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건강불평등에 대한 개념분석

Concept Analysis of Health Inequalities

Abstract

Purpose: The purpose of this study was to explore ways to define the concept of health inequality. Methods: The concept analysis process by Walker and Avant was used to clarify the meaning of health inequality. Results: Defining attributes of health inequality included differences in health status between individuals or groups, infringement of fundamental rights to health, unfair use of medical services, and social discrimination. The antecedents of health inequality included differences in demographic characteristics (age, gender, education, occupation, residential location), limitations in accessibility to health care, and social exclusion. Consequences of health inequality were increased costs for medical care, decreased health-related quality of life, and lack of ability to cope with health problems resulting in crisis situations, increases in morbidity and mortality, and shortening of life span. The concept was clarified through presentation of model, borderline, related, and contrary cases. Conclusion: Results of this study can be used to guide the direction of future studies through concept analysis in which conceptual attributes in the context of health inequality are examined. Also, based on the result of this study, development of standardized tools to measure health inequality is recommended as well as development of educational programs to reduce health inequalities.

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건강
건강은 인간에게 어떤 권리인가?
필수적이며 인간이 누려야 할 가장 기본적인 권리

인간은 누구나 건강하고 행복한 삶을 살기를 원한다. 행복한 삶을 영위하기 위해 건강은 필수적이며 인간이 누려야 할 가장 기본적인 권리이다. 건강은 단순히 질병이 없는 상태뿐만 아니라 사회 및 환경과 결합하여 발생하는 것으로[1], 건강에 대한 기본권이 보장받지 못하게 되면 개인의 행복은 물론 지역사회의 발전과 국가의 경쟁력에도 부정적인 영향을 미치게 된다.

집단 내에서 완전한 평등
집단 내에서 완전한 평등은 존재 할 수 없는데 사회경제적 영역에서의 불평등은 어떤 결과를 가져왔나?
건강수준의 불평등을 심화시켜왔다

집단 내에서 완전한 평등은 존재할 수 없으며 다소간의 불평등은 어느 사회에서나 존재해 왔다. 지난 50년 동안 많은 나라에서 경제수준의 향상과 더불어 건강수준과 기대수명은 현저히 향상되었으나 소득, 교육기회, 고용, 지역 등 사회경제적 영역에서의 불평등은 있어 왔고 이는 결과적으로 건강수준의 불평등을 심화시켜왔다[7,8].

건강
건강은 무엇과 관련하여 발생하는 것인가?
단순히 질병이 없는 상태뿐만 아니라 사회 및 환경과 결합하여 발생하는 것

행복한 삶을 영위하기 위해 건강은 필수적이며 인간이 누려야 할 가장 기본적인 권리이다. 건강은 단순히 질병이 없는 상태뿐만 아니라 사회 및 환경과 결합하여 발생하는 것으로[1], 건강에 대한 기본권이 보장받지 못하게 되면 개인의 행복은 물론 지역사회의 발전과 국가의 경쟁력에도 부정적인 영향을 미치게 된다. 개인이 어려운 환경에 처해있을 때 건강이 위협을 받으면 의료서비스 제공과 이용 시 불평등이 발생하며[2], 건강할 수 있는 기회가 감소될 수 있다[2,3].

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참고문헌 (31)

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