Health Policy Manag.  2018 Dec;28(4):329-338. 10.4332/KJHPA.2018.28.4.329.

Health Publicness beyond the Healthcare Systems: Focusing on the Concept of Health Security and the Process of Social Dialogue

Affiliations
  • 1BK21PLUS Program in Embodiment·Health-Society Interaction, Department of Public Health Sciences, Korea University Graduate School, Seoul, Korea. hpolicy@korea.ac.kr
  • 2School of Health Policy and Management, Korea University College of Health Science, Seoul, Korea.

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.

Keyword

Health publicness; Human security; Health security; Social dialogue; Healthcare quadripartite
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