Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
권호 표지

Comparative Study of the Health Status of Two Koreas

남북한 주민의 건강수준 비교연구

  • 김영치 (한국보건의료관리연구원)
  • Published : 1997.05.01
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives : This study was designed to compare North Korea and South Korea in measures of the quality of life (physical quality of life index and human development index) and to investigate the impact of selected medical and socioeconomic factors on PQL variables. Data and Methods : The World Bank, the United Nations Development Programme, and Population Reference Bureau were the principal sources of statistical data of 121 countries. Variables included infant mortality, life expectancy at birth, literacy rate, secondary school enrollment (male and female), GNP per capita, population per doctor, daily calorie supply per capita, and a composite PQL index. The Ordinary Least Square model was employed for cross-countries analysis. Findings : Both countries under quite different political and economic systems saw big improvememts in the quality of life, reducing mortality and prolonging life expectancy during the past three decades. In recent decad, however, North Korea has experienced abrupt exacerbation in the quality of life. Significant improvements in infant mortality of the population wer attributable mainly to GNP per capita and the secondary school enrollemt of female. The principal predictors of life expectancy at birth were population per doctor, infant mortality, and literacy rate. The secondary school enrollment of female and population per doctor were significantly associated with improvements in the physical quality of life index (PQLI). Conclusion : The results of this study confirmed a point illustrated by other studies : The association between quality of life as a measure of health status and socioeconomic factors was strong and positive. The important contribution of educational attainment in general, female education level in particular to improvements in the quality of life deserves good news for building an integrated health care system in the reunified Korea, taking into account the high level of education two koreas are enjoying. Meanwhile, when a sharp drop in the quality of life has been observed in North Korea under serious economic difficulties and food shortage in recent decade, the significant contribution of economic development to improvements in the quality of life poses bad nows for reunifying Korean health care in economic terms.

