Health Policy and Management (보건행정학회지)

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

DOI QR Code

The Determinants of Population Health in OECD countries

OECD 국가들의 건강수준 결정요인

  • Published : 2010.03.31
Download PDF
⟨ Previous Next ⟩

Abstract

This article examines social determinants of population health in OECD countries, where life years, infant mortality, and PYLL are used as proxy variables of health. The unit of analysis is a country which is the OECD affiliate. A panel regression estimation is chosen as a method, using OECD Health Data. The results are: the increasing national health expenditure affected positively to improve population health. Education was rather a significant determinant of health than income level. The government direct investment for public health did not contribute positively to enhance population health. The expansion of health care coverage was working positively for improving health, but with a time lag. The supply of doctors was a most influential determinant of health. In case of Korea, the coverage expansion of health care was the most important determinant of health. The supply of doctors was, however, not a positive factor for better health, which is different result with the case of OECD countries.

Keywords

References

  1. 배상철, 이상일, 장혜정, 조희숙, 서동우. 한국인의 질병부담 측정을 통한 건강관련 삶의 질 향상에 관한 연구. 보건의료기술연구개발사업. 보건복지부. 2003.
  2. 정영호, 서미경, 이종태, 정형선, 고숙자, 채수미, 김명희. 우리나라 국민의 건강결정요인 분석. 한국보건사회연구원, 건강증진사업지원단. 2006. 3.
  3. 최병호, 남상호, 신윤정. 국민의료비 결정요인분석 . 보건행정학회지 2004 ; 14(2) : 99-106. https://doi.org/10.4332/KJHPA.2004.14.2.099
  4. 최윤정, 배성일, 강민선, 장자풍, 김지윤, 이선미, 박성은, 배이화. 주요 OECD 국가의 건강증 진정책에 대한 연구. OECD 아시아 사회정책센터, 건강증진사업지원단. 2006. 10.
  5. Adams, P., M. Hurd, D. McFadden, A. Merrill, and T. Ribeiro. “Healthy, wealthy, and wise? Tests for direct causal paths between health and socioeconomic status”. Journal of Econometrics. 2003 ; 112 : 3-56. https://doi.org/10.1016/S0304-4076(02)00145-8
  6. Anderson GF, Pollier JP. "Health Spending, Access, And Outcomes : Trends In Industrialized Countries". Health Affairs data watch. 1999 ; 18(3).
  7. Arah OA, Weste GP, Delnoij DM, Klazinga1 NS. "Health system outcomes and determinants amenable to public health in industrialized countries: a pooled, cross-sectional time series analysis". BioMed central Public Health. 2005 ; 5 : 81 https://doi.org/10.1186/1471-2458-5-81
  8. Adler, N., et al.“Socioeconomic status and health, the challenge of the gradient”. American Psychologist. 1994 ; 49 : 15-24. https://doi.org/10.1037/0003-066X.49.1.15
  9. Australian Institute of Health and Welfare(AIHW). Australia's Health 2004.
  10. Barros, P. P.“The black-box of health care expenditure growth determinants”. Health Economics 1998 ; 7 : 533-544. https://doi.org/10.1002/(SICI)1099-1050(199809)7:6<533::AID-HEC374>3.0.CO;2-B
  11. Contoyannies, P., A. Jones, and N. Rice.“The dynamics of health in the British Household Panel Study”. Journal of Applied Econometrics 2004 ; 19 : 473-503. https://doi.org/10.1002/jae.755
  12. Curie, J., Madrian, B. “Health, health insurance, and the labor market”. In : O. Ashenfelter, D. Card, eds. Handbook of Labor Economics. North Holland. Amsterdam ; 1999 ; 3. pp. 3309-3415.
  13. European Commission. The Health Status of the European Union : narrowing the health gap. 2003.
  14. Evans, R. G. and G. L. Stoddart. “Producing health, consuming health care”. Social Science Medicine 1990 ; 31(2) : 1347-1363. https://doi.org/10.1016/0277-9536(90)90074-3
  15. Gerdtham, U. G. “Pooling International Health Care Expenditure Data”. Journal of Health Economics 1992 : 217-231.
