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KMID : 1138720210470040015
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Korean Public Health Research
2021 Volume.47 No. 4 p.15 ~ p.29
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The policy direction and tasks realization of ‘Health in All Policy(HiAP)’: focusing on the health impact assessment
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Park Yer-Jin
Oh Yu-Mi
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Abstract
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Objective: Improving health levels is a major challenge for the nation's competitiveness by enhancing the quality of human capital as well as the fundamental rights of the constitution-guaranteed health rights. To this end, the government emphasized the importance of health investment and promoted various policies to change the paradigm as a preventive health policy. When implementing health policies, we would like to propose effective policy implementation tasks to realize the vision of health in all policies.
Method: Through a survey of international health status and Korean health policies over the past 10 years, we analyzed how health investment and preventive health promotion concepts are reflected in health policies. In the analysis, the policy direction was reviewed by comparing it with Korea in three aspects: socioeconomic factors, policy enforcement factors, and policy resource factors.
Results: According to the International health policy analysis, health policies have shifted the paradigm from cure to prevention or management for preventive health care, securing quality human capital and increasing national competitiveness by investing in health. To achieve this, national policies are driven around health equity based on health (HiAP) and the policy foundation has been established for maintaining and realizing health policies through pan-governmental framework, as well as health-related departments. Through this, as the last task to establish a framework for social security with health investment through preventive ministry treatment, the government should contribute to the actual implementation of health rights guaranteed under the Constitution of Prevention to Treatment by setting health agenda as "the role of the nation" instead of leaving it to "individual areas."
Conclusion: Although long-term strategies were prepared through the establishment of the National Health Plan 2030 in Korea, specific strategies for realizing them are insufficient. To this end, the vision and major tasks of the policy are to promote government-wide governance and health investment for health in all policies, and to conduct health impact assessments for mainstreaming and effectiveness of health policies.
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KEYWORD
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Health impact assessment, Health investment, Health in all policy, National health plan
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