국민건강증진기금 운영과 개선방향에 대한 전문가의 인식
Experts View and Recommendation for Management and Operation of National Health Promotion Fund
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Objectives: This study was to examine the experts perception on the operation of the national health promotion fund and related policies,and to obtain the perspective on the improving governance of the fund. Methods: Experts opinion survey was recruited 120 experts whowere public health officials, and members of board in academic societies related to health promotion and health policy, and 60 expertsparticipated in the survey. Results: Most health care experts agreed that the current allocation of health promotion fund was not optimalwith its lack of allocation on promoting healthy lifestyle and R&D for health promotion, while the majority of the fund was being spenton supporting national health insurance. Thus, establishing governance system and control tower for the fund was viewed as critical. Alsothe status of deliberation committee should be raised to higher position where it can hold practical authority to plan and evaluate fundspending. Conclusions: The priority of health promotion fund spending should be more on improving health such as modifying life-styleand spreading healthy habits, rather than on disease management or subsidizing health insurance. It is recommended that change fromto environment in health promotion policy regime is required to establish effective governance system for the fund operation.
Abstract
Objectives: This study was to examine the experts perception on the operation of the national health promotion fund and related policies,and to obtain the perspective on the improving governance of the fund. Methods: Experts opinion survey was recruited 120 experts whowere public health officials, and members of board in academic societies related to health promotion and health policy, and 60 expertsparticipated in the survey. Results: Most health care experts agreed that the current allocation of health promotion fund was not optimalwith its lack of allocation on promoting healthy lifestyle and R&D for health promotion, while the majority of the fund was being spenton supporting national health insurance. Thus, establishing governance system and control tower for the fund was viewed as critical. Alsothe status of deliberation committee should be raised to higher position where it can hold practical authority to plan and evaluate fundspending. Conclusions: The priority of health promotion fund spending should be more on improving health such as modifying life-styleand spreading healthy habits, rather than on disease management or subsidizing health insurance. It is recommended that change fromto environment in health promotion policy regime is required to establish effective governance system for the fund operation.
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