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논문 기본 정보

자료유형
학술저널
저자정보
Noh Eunjeong (Institute of Health Policy and Management Seoul National University Medical Research Center Seoul K) Kang Hee-Yeon (Institute of Health Policy and Management Seoul National University Medical Research Center Seoul K) Bahk Jinwook (Department of Public Health Keimyung University Daegu Korea.) Kim Ikhan (Department of Medical Humanities and Social Medicine Kosin University College of Medicine Busan Kor) Khang Young-Ho (Institute of Health Policy and Management Seoul National University Medical Research Center Seoul K)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.36 No.42
발행연도
2021.11
수록면
1 - 13 (13page)
DOI
10.3346/jkms.2021.36.e269

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Background: To determine the priorities and resource allocation of community cancerrelated health policies, it is necessary to measure cancer-related health indicators and the burden of cancer by region. This study calculated the cancer-free life expectancy at the eup/ myeon/dong level (small administrative units in South Korea) for the first time, and analyzed its association with regional health insurance premiums. Methods: We used aggregate data from the 2008?2017 National Health Information Database provided by the National Health Insurance Service. Cancer-free life expectancy was calculated by applying Sullivan's method to mortality and cancer prevalence by age group and sex for the 10-year period in 3,396 eups/myeons/dongs. Correlation analyses were performed to analyze the relationship between cancer-free life expectancy and regional health insurance premiums. Results: Cancer-free life expectancy in eups/myeons/dongs of metropolitan areas tended to be higher than in non-metropolitan areas. However, some eups/myeons/dongs of non-metropolitan areas showed quite a high cancer-free life expectancy, especially for females. The median values of differences between cancer-free life expectancy and life expectancy at the eup/myeon/ dong level (total: 1.6 years, male: 1.8 years, female: 1.4 years) indicated that a person's healthy life can be shortened by a number of years due to cancer. The association of cancer-free life expectancy by eup/myeon/dong with the regional health insurance premium was statistically significant (β = 1.0, P < 0.001) and more prominent for males (β = 1.3, P < 0.001) than for females (β = 0.5, P < 0.001). The relationship between the regional health insurance premium and the burden of cancer (life expectancy minus cancer-free life expectancy) was also statistically significant (β = 0.2 for the total population, β = 0.2 for males, and β = 0.1 for females, all P values < 0.001). Conclusion: This study showed a significant regional gap with regard to cancer-free life expectancy and the burden of cancer at the eup/myeon/dong level. This work makes a meaningful contribution by presenting new and firsthand summary measures of cancerrelated health across small areas in Korea. The results will also help the authorities to evaluate the effectiveness of local cancer management projects in small administrative areas and determine regional priorities for implementing cancer control policies.
#Health Policy #Health Status Disparities #Insurance #Life Expectancy #Neoplasms #Socioeconomic Factors

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참고문헌 (34)

참고문헌 신청
김보람 / 2017 / 시군구별 사회경제적 결핍 수준과 기대수명, 건강기대수명의 연관성 / 보건교육건강증진학회지 34(5):29~40 dbpia OECD / Health at a glance: Europe 2016 - state of health in the EU cycle google schola Khang YH / 2016 / Developing Indicators for Evaluating and Monitoring the Health Plan 2020 Using the National Health Information Database of the National Health Insurance Service in Korea / Korea Health Promotion Institute google schola Yang S / 2010 / Understanding the rapid increase in life expectancy in South Korea / Am J Public Health 100(5):896~903 google schola Byun YC / 2011 / Regional Differences in Health Expectancy in Korea and Policy Suggestions / Korea Institute for Health and Social Affairs google schola

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