Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
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Determinants of Health in Korea: A Comparative Analysis among Organization for Economic Cooperation and Development Countries

우리나라와 경제협력개발기구 국가들의 건강결정요인 비교분석

  • Park, Myung-Bae (Department of Gerontal Health and Welfare, Pai Chai University) ;
  • Moon, Ji Young (Department of Preventive Medicine, Kangwon National University Hospital) ;
  • Kim, Jin Ri (Department of Health Administration, Yonsei University College of Health Science) ;
  • Nam, Eun Woo (Department of Health Administration, Yonsei University College of Health Science)
  • 박명배 (배재대학교 실버보건학과) ;
  • 문지영 (강원대학교병원 예방의학과) ;
  • 김진리 (연세대학교 보건과학대학 보건행정학과) ;
  • 남은우 (연세대학교 보건과학대학 보건행정학과)
  • Received : 2018.01.08
  • Accepted : 2018.04.27
  • Published : 2018.06.30
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Abstract

Background: This study aims to utilize Organization for Economic Cooperation and Development (OECD) data to identify macroscopic determinants of health at national level and to utilize it in health policy development through comparison and analysis with Korea. Methods: The potential years of life lost (PYLL) were used as dependent variables and 19 indicators were selected as health determinants to be independent variables based on the results of previous studies. Data analysis was done using SAS ver. 9.4 package (SAS Institute Inc., Cary, NC, USA) and model used in technical statistics concerning PYLL by countries, multi-linearity test between independent variables and OECD economic studies were modified and used. Results: From 1994 to 2012, the average PYLL for OECD countries was 4,262.9 years, the highest in Estonia and the lowest in Iceland. As a result of the analysis using the fixed effect model, the significant variables affecting PYLL were four variables: gross domestic product, nitric oxide, tobacco consumption, and number of doctors. The health determinants that had more influence on the PYLL of Korean people compared to other OECD countries were tobacco consumption, calorie consumption, fat intake and total health expenditure. Conclusion: In order to effectively reduce unnecessary deaths, we must continue to strengthen our smoking policy and nutrition policies such as calorie and fat intake. It is necessary to prevent the increase of total health expenditure due to the increase in the prevalence of chronic diseases and to strengthen the public health aspect.

Keywords

References

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