Yoo Weon-Seob, Kim Keon-Yeop, Koh Kwang-Wook
Department of Preventive Medicine, College of Medicine, Eulji University.
J Prev Med Public Health. 2007 Nov;40(6):439-46. doi: 10.3961/jpmph.2007.40.6.439.
In order to reduce the health inequalities within a society changes need to be made in broad health determinants and their distribution in the population. It has been expected that the Health impact assessment(HIA) and Healthy Cities can provide opportunities and useful means for changing social policy and environment related with the broad health determinants in developed countries. HIA is any combination of procedures or methods by which a proposed 4P(policy, plan, program, project) may be judged as to the effects it may have on the health of a population. Healthy city is one that is continually creating and improving those physical and social environments and expanding those community resources which enable people to mutually support each other in performing all the functions of life and in developing to their maximum potential. In Korea, social and academic interest regarding the HIA and Healthy Cities has been growing recently but the need of HIA and Healthy Cities in the perspective of reducing health inequality was not introduced adequately. So we reviewed the basic concepts and methods of the HIA and Healthy Cities, and its possible contribution to reducing health inequalities. We concluded that though the concepts and methods of the HIA and Healthy Cities are relatively new and still in need of improvement, they will be useful in approaching the issue of health inequality in Korea.
为了减少社会内部的健康不平等现象,需要在广泛的健康决定因素及其在人群中的分布方面做出改变。人们期望健康影响评估(HIA)和健康城市能够为改变发达国家中与广泛健康决定因素相关的社会政策和环境提供机会和有用手段。健康影响评估是指通过一系列程序或方法,对拟议的政策、计划、项目或方案(4P)可能对人群健康产生的影响进行判断。健康城市是指不断创造和改善其物质和社会环境,并扩大社区资源,使人们在履行生活的所有功能以及充分发挥自身潜力的过程中能够相互支持的城市。在韩国,社会和学术界对健康影响评估和健康城市的关注最近一直在增加,但从减少健康不平等的角度来看,对健康影响评估和健康城市的需求尚未得到充分阐述。因此,我们回顾了健康影响评估和健康城市的基本概念和方法,以及它们在减少健康不平等方面可能做出的贡献。我们得出的结论是,尽管健康影响评估和健康城市的概念和方法相对较新且仍需改进,但它们将有助于解决韩国的健康不平等问题。