[논문]공중보건정책과 건강 형평성

김창엽

doi:10.4332/kjhpa.2016.26.4.256

공중보건정책과 건강 형평성
Public Health Policy and Health Equity 원문보기

Health policy and management = 보건행정학회지, v.26 no.4, 2016년, pp.256 - 264

Abstract ▼ AI-Helper

Equity-focused public health policy has solid theoretical and practical basis, in addition to ethical one. In the Republic of Korea (hereafter Korea), however, equity in health has not had a high priority in policy goals, regardless of policy areas and particular actors or approaches. Equitable health has been only a minor concern in most public health issues and their decision-making. Generic public health policies are needed to reduce inequity in health, but the importance of a firm basis for sound policy-making cannot be overemphasized. Health equity should be 'mainstreamed' in all public health policies. Potential approaches include intersectoral collaboration, health impact assessment, and 'Health in All Policies.' Public policy agendas for equitable health cannot be formulated without measurement and recognition of the problem. Korea is still suffering from the lack of reliable information on the current status of health inequity, resulting in a relatively weak awareness of the problem among both the general public and policy-makers. More information is needed to increase recognition and awareness that will increase intervention and actions. The absence of decision-making and actions should not be justified even by the lack of information on determinants and pathways of health inequities. Generic plausible solutions can often work in the real world according to political and social commitment. I have discussed several aspects of public health policy from the perspective of health equity, focusing on current status and plausible explanation. Policy process, agenda setting in particular, is highlighted and theories and concepts are presented along with analysis and description of current situation.

주제어

질의응답

핵심어	질문	논문에서 추출한 답변
	건강 불평등이란 무엇인가?	건강 불평등은 사회적으로 유-불리가 서로 다른 집단 사이에 ‘체계적’으로 나타나는 공정하지 못한 건강의 차이를 뜻하며, 따라서‘불평등이 아닌 차이’와 ‘불평등인 차이’를 구분한다. 다른 말로 표현하면, 불필요하고, 피할 수 있으며, 공정하지 못한 건강 차이를 가리킨다[1].
	사회적 결정요인에 해당하는 것들은 무엇이 있는가?	인과관계의 관점에서 보면 건강 불평등을 결정하는 요인, 특히 건강 형평성의 정의에 따른 피할 수 있고 교정할 수 있는 요인은 주로 사회적 결정요인(social determi-nants of health)이다. 지금까지의 연구결과를 종합하면, 소득 불평등과 빈곤, 교육 불평등, 나쁜 노동조건, 고용 불안정, 나쁜 지역조건등이 여기에 해당한다.
	건강 불평등 개념은 무엇을 강조하는가?	건강 불평등 개념에는 윤리적 측면을 포함하고 있다는 것을 강조한다. 건강 불평등은 건강수준이나 그것을 결정하는 요인이 서로‘다르다’ 또는 ‘차이가 난다’고 현상을 기술하는 차원을 넘는다.

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공중보건정책과 건강 형평성
Public Health Policy and Health Equity 원문보기

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공중보건정책과 건강 형평성 Public Health Policy and Health Equity 원문보기

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공중보건정책과 건강 형평성
Public Health Policy and Health Equity 원문보기