건강증진정책 현황과 정책과제: 국민건강증진종합계획을 중심으로
Current status and further tasks of the health promotion policy: Focusing on the National Health Plan
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Objectives: As the health promotion paradigm changes, various long-term action plans were being announced and implemented. This study aimed to propose a systematic strategy for the National Health Plan and the evidence for future policy implementation. by analyzing goals and performance assessment indicators established from the national and global health promotion policies. Methods: Literature review of resources and government documents was conducted in order to analyze health promotion policies at national and international levels. Research papers, policy reports and legal documents were also examined. Results: Comparing to the global health plans, Korea’s National Health Plan needs to take a whole-of-government approach and a structured system should be developed. Analysis of health plans in Japan and the US implied that Korea’s health plan shall broaden governance by expanding private sectors. Finally, close liaison between national and local governments should be established in order to develop rational policies and to conduct balanced programs. Conclusions: National Health Plan should enhance its position as a long-term action plan for national health promotion, while the Regional Healthcare Plan at each municipal and provincial levels presents a mid-term plan for the local governments to implement action plans coherent with national plan. With efficient resource mobilization and practical programme management at the public health centers, a well-structured system of policy planning and performance assessment should be made in order to achieve national health promotion goal. This would contribute to establish a foundation of accomplishing global healthcare agenda.
Abstract
Objectives: As the health promotion paradigm changes, various long-term action plans were being announced and implemented. This study aimed to propose a systematic strategy for the National Health Plan and the evidence for future policy implementation. by analyzing goals and performance assessment indicators established from the national and global health promotion policies. Methods: Literature review of resources and government documents was conducted in order to analyze health promotion policies at national and international levels. Research papers, policy reports and legal documents were also examined. Results: Comparing to the global health plans, Korea’s National Health Plan needs to take a whole-of-government approach and a structured system should be developed. Analysis of health plans in Japan and the US implied that Korea’s health plan shall broaden governance by expanding private sectors. Finally, close liaison between national and local governments should be established in order to develop rational policies and to conduct balanced programs. Conclusions: National Health Plan should enhance its position as a long-term action plan for national health promotion, while the Regional Healthcare Plan at each municipal and provincial levels presents a mid-term plan for the local governments to implement action plans coherent with national plan. With efficient resource mobilization and practical programme management at the public health centers, a well-structured system of policy planning and performance assessment should be made in order to achieve national health promotion goal. This would contribute to establish a foundation of accomplishing global healthcare agenda.
참고문헌 (29)
- Ezzati, M., "Can noncommunicable diseases be prevented? Lessons from studies of populations and individuals", Science, 337(6101), pp.1482~1487 (2012)
- Fielding, J. E., "A perspective on the development of the healthy people 2020framework for improving U.S. population health", Public Health Reviews, 35(3) (2014)
- Helmut, G., "The district health system", GTZ, ~ (2004)
- Report of the Inter-Agency and Expert Group on the Sustainable Development Goal Indicators, "IAEG-SDGs.", UHC Economic and Social Council, ~ (2016)
- 김현수, "제6기 지역보건의료계획의 제3차 국민건강증진종합계획건강증진 지표 활용도", 보건교육건강증진학회지, 33(5), pp.83~91 (2016), 한국보건교육건강증진학회[DOI]
- Evaluation of effectiveness of the Third National Health Plan, "Jung, Y. H.", Korea Institute Health and Welfare, ~ (2015)
- Sustainable development goals status and strategies for health, "KOICA.", KOREA, ~ (2015)
- Kontis V, "Contribution of six risk factors to achieving the 25×25non-communicable disease mortality reduction target: a modelling study", Lancet, 384(9941), pp.427~437 (2014)
- Report on establishing the 4th health plan 2020, "Korea Health Promotion Foundation.", Korea Health Promotion Foundation, ~ (2015)
- 이주열, "보건소 통합건강증진사업의 발전 방향", 보건교육건강증진학회지, 30(4), pp.1~7 (2013), 한국보건교육건강증진학회
- Lee, K. S., "Foreign health promotion plan and its Application in Korea", Korean Journal of Health Education and Promotion, pp.33~58 (2009)
- The Fourth Korea Health Promotion Plan: 2016-2020, "Ministry of Health and Welfare", Korea Health Promotion Foundation, ~ (2015)
- A basic direction for comprehensive implementation of National Health Promotion, "Ministry of Health, Labour and Welfare", ~ (2012)
- The 4th Health Plan(2011-2020), "Ministry of Health and Welfare", ~ (2015)
- Guideline of writing the 6th Community Health Plan, "Ministry of Health and Welfare", ~ (2014)
- "Law of Health Promotion Act" (2016)[URL]
- "Law of Regional Health care Act" (2016)[URL]
- 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)
- 박순우, "보건소 금연사업의 현황과 문제점 분석을 통한 개선방안", 농촌의학.지역보건, 34(1), pp.87~100 (2009), 한국농촌의학.지역보건학회
- Park. S. W., "Framework of Health Plan 2020", Journal of Agriculture Medicine & Community Health, 25(2), pp.204~217 (2010)
- 서영준, "보건소 건강증진사업 수행과정의 질 평가", 보건교육건강증진학회지, 20(1), pp.1~17 (2003), 한국보건교육건강증진학회
- "Evidence-based clinical and public health: generating and applying the evidence" (2010)[URL]
- U.S. DHHS, "Healthy People 2010" (2000)
- U.S. DHHS, "Healthy People 2020" (2010)
- "State and Territory Coordinators" (2016)[URL]
- Transforming our World: The 2030 Agenda for Sustainable Development, "United Nations", ~ (2015)
- 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), Geneva, WHO Press
- World Health Organization, "Monitoring health for the SDGs" (2016), WHO Press