Yoon Jihyun, Yoon Seok Jun
Department of Public Health, Korea University Graduate School, Seoul, Korea.
Department of Preventive Medicine, Korea University College of Medicine, Seoul, Korea.
J Korean Med Sci. 2016 Nov;31 Suppl 2(Suppl 2):S101-S107. doi: 10.3346/jkms.2016.31.S2.S101.
Quantitative assessments of the health status of a population are essential to make decisions and set priorities in the field of public health. Changing epidemiologic patterns increase the demand for comprehensive estimates of population health across the full health spectrum, including non-communicable diseases and injuries. Burden of disease (BoD) analysis has helped meet this need. With the success of the Global Burden of Disease (GBD) Study, the BoD technique has become predominantly associated with the GBD approach and its methodology using disability-adjusted life year (DALY) has been rapidly disseminated and generally accepted over the last several years. The first Korean BoD study using the DALY metric was presented in 2002. Various BoD studies have since been conducted, but the DALY concept has remained primarily academic and has not yet been actively utilized in the health policy arena. Here, we review the DALY metric and population-based Korean BoD studies using national health data, with the intent of increasing the understanding of their value and their potential role in strengthening future assessments of the Korean population's health status.
对人群健康状况进行定量评估对于在公共卫生领域做出决策和确定优先事项至关重要。不断变化的流行病学模式增加了对全健康范围内人群健康综合评估的需求,包括非传染性疾病和伤害。疾病负担(BoD)分析有助于满足这一需求。随着全球疾病负担(GBD)研究的成功,BoD技术已主要与GBD方法相关联,其使用伤残调整生命年(DALY)的方法在过去几年中迅速传播并被广泛接受。2002年发表了韩国第一项使用DALY指标的BoD研究。此后进行了各种BoD研究,但DALY概念主要仍停留在学术层面,尚未在卫生政策领域得到积极应用。在此,我们回顾DALY指标以及使用国家卫生数据开展的基于人群的韩国BoD研究,目的是增进对其价值以及在加强未来韩国人群健康状况评估中潜在作用的理解。