농촌의학ㆍ지역보건 (Journal of agricultural medicine and community health)

한국농촌의학지역보건학회 (Korean Society for Rural Medicine and Community Health)
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〈사례보고〉 경상남도 지역 간 건강불평등 완화사업: 건강플러스 행복플러스 사업

〈 Field Action Report 〉 The Strategies to Address Regional Health Inequalities in Gyeongsangnam-Do: Health Plus Happiness Plus Projects

  • 정백근 (경상대학교 의학전문대학원 예방의학교실 및 건강과학연구원) ;
  • 김장락 (경상대학교 의학전문대학원 예방의학교실 및 건강과학연구원) ;
  • 강윤식 (경상대학교 의학전문대학원 예방의학교실 및 건강과학연구원) ;
  • 박기수 (경상대학교 의학전문대학원 예방의학교실 및 건강과학연구원) ;
  • 이진향 (경상대학교 의학전문대학원 예방의학교실 및 건강과학연구원) ;
  • 조선래 (경상대학교병원 공공보건의료사업실) ;
  • 서기덕 (경상대학교병원 공공보건의료사업실) ;
  • 주상준 (경상대학교병원 공공보건의료사업실) ;
  • 오은숙 (경상대학교병원 공공보건의료사업실) ;
  • 김승진 (경상대학교병원 공공보건의료사업실) ;
  • 조성진 (경상대학교병원 공공보건의료사업실) ;
  • 김승미 (경상대학교병원 공공보건의료사업실) ;
  • 염동문 (한국국제대학교 사회복지학과) ;
  • 심미영 (한국국제대학교 사회복지학과)
  • Jeong, Baek-Geun (Department of Preventive Medicine, School of Medicine, Gyeongsang National University.Institute of Health Science) ;
  • Kim, Jang-Rak (Department of Preventive Medicine, School of Medicine, Gyeongsang National University.Institute of Health Science) ;
  • Kang, Yune-Sik (Department of Preventive Medicine, School of Medicine, Gyeongsang National University.Institute of Health Science) ;
  • Park, Ki-Soo (Department of Preventive Medicine, School of Medicine, Gyeongsang National University.Institute of Health Science) ;
  • Lee, Jin-Hyang (Department of Preventive Medicine, School of Medicine, Gyeongsang National University.Institute of Health Science) ;
  • Jo, Sun-Rae (Office of Public Health Care, Gyeongsang National University Hospital) ;
  • Seo, Gi-Deok (Office of Public Health Care, Gyeongsang National University Hospital) ;
  • Joo, Sang-Jun (Office of Public Health Care, Gyeongsang National University Hospital) ;
  • Oh, Eun-Suk (Office of Public Health Care, Gyeongsang National University Hospital) ;
  • Kim, Seung-Jin (Office of Public Health Care, Gyeongsang National University Hospital) ;
  • Jo, Seong-Jin (Office of Public Health Care, Gyeongsang National University Hospital) ;
  • Kim, Seung-Mi (Office of Public Health Care, Gyeongsang National University Hospital) ;
  • Yeum, Dong-Mun (Department of Social Welfare, International University of Korea) ;
  • Sim, Mi-Young (Department of Social Welfare, International University of Korea)
  • 투고 : 2011.11.15
  • 심사 : 2012.03.13
  • 발행 : 2012.03.31
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초록

'건강 플러스 행복 플러스 사업'은 경상남도의 높은 표준화사망률을 감소시키고 지역 간 건강불평등을 완화하기 위하여 표준화사망비가 구조적으로 높은 40개 읍면동을 대상으로 수행되는 사업이다. 본 사업은 영국의 헬스 액션 존 사업의 방법론을 기반으로 하여 참여, 파트너쉽, 자원의 집중을 사업의 기본 원칙으로 설정하고 2010년부터 시작되었으며 2017년까지 진행될 예정이다. 총 사업비는 56억원이며, 2010년에는 17개 읍면동, 2011년에는 12개 읍면동, 2012년에는 11개 읍면동에 사업이 개시되었거나 개시될 예정이다. 2010년 사업의 경우, 사업대상지역인 17개 읍면동에 예산이 배정되었고, 관련 수단 및 지역 차원의 사업진행 틀을 만드는 과정을 거쳤다. 또한 사업대상지역의 건강결정요인을 파악하기 위하여 지역 사회조사를 실시하였으며 사업에 대한 교육훈련지원 및 기술지원을 위하여 교육훈련지원단과 사업운영지원단이 설치되었다. 그 결과 사업 인력들과 코디네이터에 대한 교육이 실시되었으며, 사업대상지역에는 사업팀과 사업추진위원회가 결성되었다. 지역사회조사 이후에는 지역사회조사결과 보고회를 통하여 지역의 건강결정요인과 건강수준을 지역주민들과 함께 공유하였으며 최종적으로 사업 관련 주민자치조직인 건강위원회가 17개 읍면동에서 출범하였다. 본 사업은 지역사회 참여 및 파트너쉽의 구축과 관련하여 아직 해결해야 될 과제들이 많으나 원칙에 근거한 사업이 지속적으로 진행될 수 있다면 경상남도의 건강불평등 완화를 통한 표준화사망률 감소 및 사업대상지역 주민들의 안녕 수준 향상에 기여할 수 있을 것으로 판단된다.

Objectives: This study was conducted to implement Health Plus Happiness Plus projects in Gyeongsangnam-Do and assess the policy implications of initiatives to address regional health inequalities. Methods: Health Plus Happiness Plus projects were started as strategies to address regional health inequalities in Gyeongsangnam-Do. The principles of these projects are taken from the Health Action Zones initiatives in England: participation, partnership, resource concentration in project areas. The time period for these projects is from 2010 to 2017, and the total budget is 5.6 billion won. In 2010, a 6.8 hundred million won total budget was invested in 17 project areas. Such investments fell into four broad categories: establishment of the means and local framework; survey development to analyze the health determinants; development of an education and training center; and establishment of a technical support center. Results: Education and training programs for practitioners and coordinators were provided, and project teams and project promotion committees were established in project areas. Health survey result briefing meetings were held, and 17 health committees were established in project areas. Conclusions: Health Plus Happiness Plus projects have some problems in relation to participation and partnerships, however, if these principled projects are performed continuously, they will contribute to a reduction of standardized mortality rate and regional health inequalities in Gyeongsangnam-Do and the improvement of residents' well-being in project areas.

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참고문헌

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