국민건강증진종합계획 건강형평성 대표지표 개발 및 건강격차 해소 전략

Abstract

Objectives: This study was to propose the representative index to evaluate the health equity and also to suggest the national strategy and policy in the National Health Plan. Methods: We performed literature reviews on health equity index and indicators, case reports, policy reports, and articles from abroad and domestic regions written in English or Korean. International and domestic advisory conference and focus group interviews were also performed in order to arrange strategy and policy recommendations for health equity. Results: The health equity index in the National Health Plan 2020 should be healthy life expectancy years according to income level. Monitoring indicators as the epidemiological assessment is to be based on policy and strategy setting. Openness is an important value of health equity, a specialized advisory committee for information and statistics should be established to produce the indicators and to institutionalize for putting the value into action. Indicator production and openness should be led by the state. A legal institutional basis should be established if necessary. We finally have proposed a strategy and policy management system for health equity. Conclusions: We summarized a comprehensive strategy that connects the strategy system and the performance management system for national health policy for equity so that the indicator does not end in the calculation but leads to national health equity strategy through index production.