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OECD - OECD Reviews of Public Health: Korea

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OECD OECD Reviews of Public Health: Korea
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OECD Reviews of Public Health Korea A Healthier Tomorrow Please cite this - photo 1
OECD Reviews of Public Health: Korea A Healthier Tomorrow
Please cite this publication as:
OECD (2020), OECD Reviews of Public Health: Korea: A Healthier Tomorrow , OECD Publishing, Paris, https://doi.org/10.1787/be2b7063-en .
Metadata Legal and Rights ISBN 978-92-64-32928-7 print - - photo 2
Metadata, Legal and Rights
ISBN: 978-92-64-32928-7 (print) - 978-92-64-68964-0 (pdf) - 978-92-64-55209-8 (HTML) - 978-92-64-67336-6 (epub)
DOI: https://doi.org/10.1787/be2b7063-en
This work is published under the responsibility of the Secretary-General of the OECD. The opinions expressed and arguments employed herein do not necessarily reflect the official views of OECD member countries.
This document, as well as any data and map included herein, are without prejudice to the status of or sovereignty over any territory, to the delimitation of international frontiers and boundaries and to the name of any territory, city or area.
The statistical data for Israel are supplied by and under the responsibility of the relevant Israeli authorities. The use of such data by the OECD is without prejudice to the status of the Golan Heights, East Jerusalem and Israeli settlements in the West Bank under the terms of international law.
Note by Turkey
The information in this document with reference to Cyprus relates to the southern part of the Island. There is no single authority representing both Turkish and Greek Cypriot people on the Island. Turkey recognises the Turkish Republic of Northern Cyprus (TRNC). Until a lasting and equitable solution is found within the context of the United Nations, Turkey shall preserve its position concerning the Cyprus issue.
Note by all the European Union Member States of the OECD and the European Union
The Republic of Cyprus is recognised by all members of the United Nations with the exception of Turkey. The information in this document relates to the area under the effective control of the Government of the Republic of Cyprus.
Photo credits: Cover Paul Oakley.
Corrigenda to publications may be found on line at: www.oecd.org/about/publishing/corrigenda.htm .
OECD 2020
The use of this work, whether digital or print, is governed by the Terms and Conditions to be found at http://www.oecd.org/termsandconditions .
Foreword

This report is the third in the OECDs series of reports reviewing public health policies across selected OECD countries. Health care systems across OECD are increasingly under pressure from social changes including demographic changes and aging populations and emerging new health challenges from a growing burden of chronic disease, to re-emerging and new communicable diseases, or a growing burden of mental ill-health which demand a strong public health response.

The OECD Reviews of Public Health provide in-depth analysis and policy recommendations to strengthen priority areas of countries public health systems, highlighting best practice examples that allow learning from shared experiences, and the spreading of innovative approaches. In particular, this series of Reviews of Public Health builds on the OECDs long-standing programme of work on the economics of public health, applying this extensive expertise to country-specific challenges. The OECD Reviews of Public Health are a tool to help countries to strengthen their national public health systems, and help countries to develop and implement innovative public health actions.

This OECD Public Health Review of Korea assesses the current scale of public health challenges in Korea, and efficacy of existing public health policies to respond to them. The time is now for Korea to turn greater policy attention towards strengthening its public health system, tackling key behavioural risks, and preparing for potential technological change in the health care sector notably the changing importance of precision medicine and preparing for public health emergencies. In relation to healthily lifestyles, this review recommends that Korea scales-up policies to prevent harmful alcohol consumption, and strengthen efforts to reduce rates of smoking. In light of Koreas rapidly aging population and the shift in burden of disease towards chronic conditions, Korea should also focus on strengthening the primary care capacity, for example in community or Public Health Centers. To prepare the health system for technological changes, the review recommends that the government continues its current cautions approach to genomic medicine and testing, ensuring that the benefits and harms for both the population and the health system are well-balanced. Finally, the review encourages Korea to build on recent reforms made to strengthen the response system for hazards and threats, and better align response capacity across all stakeholders.

Acknowledgements

This report was prepared by Charles Baubion, Michele Cecchini, Emily Hewlett and Sabine Vuik, with input from Yuka Nishina. The authors also wish to thank Stefano Scarpetta, Mark Pearson, Francesca Colombo from the OECD Directorate of Employment, Labour and Social Affairs for their input. Thanks also go to Natalie Corry for editorial input and to Isabelle Vallard and Duniya Dedeyn for logistical assistance.

The completion of this report would not have been possible without the generous support of the Korean authorities. This report has benefited from the expertise and material received from many health officials, health professionals, and other health experts that the OECD review team interviewed during a research mission in Korea in June 2018. In particular, the OECD review team spoke with officials from the Ministry of Health and Welfare, the Ministry of Food and Drug Safety, the Ministry of Environment and the Ministry of Interior and Safety. This report has also benefited from the comments of the Korean authorities and experts who reviewed earlier drafts; the authors particular thanks go to the numerous Korean experts who took the time to provide thoughtful and detailed feedback at the review stage.

The OECD review team would also like to thank the wide range of stakeholders who took the time to come and meet with them during their research mission, including teams from the Korea Institute for Health and Social Affairs (KIHASA), Korea Centers for Disease Control & Prevention (KCDC), the National Institute of Public Health, the National Medical Center, the National Cancer Center, the Korean Health Promotion Institute, Seoul City local government, representatives of the Red Cross, and a number of health care providers, including an alcohol treatment center, and a Public Health Center. The authors would also like to thank the academics who provided important insights into the Korean health system and public health, including Professor Chang-yup Kim.

Particular thanks go to Professor Seok-Jun Yoon, from Korea University, who acted as an academic peer reviewer for this report, and public health experts from the Australian Government Department of Health who acted as country peer reviewers for this report, for the useful comments and suggestions shared with the authors.

Acronyms and abbreviations
ABV
Alcohol by Volume
AMR
Anti-microbial Resistance
AVIESAN
Alliance national pour les sciences de la vie et de la sant, National alliance for human sciences and health
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