국가 건강증진정책목표 달성을 위한 성과평가에 관한 연구 : 제4차 국민건강증진종합계획을 중심으로
A study on performance evaluation for achieving national health promotion goals: Focused on the Health Plan 2020
0
조회
0
다운로드
5
인용
0
참고문헌
키워드
초록
In order to evaluate health promotion policy performance, this study conducted a multilateral assessment on the Leading Health Indicator(LHI) of the Health Plan 2020 and analyzed current status and major challenges of national health policies for addressing future implication. Methods: By analyzing national and international policy evaluation models, this study determined the achievement evaluation method for the LHI and health equity. Achievement level of major targets were assessed for 2008 as the base year, and 2015 and 2020 for the target year. Also, health equity by income and region, and gender equity were assessed. Results: Among 19 indicators from the HP 2020, 13 indicators(69%) were evaluated as achieved or improved in 2015, implying that they have come close to the target. On the other hand, when considering health equity aspects of the 19 indicators, the evaluation results showed that achievement level as well as health equity for the noncommunicable diseases indicators such as prevalence rate of hypertension, diabetes and obesity were deteriorated. Conclusions: Since the complexity and interdependency of the long-term policy, its impact should be assessed by sustainable policy monitoring system and multilateral performance evaluation method. Government needs to promote an evidence-based policy establishment and implementation based on the long-term health policy strategy developed by regular and independent performance evaluation.
Abstract
In order to evaluate health promotion policy performance, this study conducted a multilateral assessment on the Leading Health Indicator(LHI) of the Health Plan 2020 and analyzed current status and major challenges of national health policies for addressing future implication. Methods: By analyzing national and international policy evaluation models, this study determined the achievement evaluation method for the LHI and health equity. Achievement level of major targets were assessed for 2008 as the base year, and 2015 and 2020 for the target year. Also, health equity by income and region, and gender equity were assessed. Results: Among 19 indicators from the HP 2020, 13 indicators(69%) were evaluated as achieved or improved in 2015, implying that they have come close to the target. On the other hand, when considering health equity aspects of the 19 indicators, the evaluation results showed that achievement level as well as health equity for the noncommunicable diseases indicators such as prevalence rate of hypertension, diabetes and obesity were deteriorated. Conclusions: Since the complexity and interdependency of the long-term policy, its impact should be assessed by sustainable policy monitoring system and multilateral performance evaluation method. Government needs to promote an evidence-based policy establishment and implementation based on the long-term health policy strategy developed by regular and independent performance evaluation.
참고문헌 (20)
- The 4th Health Plan 2020: Trend Report 2017, "Korea Health Promotion Institute", Korea Health Promotion Institute, ~ (2017)
- The Fourth Korea Health Promotion Plan: 2016-2020, "Ministry of Health and Welfare", Korea Health Promotion Foundation, ~ (2015)
- Ministry of Health and Welfare, "Guideline of writing the 6th Community Health Plan", Ministry of Health and Welfare, ~ (2014)
- The 4th Health Plan (2011-2020), "Ministry of Health and Welfare", Ministry of Health and Welfare, ~ (2015)
- Ministry of Legislation, "Law of Health Promotion Act" (2016)
- Ministry of Legislation, "Law of Regional Health care Act" (2016)
- NORC final report: Healthy People User Study, "National Opinion Research Center at the University of Chicago", U.S. Department of Health and Human Services, ~ (2009)
- Park. S. W., "Framework of Health Plan 2020", Journal of Agriculture Medicine & Community Health, 35(2), pp.204~217 (2010)
- Using outcome indicators to improve policies: Methods, design strategies and implementation (OECD regional development working papers, 2016, "02)", Schumann, A, 2016
- The Secretary's Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2020, "Evidence-based clinical and public health: generating and applying the evidence" (2010)
- Healthy People 2010, "U.S. Department of Health and Human Services", U.S. HHS, ~ (2000)
- U.S. Department of Health and Human Services, "Midcourse Review: Healthy People 2010", U.S. HHS, ~ (2006)
- U.S. Department of Health and Human Services, "Healthy People 2020", U.S. HHS, ~ (2010)
- U.S. Department of Health and Human Services, "Healthy People 2020: Midcourse Review", U.S. HHS, ~ (2016)
- "Healthy People 2020 Tools : Measuring Progress" (2016)[URL]
- "State and Territory Coordinators"[URL]
- United Nations, "Transforming our World: The 2030 Agenda for Sustainable Development" (2015), United Nations
- Global status report on noncommunicable diseases 2010, "World Health Organization", World Health Organization, ~ (2011)
- World Health Organization, "Global status report on noncommunicable disease 2014" (2014), WHO Press
- World Health Organization, "Monitoring health for the SDGs" (2016), WHO Press