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논문 기본 정보

자료유형
학술저널
저자정보
김춘배 (연세대학교 원주의과대학 예방의학교실) 정무권 (연세대학교 빈곤문제국제개발연구원) 공인덕 (연세대학교 원주의과대학 운동의학센터)
저널정보
한국보건행정학회 보건행정학회지 보건행정학회지 제28권 제3호
발행연도
2018.1
수록면
240 - 250 (11page)

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By the end of 2017, in a world of 7.6 billion people, there were inequalities in healthcare indices both within and between nations, and this gap continues to increase. Therefore, this study aims to understand the current status of regional inequalities in healthcare indices and to find an action plan to tackle regional health inequality through a geo-economic review in Korea. Since 2008, there was great inequality in life expectancy and healthy life expectancy by region in not only metropolitan cities but also districts in Korea. While the community health statistics from 2008-2017 show a continuous increase of inequality during the last 10 years in most healthcare indices related to noncommunicable diseases (except for some, like smoking), the inequality has doubled in 254 districts. Furthermore, health inequality intensified as the gap between urban (metropolitan cities) and rural regions (counties) for rates of obesity (self-reported), sufficient walking practices, and healthy lifestyle practices increased from twofold to fivefold. However, regionalism and uneven development are natural consequences of the spatial perspective caused by state-lead developmentalism as Korea has fixed the accumulation strategy as its model for growth with the background of export-led industrialization in the 1960s and heavy and chemical industrialization in the 1970s, although the Constitution of the Republic of Korea recognizes the legal value of balanced development within the regions by specifying "the balanced development of the state" or "ensuring the balanced development of all regions." In addition, the danger of a 30% decline or extinction of local government nationwide is expected by 2040 as we face not only a decline in general and ageing populations but also the era of the demographic cliff. Thus, the government should continuously operate the "Special Committee on Regional Balanced Development" with a government-wide effort until 2030 to prevent disparities in the health conditions of local residents, which is the responsibility of the nation in terms of strengthening governance. To address the regional inequalities of rural and urban regions, it is necessary to re-adjust the basic subsidy and cost-sharing rates with local governments of current national subsidies based mainly on population scale, financial independence of local government, or distribution of healthcare resources and healthcare indices (showing high inequalities) overall.
#Regional inequality #Healthcare indices #Health #Planning

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참고문헌 (7)

참고문헌 신청
Brown B / 2003 / Place attachment in a revitalizing neigh- borhood: individual and block levels of analysis / J Environ Psychol 23(3):259~271 Crossref Sullivan F / 2014 / Te John Bryden memorial lecture: improving health with the community health index and developments in record linkage / Inform Prim Care 21(4):156~160 Crossref Reed JF 3rd / 2003 / Aggregate health status: a benchmark index for community health / J Med Syst 27(2):177~189 Crossref Lozano R / 2012 / Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010 / Lancet 380(9859):2095~2128 Crossref GBD 2013 Mortality / 2015 / Global, regional, and national age-sex specifc allcause and cause-specifc mortality for 240 causes of death, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013 / Lancet 385(9963):117~171 Crossref

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