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Priority Setting for the Healthy City Program in Busan Using the Analytic Hierarchy Process  

Yoon, Tae-Ho (Department of Preventive&Occupation Medicine, School of Medicine, Pusan National University)
Choi, Min-Hyeok (Department of Preventive&Occupation Medicine, School of Medicine, Pusan National University)
Cheong, Kyu-Seok (Department of Preventive&Occupation Medicine, School of Medicine, Pusan National University)
Kim, Yun-Hee (Department of Nursing, Pukyong National University)
Kim, Keon-Yeop (Department of Preventive Medicine, School of Medicine, Kyungpook National University)
Jung, Baek-Geun (Department of Preventive Medicine, School of Medicine and Institute of Health Sciences, Gyeongsang National University)
Publication Information
Korean Journal of Health Education and Promotion / v.28, no.3, 2011 , pp. 31-42 More about this Journal
Abstract
Objectives: Busan had the highest mortality and the shortest life expectancy at birth among 16 provinces in Korea in 2008 and there were considerable health inequalities within the region. This study was performed to build up a priority setting framework in Healthy City Busan project. Methods: Analytic hierarchy process was used to determine the relative priority weight for different strategic and program dimensions along with the consistency of response. An on-site workshop-based meeting (calculating importance) and online survey (calculating risk) were conducted to obtain data from 8 experts. Results: The results showed that in strategic criteria "active health promotion & diseases prevention" and "building infrastructure for the Health City project" were two most important factors. In program criteria, considering both importance and risk scores, "making a healthy community" and "building community health centers" in disadvantaged areas were a top priority group. In addition, "enacting an ordinance for the Healthy City", "building the infrastructure for health impact assessment" and "making health care safety net for vulnerable population" were also higher priorities group. Conclusions: Our findings suggest that the Healthy City project in Busan should be focused on strengthening health equity and building infrastructure for sustainability of the project.
Keywords
Healthy city; Priority setting; Analytic hierarchy process;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
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1 Kim, S. C., & Eo, H. J. (1994). Priority Aggregation for AHP based on Experts Opinions. Journal of the Korean Operations Research and Management Science Society, 19(3), 41-51.
2 Kim, S. I. (2008, January 1). "Busan UP", area health gap. Busan Daily.
3 Kim, Y., Ahn, S. J., Park, J. H., & Choi, J. D. (2009). A Weight Analysis of Health Determinants and Healthy City Projects through Means of the AHP. Journal of Korean Urban Management Association, 22(3), 365-387.
4 Liberatore, M. J., & Nydick, R. L. (2008). The analytic hierarchy process in medical and health care decision making: A literature review. European Journal of Operational Research, 189(1), 194-207.   DOI   ScienceOn
5 Lee, C. G., Park, J. H., & Kim, Y. J. (2006, Jaunary 16). "Overcome divided society", different life expectancy by neighborhood. The Hankyoreh.
6 Macintyre, S., Ellaway, A., & Cummins, S. (2002). Place effects on health: how can we conceptualise, operationalise and measure them? Social Science & Medicine, 55, 125-139.   DOI   ScienceOn
7 Nam, E. W., & Moon, J. Y. (2010). Concept and trend of healthy city. National land, 345, 6-11.
8 National Statistical Office (NSO). (2009a). Annual report on the 2008 Cause of Death Statistics (cities and provinces). Daejon, South Korea: National Statistical Office.
9 National Statistical Office (NSO). (2009b). Life Tables for 2008 (cities and provinces). Daejon, South Korea: National statistical Office.
10 Odynocki, B. (1983). The forward and backward processes in health policy planning. Mathematics and Computers in Simulation, 25(2), 146-155.   DOI   ScienceOn
11 Park, M. B., Nam, E. W., Lee, H. J., & Shin, T. S. (2008). A Study of Priority Setting of Healthy City Project Indicators with the use of AHP Model. J of Korean Society for Health Education and Promotion, 25(3), 139-151.
12 Park, S. Y. (2005). A Priority Analysis of the Performance Evaluation Indicators of City-County Consolidation Policy Using Analytic Hierarchy Process. J of Policy Evaluation & Management, 15(2), 1-29.
