Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
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Health Publicness beyond the Healthcare Systems: Focusing on the Concept of Health Security and the Process of Social Dialogue

보건의료 공공성을 넘어 건강공공성으로: 건강안보와 사회적 대화를 중심으로

  • Moon, Daseul (BK21PLUS Program in Embodiment.Health-Society Interaction, Department of Public Health Sciences, Korea University Graduate School) ;
  • Chung, Haejoo (BK21PLUS Program in Embodiment.Health-Society Interaction, Department of Public Health Sciences, Korea University Graduate School)
  • 문다슬 (고려대학교 대학원 보건과학과 BK21PLUS 인간생명.사회환경 상호작용 융합사업단) ;
  • 정혜주 (고려대학교 대학원 보건과학과 BK21PLUS 인간생명.사회환경 상호작용 융합사업단)
  • Received : 2018.07.31
  • Accepted : 2018.08.21
  • Published : 2018.12.31
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Abstract

The study seeks to widen the discussion from healthcare oriented 'health publicness' to human security oriented 'health publicness'. The shortcomings of previous literatures on health publicness are as follows: (1) the studies have confined the range of discussions to healthcare system, (2) lacked arguments from political perspectives, and (3) failed to provide actionable pathways to achieve the goal. Thereby, we suggest 'health publicness' based on the concept of human security to solve multidimensional healthcare problems. The health publicness based on human security, which aims to secure everybody's freedom from want and fear, enables not only to expand the scope of health problems that can be discussed but also to propose the procedures to achieve health publicness. More specifically, it consists of substantive and procedural health publicness. The former is about 'health security'-protecting, maintaining, and promoting individual's health-whereas, the latter is about 'social dialogue' guaranteeing participation of citizens, government, employers, and worker representatives. In conclusion, this study proposes the 'Regional Healthcare Quadripartite' as the incarnation of health publicness involving a variety of actors within and across the healthcare system.

Keywords

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Figure 1. Conceptual framework. From Lee. Korean J Public Adm 2010;48(2):145-168 [38].

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Figure 2. Analytical framework of health publicness.

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Figure 3. Conceptual framework of health publicness.

Table 1. Comparisons of healthcare publicness and health publicness

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