health, 98(2), pp.216~221 (2008)
- Howlett, M., "Policy instruments, policy styles, and policy implementation. National approaches to theories of instrument choice", Policy Studies Journal, 19(2), pp.1~21 (1991)
- Hurtado, M. P., "Envisioning the national health care quality report" (2001), National Academies Press
- Protocol for the global burden of diseases, Injuries, and risk factors study (GBD), "Institute for Health Metrics and Evaluation", ~ (2015)
- Jang, S. N, "Life cycle approach to health inequality in old age", Journal Korea Geriatric Society, 17(3), pp.111~117 (2013)
- Jeong, B. K., "<Field Action Report> The strategies to address regional health inequalities in Gyeongsangnam-Do:Health plus happiness plus projects", Journal of Agricultural Medicine and Community Health, 37(1), pp.36~51
- Indicators of health equity and strategies for reducing health disparity in National Health Plan, "Jung, J.", Korea Society for Equity in Health, Ministry of Health and Welfare, ~ (2016)
- Kang, M. J., "Monitoring total health business saemaul project" (2015), Hyeon Eun Happiness Foundation
- Korea Industrial Panel Survey (1998-2002), "Khang, Y. H.", The 5th Korea Labor Panel Conference, ~ (2004)
- 강영호, "사회경제적 건강 불평등에 대한 생애적 접근법", 예방의학회지, 38(3), pp.267~275 (2005), 대한예방의학회
- Development of health equity indicator for establishing health promotion goals and field sudy on health equity, "Khang, Y. H.", Thermal Welfare Department; University of Ulsan College of Medicine, ~ (2006)
- Signalability. Social Class Structure and Policy Tasks of Health Life, "Khang, E. J.", Korea Institute of Health and Social Affiars, ~ (2008)
- Indicators of health inequality and policy tasks in Korea, "Kim, D. J.", Korea Institute for Health and Social Affairs, ~ (2013)
- Health inequality indicators and policy issues in Korea - Health inequality report in Korea:Statistics book I, "Kim, D. J.", ~ (2014)
- Health inequality indicators and policy issues in Korea - Health inequality report in Korea:Statistics, "Kim, D. J.", ~ (2014)
- Health indicators and policy tasks in Korea: Strategies for mitigating health inequalities, "Kim, D. J.", Korea Institute of Health and Social Affairs, ~ (2015)
- 김명희, "한국의 건강형평정책의 현황과 과제", 대한의사협회지, 56(3), pp.206~212 (2013), 대한의사협회
- Kim, C. Y., "Health inequality in Korea" (2015), Seoul National University
- King, D., "The American State and Social Engineering: Policy instrument in affirmative action", Governance: An International Journal of Policy, Administration, and Institutions, 20(1), pp.109~126 (2007)
- Health effects for health policy development and evaluation, "Ko, S. J.", Korea Institute for Health and Social Development, Korea Health Promotion Foundation, ~ (2013)
- Korea Society for Equity in Health, "Health equity measurement methodology" (2009), Hanul Academy
- 곽민선, "지역사회보건기획과 지역보건체계 강화: MAPP 모형의 사례", 보건교육건강증진학회지, 27(3), pp.59~66 (2010), 한국보건교육건강증진학회
- Linston, Harold A., "Multiple Perspectives for decision makers:Bridging the gap between analysis and action" (1984), North-Holland
- Marmot, M., "Social determinants of health inequalities", The Lancet, 365(9464), pp.1099~1104 (2005)
- Health Plan 2020 Annual Report 2014, "Ministry of Health and Welfare", ~ (2015)
- The 4th Health Plan 2020Annual Report, "Ministry of Health and Welfare", ~ (2016)
- "Ministry of Health and Welfare Press Release. (Date of distribution:March 31, 2004). “An In-depth analysis report on the linkage of the national health and nutrition examination survey 2001”", Health Policy Division, Ministry of Health and Welfare, ~ (2004)
- The third national health promotion comprehensive Plan (2011 ∼ 2020), "Ministry of Health and Welfare", ~ (2011)
- The fourth national health promotion comprehensive Plan 2016-2020, "Ministry of Health and Welfare", ~ (2015)
- People’s Health Institute, "Challenging health inequality:Research and practice" (2015)
- Raphael, D., "Chapter 1. The importance of tackling health inequalities; Tackling health inequalities" (2012), Canadian Scholar’s Press Inc
- Salamon, L. M., "The Tools of Government: A guide to new governance" (2002), Oxford University Press
- Salomon, J. A., "Healthy life expectancy for 187 countries, 1990-2010: a systematic analysis for the Global Burden Disease Study 2010", The Lancet, 380, pp.2144~2162 (2012)
- Statistical Office, "2014 Life Table", ~ (2015)
- Report on the results of the project to establish a health ecosystem for small living areas in Seoul in 2015, "Seoul Suburban Living Ecosystem Foundation Support Team", ~ (2016)
- Health promotion strategy and business development for mitigating health Inequality, "Shin, Y. J.", Ministry of Health and Welfare, ~ (2009)
- Shin, Y. J., "Health inequalities in Korea in" (2009), Hanyang University Industry - Academic Cooperation Foundation, Health Promotion Support Team
- "The problem of health inequality, local government has a lot of work to do"[URL]
- 윤태호, "영국 노동당 정부의 국영보건서비스 개혁(1998-2010)에 대한 고찰", 비판사회정책, (40), pp.220~250 (2013), 비판과대안을위한사회복지학회[DOI]
- 2012 Busan metropolitan city healthy cities business support team project final report healthy town development, "Yoon, T. H.", ~ (2013)
- Urban Heart: urban health equity assessment and response tool, "WHO.", The WHO Centre for Health Development, ~ (2010)
- WHO, "WHO methods for life expectancy and healthy life expectancy", ~ (2014)
- WHO, "World Health Statistics", ~ (2015)