보건행정학회지 (Health Policy and Management)

  • 제19권4호
  • /
  • Pages.33-52
  • /
  • 2009
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  • 1225-4266(pISSN)
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  • 2289-0149(eISSN)
한국보건행정학회 (Korean Academy of Health Policy and Management)
권호 표지
DOI QR코드

DOI QR Code

건강결과와 건강결정요인간의 횡단면 시계열 연구 : 주요 OECD 국가를 대상으로

Analysis of Health Promotion determinants in Major OECD Countries: A pooled cross-sectional time series

  • 최윤정 (건강보험심사평가원) ;
  • 배성일 (국민건강보험공단 건강보험정책연구원) ;
  • 이영호 (보건복지부가족부) ;
  • 강민선 (건강보험심사평가원)
  • Choi, Yoon-Jung (Health Insurance Review & Assessment Service, Institute for National Health) ;
  • Bae, Sung-Il (Insurance Policy, National Health Insurance Corporation) ;
  • Lee, Young-Ho (Ministry for Health, Welfare and Family Affairs) ;
  • Kang, Min-Sun (Health Insurance Review & Assessment Service, Institute for National Health)
  • 발행 : 2009.12.30
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초록

Health promotion policies have needed to assess in detailed and evidence-based work to set a policy goal and clear future directions of health promotion in Korea. To identify the major factors related with health promotion, we assessed the associations between public health outcome (potential years of life loss, PYLL) and national health determinants. For this purpose, we used a pooled cross sectional time-series regression analysis with corrected fixed effect models involving sixteen member countries of the Organisation for Economic Cooperation and Development during the period 1970 to 2001. The PYLL was positively associated with tobacco and alcohol consumption (model 1 and 2) and calories intake (model 2 and 3) while the PYLL was negatively associated with GDP, fruit and vegetable intake (model 2), number of doctors (model 3), coverage rates of health care security, and elderly population rates (model 4). In conclusion, health behaviors related with tobacco, alcohol, and nutrition were significant health determinants for health outcome. Overall analysis results of this study will provide a guidance toward improved macro- and micro-policy development for future health promotion policy in Korea.