  16. Gerdtham, U. G., B. Jonsson, M. MacFarlan, H. Oxley.“The determinants of health expenditure of the OECD countries”. In : P. Zweifel, eds. Health, the Medical Profession, and Regulation. Dordrecht : Kluwer Academic Publishers. 1998.
  17. Greene, William H. Econometric Analysis. 5th ed. Prentice Hall. 2003 : 301-303.
  18. Health Canada. Toward a Healthy Future. Second report on the Health of Canadians, Federal, Provincial and Territorial Committee on Population Health for the Meeting of Ministers of Health. 1999.
  19. Hertzman C.,“The determinants of Health in Central and Eastern Europe”. Canadian Institute for Advanced Research. CIAR Program. Population Health. Working Papers No. 28. 1993. Toronto.
  20. Hitiris, T., and J. Posnett.“The determinants of effects of health expenditure in developed countries”. Journal of Health Economics 1992 ; 11 : 173-181. https://doi.org/10.1016/0167-6296(92)90033-W
  21. Kramers PGN. "The ECHI project Health indicators for the European Community". European Journal of Public Health. 2003 ; 13(3) : 101-6 https://doi.org/10.1093/eurpub/13.suppl_1.101
  22. Lalonde M. A., New Perspective on the Health of Canadians : A working document. Government of Canada. 1974.
  23. Macinko JA, Starfield B, and Shi L. "The contribution of primary care systems to health outcomes within organization for Economic Cooperation and Development(OECD) countries, 1970-1998". Health Services Research 2003 ; 38(3) : 831-65. https://doi.org/10.1111/1475-6773.00149
  24. Macinko JA, Shi L, Starfield B. "Wage inequaltiy, the health system, and infant mortality in wealthy industrialized countries, 1970-1996". Social Science & Medicine 2004 ; 58 : 279-92.
  25. Meer, J., D. Miller, H. Rosen. “Exploring the health-wealth nexus”. Journal of Health Economics 2003 ; 22 : 713-730. https://doi.org/10.1016/S0167-6296(03)00059-6
  26. Murray, C. J. and A. D. Lopez. The Global Burden of Disease : a comprehensive assessment of mortality and disability from diseases, injuries, and risk factors in 1990 and projected to 2020. Boston. Massachusetts : Harvard School of Public Health. 1996.
  27. Murray, C. J. and A. D. Lopez. "On the comparable quantification of health risks : lessons from the Global Burden of Disease Study". Epidemiology 1999 ; 10(5) : 594-605. https://doi.org/10.1097/00001648-199909000-00029
  28. Peppard, P.E., D. Kindig, A. Jovaag, et al. "An initial attempts at ranking population health outcomes and determinants". Wisconsin Medical Journal 2004 ; 103(3) : 52-56.
  29. Polder JJ, Meerding WJ, Bonnesux L. van der Maas PJ. "A cross-nation perspective on cost of illness : A comparison of studies from the Netherlands, Austrailia, Canada, Germany, United kingdom and Sweden". European Journal of Health Economy 2005 ; 50 : 223-32.
  30. Roberts, J., "Sensitivity of elasticity estimates for OECD health care spending : analysis of a dynamic heterogeneous data field". Paper prepared for the Seventh European Workshop of Econometrics and Health Economics. STAKES. Helsinki. Finland. 9-12 September 1998.
  31. Robert DR, Chang CF, Rubin RM. "Technical efficiency in the use of health care resources : a comparison of OECD countries". Health Policy 2004 ; 69 : 55-72. https://doi.org/10.1016/j.healthpol.2003.12.002
  32. Smith, J., "Healthy bodies and thick wallets: the dual relation between health and economic status". Journal of Economic Perspectives 1999 ; 13 : 145-166.
  33. United Nations. Levels and Trends of Mortality Since 1950. United Nations. New York. 1982.
  34. WHO. World Health Report 2002 : reducing risks, promoting healthy life. 2002.
  35. WHO Europe. The European Health Report. 2002.