Journal List > J Korean Med Assoc > v.54(1) > 1042422

Lee and Park: Problems and their solutions of the proposed health management service act

Abstract

To deal with the burden of chronic illnesses, the Korean government has planned to adopt the Health Management Service Act (HMS) to reduce risk factors related to lifestyle, including diet and physical activity with reinforcement of dietitians and physical education instructors and other health professionals. We welcome the strategy to expand human resources for preventing cardio-cerebrovascular events (CVE); however, the delivery system of the HMS has stimulated heated debate. The current legislative bill lacks a comprehensive perspective of clinical preventive medicine. It states that HMS is not a medical service, and therefore the HMS facilities are not medical institutions and can be operated independently from medical professionals. By excluding medical specialists who could integrate information from patients in order to prevent CVEs, the bill is incompatible with the main purpose of HMS and will fail to achieve its goal. To suggest a solution to the debate, a patient-centered, evidence-based approach should be established in order to make an arena where all disciplines related to chronic disease prevention can contribute to the HMS. The participation of medical doctors who are fundamental to healthcare is essential for the successful establishment of an HMS delivery system in Korea.

References

1. Korea Health Industry Development Institute. The study of developmental strategy for the health management service market. 2009. Seoul: Korea Health Industry Development Institute.
2. Korea Health Industry Development Institute. Estimation for the market size of health management service and U-healt-hcare. 2009. Seoul: Korea Health Industry Development Institute.
3. Korea Health Industry Development Institute. Symposium: successful implementation of health management service. 2010. Seoul: Korea Health Industry Development Institute.
4. U.S. Preventive Services Task Force. Behavioral counseling in primary care to promote physical activity: recommendation and rationale. Ann Intern Med. 2002. 137:205–207.
5. Sorensen JB, Skovgaard T, Puggaard L. Exercise on prescription in general practice: a systematic review. Scand J Prim Health Care. 2006. 24:69–74.
crossref
6. Ehrsam R, Hoerler-Koerner U, Stoffel S, Melges T, Ainsworth B. Exercise prescription for the overweight and the obese: how to quantify and yet keep it simple. Br J Sports Med. 2009. 43:951–953.
crossref
7. Pinet BM, Prud'homme D, Gallant CA, Boulay P. Exercise intensity prescription in obese individuals. Obesity (Silver Spring). 2008. 16:2088–2095.
crossref
8. Matzen RN, Lang RS. Clinical preventive medicine. 1993. St. Louis: Mosby;1263.
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Byung-Joo Park
https://orcid.org/http://orcid.org/0000-0003-4630-4942

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