Keywords

References

  1. (PhD 학위논문) Johns Hopkins University 한국의료자원 공급정책의 형평성에 관한 연구 김영치
  2. 통일준비 - 의료보건 김한중
  3. 동아일보 한국, 5~10년내 통일 동아일보
  4. 북한의 보건의료제도 분석 문옥륜
  5. 대한의학협회지 v.38 no.3 북한의 보건의료정책 문옥륜
  6. 통일한국의 사회복지정책 박순성
  7. 남북한 보건의료비교연구 : 북한실태를 중심으로 변종화(외)
  8. 남북한 보건의료제도 비교연구 변종화;박인화;서미경;김만철
  9. 남북한 사회보장 및 보건의료제도 통합방안 정경배;문옥륜;김진수(외)
  10. Practical Statistics for Medical Research Altman D. G.
  11. Technometrics v.2 Rejection of Outliers Anscombe F. G.
  12. Technometrics v.5 The Examination and Analysis of Residuals Anscombe F. J.;Tukey, J. W.
  13. The Milbank Memorial Fund Quarterly v.45 Social Class, Life Expectancy, and Overall Mortality Antonovsky A.
  14. Journal of Human Resources v.4 The Production of Health : An Exploratory Study Auster R.;Leveson I.;Sarashek D.
  15. Inquiry v.13 no.1 Public Health as Social Justice Beauchamp D. E.
  16. Conditioning Diagnostics : Collinearity and Weak Data in Regression Belsley D. A.
  17. Regression Diagnostics : Identifying Influential Data and Sources of Collinearity Belsley D. A.;Kuh E.;Welsch R. E.
  18. Equity in Health Services : Empirical Analyses in Social Policy The Impact of Incremntal Medical Services on Health Status Benham L.;Benham A.;R. Andersen(ed.)(et al)
  19. American Journal of Public Health v.85 The Relationship between Structural and Health Services Variables and Stats-Level Infact Mortality in the United States Bird S. T.;Bauman K. E.
  20. Journal of Epidemilogy and Community Healty v.36 Area Variations in Infanr Mortality, 1975-77 Bradshaw J.(et al)
  21. Social Science and Medicine v.25 Relation of Econmic Change to Swedish Health and Social Well-Being,1950-1980 Brenner H. M.
  22. American Journal of Public Health v.76 no.6 Econimic Development, Political-Economic System, and the Physical Quality of Life Cereseto S.;Waizkin H.
  23. Medical Care v.17 Increased Access to Medical Care : The Impact on Health Diehr P.(et al)
  24. Journal of Chronic Disease v.40 no.supp.1 Advances in Health Assessment Conference Discussion Panel Donabedian A.;J. Elinson;W. Spitzer(et al)
  25. Korea Approaches Reunification Eberstadt N.
  26. The Population of North Korea Eberstadt N.;Banister J.
  27. Journal of Epidemiology and Community Health v.40 Perintal Outcomes Related Factors : Social Class Differences Within and Between Geographic Areas Elbourne D.;Prichard C.;Dauncey M.
  28. Medical care v.27 Using Composite Health Status Measures to Assess the Nation Health Erickson P.(et al)
  29. Social Science and Medicine v.31 Producing Health, Consuming Health Care Evans R, G.;Stoddart G.
  30. The Journal of Rural Health v.7 Poverty, Primary Care and Age-Specific Mortality Farmer F. L.(et al)
  31. Regression Diagostics Fox J.
  32. Who Shall Live? Fuchs V. R.
  33. Health Services Research v.88 A Reevaluation of Health Indicators Goldsmith S. B.
  34. National Bureau of Economic Research The Correlation between Health and Schooling. In Household Production and Consumption. Studies in Income and Wealth Grossman M.;N. Terhechyj(ed.)
  35. New England Journal of Medicine v.329 Educational Status and Active Life Expectancy among Older Blacks and Whites Guralnik J. M.(et al)
  36. Medical Care v.20 Does Income Affect Mortality? An Analysis of the Effects of Different Types of Income/Sex/Race Specific Mortality Rates in the U. S. Hadley J.;Osei A.
  37. Social Science and Medicine v.20 Measuring the Health of Population Indicatiors and Interpretations Hansluwka H.
  38. State Intervention in Medical Care Hollingsworth J. R.;J. Hage;R. A. Hanneman
  39. Social Science and Medicine v.41 no.10 A Quality-Based Societal Health Statistics for Canada, 1985 Holmes A. M
  40. Wall Street Journal Let North Korea Collapse House K. E
  41. The Fatal Conceit Hayek F. A
  42. American Journal of Health v.82 no.8 Does Equal Socioeconomic Status in Black and Whith Men Mean Equal Risk of Mortality? Keil J. E.(et al)
  43. Differential Mortality in the U. S. : A Study in Socioeconomic Epidemiology Kitagawa E. M.;Hauser P. M.
  44. International Journal of Health Services v.23 no.3 The Political and Economic Determinant of Health Outcomes : A Cross-National Analysis Lana H. F.;London B.
  45. World Health Statistics Quarterly v.38 The Epidemiology of Prenatal Lindsay E.
  46. The Principes of Economics(8th ed) Marshall A.
  47. Rural Society in the U. S. : Issue for the 1980s Health and Medical Care Miller M. K;Dillman, D. A.(ed.);Hobb, D. J(ed.)
  48. Journal of health and Social Behavior v.19 Health Status, Health Resources, and Consolidated Structural Parameters : Implications for Public Health Care Policy Miller M. K.;Stokes, C. S.
  49. The role of Medicine : Dream, Mirage, of Nemesis? McKeown T.
  50. Int J Health Services v.19 A Review of the Evidence Concerning the Impact of Medical Measures on Recent Mortality and Morbidity in the United Ststes Mckinley J. B.(et al)
  51. Measuring the Condition of the World's Poor : The Physicial Quality of Life Index Morris M. D.
  52. Washinton Post Feed North Korea : Don't Play Politics with Hunger Natsios A.
  53. Journal of Human Resources v.15 no.2 The Realtionship between Medical Resources and Measures of Health : Some Additional Evidence Newhouse J. P.;Friedlander, L. J.
  54. New England Journal of Medicine v.329 The Increasing Disparities in Mortality between Socioeconomic Groups in the U. S. 1960 and 1986 Pappas G.(et al)
  55. Health Services Research v.8 Methods for Measuring Levels of Well-Being for a Health Status Index Patrick D.;Busk J.;Chen M.
  56. World Population Data 1992 PRB.
  57. World Population Data 1994 PRB.
  58. World Population Data 1996 PRB.
  59. The Washington Post North Korea Called Close to Famine Reuter.
  60. Journal of Epidemiology and Community Health v.36 Ethnic Differences in Perinatal Mortality : A Challenge Robinson M. J.(et al)
  61. An Analysis of Health Care Delivery Rosser J. M.;H. E. Mossberg
  62. Internatianal Journal of Health Services v.24 no.3 Primary Care, Specialty Care and Life Chances Shi L.
  63. Medicine and Human Welfare Sigerist H. E.
  64. Essays in the Economerics of Health An Economic Analysis of Spatial Variations in Mortality Rates Silver M.;V. Fuchs(ed.)
  65. New England Journal of Medicine v.289 Health Services Research : A Working Model Starfield B.
  66. Milbank Memorial Fund Quarterly v.63 no.3 Motherhood and Apple Pie : The Effectiveness of Medical Care Children Starfield B.
  67. Primary Care : Concept, Evaluation and Policy Starfield B.
  68. Public Health Reports v.76 Socioeconomic Status and Mortality in the United States Stockwell E.
  69. Vital Health Statistics v.2 Conceptual Problems in Developing an Index of Health Sullivan D.
  70. Management of Sicence v.9 Health Status Index Models : A Unified Mathematical View Torrance G.
  71. Americal Journal of public Health v.82 no.3 Infant Mortality, Per Capita Income, and Adult Illiteracy : An Ecological Approach Tresserras R.(et al)
  72. Exploratory Data Analysis Tukey J. W.
  73. Human Development Report 1996 UNDP
  74. DHHS Publication No. (PHS) 90-50212 Public Helath Services, Promoting Health/ Preventing Dissase : Year 2000 Objectives for the Nation U. S. Department of Haelth;Human Services
  75. International Journal of Health Services v.11 no.1 The Social Origins of Illness : A Neglected History Waitzkin H.
  76. Sociology Health Illness v.12 Income Distribution and Mortality : A Natural Experiment Wlikinson R. G.
  77. New England Journal of Medicine v.313 Racial and Socioeconomic Disparities in Childhood Mortality in Bostion Wise P. H.(et al)
  78. The Lancet v.15 Militarism and Mortality : An International Analysis of Arms Spending and Infact Death Rates Woolhandler, S.;Himmelstein, D. U.
  79. World Development Report 1991 The Challenge of Development World Bank.
  80. World Development Report 1993 Investing Health World Bank.
  81. World Development Report 1995 Workers in an Integrating World World Bank.
  82. World Development Report 1996 World Bank.
  83. The First Ten Years of the World Health Organization Constitution of the World Health Organization World Health Organization
  84. Quantitative Methods and Statistics Wright, S. R.