13 Ramanujam, V., & Saaty, T. L. (1981). Technological choice in the less developed countries: An analytic hierarchy approach. Technological Forecasting and Social Change, 19(1), 81-98.   DOI   ScienceOn
14 Saaty, T. L. (1980). The analytic hierarchy process : planning, priority setting, resource allocation. New York, United States: McGraw-Hill International, 1980.
15 Saaty, T. L. (1983). Priority setting in complex problems. IEEE Transactions on Engineering Management, 30, 140-155.
16 Saaty, T. L., & Sodenkamp. M. (2008). Making decisions in hierarchic and network systems. International Journal of Applied Decision Sciences, 1(1), 24-79.   DOI
17 Saaty, T.L., & Vargas, L. G. (2006). Decision making with the analytic network process. New York, United States: Springer.
18 Shin, T. S. et al. (2009). The comparative evaluation of expanded national immunization policies in Korea using an analytic hierarchy process. Vaccine, 27, 792-802.   DOI   ScienceOn
19 WHO. (1998). Health promotion glossary. Retrieved July 15, 2011, f rom http: / /www.who . int /heal thpromotion/about /HPR%20Glossary%201998.pdf
20 WHO Regional Office for Europe. (1986). Targets for Health for All. Copenhagen, Denmark: WHO Regional Office for Europe.
21 WHO Regional Office for Europe (1996). City Health Planning: The Framework. Copenhagen, Denmark: WHO Regional Office for Europe.
22 Kim, J. H. (2007). Review for Open Discussions About Healthy Cities Program, Health and Social Science, 21, 137-156.
23 Alliance For Healthy Cities. (2011). Full member status. Retrieved from http://www. alliance-healthycities.com/htmls/members/indexmembers.html
24 Buse, K., Mays N., & Walt G. (2005). Making health policy. Maidenhead, Berkshire, England: Open University Press.
25 Chang, C. L., Cheng, B. W., & Su, J. L. (2004). Using case-based reasoning to establish a continuing care information system of discharge planning. Expert Systems with Applications, 2004, 26, 601-613.
26 Cho, K. T., & Kim, S. M. (2003). Selecting medical devices and materials for development in Korea: the analytic hierarchy process approach. The International Journal of Health Planning and Management, 18(2), 161-174.   DOI   ScienceOn
27 Choi, S. J., & Kim J. H. (2005). Priority setting for expanding health insurance benefit package using Analytic Hierachy Process. Health Insurance Forum, 4(1), 112-129.
28 Commission on Social Determinants of Health (CSDH). (2008). Closing the gap in a generation: Health equity through action on the social determinants of health. Geneva, Switzerland: World Health Organization.
29 Dey, P. K., Hariharan, S., Kumar, A., & Moseley, H. (2004). Performance measurement of intensive care services in hospitals: the case of Barbados. International Journal of Services Technology and Management, 5(5), 579-595.   DOI   ScienceOn
30 Dolan, J., & Bordley, D. (1993). Involving patients in complex decisions about their care. Journal of General Internal Medicine, 8(4), 204-209.   DOI   ScienceOn
31 Goldstein, G., & Kickbusch, I. (1996). A healthy city is a better city. World Health, 49(1), 4-10.
32 Hancock, T. (1993). The Evolution, Impact, and Significance of Health Cities/Healthy Communities. Journal of Public Health Policy, 14(1), 5-18.   DOI   ScienceOn
33 Hannan, E. L., O'Donnell, J., & Freedland, T. (1981). A priority assignment model for standards and conditions in a long term care survey. Socio-Economic Planning Sciences, 15(6), 277-289.   DOI   ScienceOn
34 Hariharan, S., Dey, P. K., Moseley, H. S. L., Kumar, A. Y., & Gora, J. (2004). A new tool for measurement of process-based performance of multispecialty tertiary care hospitals. International Journal of Health Care Quality Assurance, 17(6), 302-312.   DOI   ScienceOn
35 Kim, J. H., & Yoon, T. H. (2008). Comparisons of Health Inequalities in Small Areas with Using the Standardized Mortality Ratios in Korea. J Prev Med Public Health, 41(5), 209-213.