키워드

참고문헌

  1. 이무식. 차세대 건강증진정책 개발을 위한 공공보건서비스 내용 개발연구 보고서:보건복지부;2004
  2. Anderson GF, Hurst J, Hussey PS, Jee-Hughes M. Health spending and outcomes: trends in OECD countries, 1960-1998. Health Aff 2000;19(3):150-157. https://doi.org/10.1377/hlthaff.19.3.150
  3. Anderson GF, Poullier JP. Health spending, access, and outcomes: trends in industrialized countries. Health Aff 1990;18(3):178-192.
  4. Arah OA, Westert GP, Delnoij DM, Klazinga NS. Health system outcomes and determinants amenable to public health industrialized countries: a pooled, cross-sectional time series analysis. BMC Public Health 2005;5:81-91. https://doi.org/10.1186/1471-2458-5-81
  5. Beaglehole R. Global Public Health: A New Era Oxford: Oxford Unversity Press; 2003.
  6. Choi YJ, Nam JM, Kwak MJ. Multiple imputation technique applied to appropriatenss ratings in cataract surgery. Yonsei Med J 2004;45(5):829-27. https://doi.org/10.3349/ymj.2004.45.5.829
  7. Cooper RA, Getzen TE, Laud P. Economic expansion is a major determinant of physician supply and utilization. Health Serv Res 2003;38(2):675-696. https://doi.org/10.1111/1475-6773.00139
  8. Cowper PA, Morey MC, Bearon LB, Sullivan RJ, Dipasquale RC, Crowley GM, et al. The impact of supervised exercise on the psychological well-being and health status of older veterans. J Appl Gerontol 1991;10(4):469-485. https://doi.org/10.1177/073346489101000408
  9. Dawson DA. Alcohol consumption, alchol dependence, and all-cause mortality. Alchol Clin Exp Res 2000;24(1):72-81. https://doi.org/10.1111/j.1530-0277.2000.tb04556.x
  10. Ezzati M, Hoorn SV, Rodgers A, Lopez AD, Mathers CD, Murray CJ. Estimates of global and regional potential health gains from reducing mutiple major risk factors. Lacet 2003:362:271-280.
  11. Forcier MB, Simoens S, Giuffrida A. Impact, regulation and health policy implications of physician migration in OECD countries. Hum Resour Health 2004;2(1):2-12. https://doi.org/10.1186/1478-4491-2-2
  12. Hamlin C. The history and development of Public Health in developed countries. Oxford University Press 2002:21-37.
  13. Huber M. Health Expenditure Trends in OECD Countries, 1970-1997. Health Care Financing Review; 1999;21(2):99-117.
  14. Kramers PGN. The ECHI project Health indicators for the European Community. Eur J Public Health 2003;13(3):101-106. https://doi.org/10.1093/eurpub/13.suppl_3.101
  15. Kennelly B, O"Shea E, Garvey E. Social capital, life expectancy and mortality: a cross-national examination. Soc Sci Med 2003;56:2367-2377. https://doi.org/10.1016/S0277-9536(02)00241-1
  16. Lee CY, Ham OK, Hong YM. A comparison of smoking control strategies in Korea and the united States. Taehan Kanho Hakhoe Chi 2004;34(8):1379-1387.
  17. Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC:National Academy Press:2001.
  18. Liao Y, McGee DL, Cao G, Cooper RS. Alcohol intake and mortality: findings from the National Health Interview Surveys(1988 and 1990). Am J Epidemiol 2000;151(7):651-659. https://doi.org/10.1093/oxfordjournals.aje.a010259
  19. Macinko J, Starfield B, Shi L. The contribution of primary care systems to health outcomes within Organization for Economic Cooperation and Development (OECD) countries, 1970-1998. Health Serv Res 2003;38(3):831-865. https://doi.org/10.1111/1475-6773.00149
  20. Macinko JA, Shi L, Starfield B. Wage inequality, the health system, and infant mortality in wealthy industrialized countries, 1970-1996. Soc Sci Med 2004;58:279-292. https://doi.org/10.1016/S0277-9536(03)00200-4
  21. Macintyre S, Ellaway A. Ecological Approaches: rediscovering the Role of the Physical and Social Environment. Oxford University Press;2000.
  22. Myers WR. Handling Missing data in clinical trials: an overview. Drug Inf J 2000;34:525-533. https://doi.org/10.1177/009286150003400221
  23. Nam EW, Hasegawa T, Davies JK, Ikeda N. Health promotion policies in the Republic of Korea and Japan: a comparative study. Promot Educ 2006;13(1):20-28. https://doi.org/10.1177/175797590601300103
  24. Nam EW. Health promotion and the non-smoking policy in Korea. Promot Educ 2003;10(1):6-10. https://doi.org/10.1177/10253823030100010103
  25. Nishijima H, Satake K, Igarashi K, Morita N, Kanazawa N, Okita K. Effects of exercise in overweight japanese with multiple cardiovascular riskfactors. Med Sci Sports Exerc 2007;39(6):926-933. https://doi.org/10.1249/mss.0b013e3180383d84
  26. OECD. OECD Health Data:OECD;2003.
  27. OECD. Annual National Accounts for OECD Member Countries:OECD;2004.
  28. OECD. Towards High-Performing Health Systems:OECD;2004.
  29. OECD. OECD Health at a glance:OECD;2007.
  30. Or Z. Determinants of health outcomes in industrialized countries: A pooled, cross-country, time-series analysis:OECD Economic Studies;2000
  31. Schafer J. Multiple imputation: A primer. Stat Methods Med Res 1999;8:3-15. https://doi.org/10.1191/096228099671525676
  32. Retzlaff-Roberts D, Chang CF, Rubin RM. Technical efficiency in the use of health care resources: a comparison of OECD countries. Health Policy 2004;69(1):55-72. https://doi.org/10.1016/j.healthpol.2003.12.002
  33. Roberts DR, Chang CF, Rubin RM. Technical efficiency in the use of health care resources: a comparison of OECD countries. Health Policy 2004;69(1);55-72 https://doi.org/10.1016/j.healthpol.2003.12.002
  34. Roos LL, Magoon J, Gupta S, Chateau D, Veugelers PJ. Socioeconomic determinants of mortality in two Canadian provinces: Multilevel modelling and neighborhood context. Soc Sci Med 2004;59(7):1435-1447. https://doi.org/10.1016/j.socscimed.2004.01.024
  35. Van der Wilk EA, Jansen J. Lifestyle-related risks: are trends in Europe converging? public Health 2005;119(1):55-66. https://doi.org/10.1016/j.puhe.2004.04.008
  36. WHO. The World Health Report 2002. Reducing Risks, Promoting Healthy Life:WHO;2002.
  37. http://web.worldbank.org.