Health Plan

T h e N a t i o n a l H e a l t h P l a n

Goals

Overarching Goals

“ Extending Healthy Life Expectancy “

Healthy Life Expectancy Index Definition

Average number of years that a person can expect to live in "full health" by taking into account years lived in less than full health due to disease and/or injury.

Status

As of '18, Healthy life expectancy is 70.4 years (male, 68.3 years; female, 72.4 years)

Expected to increase by 2.9 years for the next 12 years from '18 to '30 (male, 3.1 years; female, 2.6 years)
Estimation

Healthy life expectancy in '30 is expected to be 73.3 year (male, 71.4 years; female, 75.0 years)

Expected to increase by 2.9 years for the next 12 years from '18 to '30 (male, 3.1 years; female, 2.6 years)

* WHO Standard Healthy life expectancy : 73 years in '16, increased by 3.1 years from '05 to '16 (male, 3.5 years; female, 2.9 years)
Gender

The Healthy life expectancy gap decreased from 4.53 years in '08 to 4.12 years in '18; the average is 4.32 years, and the gap between genders expected to be 3.6 years by '30

* Data source for healthy life expectancy in HP2030 changed: WHO → Domestic R&D Results

HP2020 proposed to achieve the healthy life expectancy of 75 years by ’20 (73 years in ’16, according to WHO)
The WHO’s healthy life expectancy data are released irregularly and unsuitable for monitoring gaps between income classes and regions
From HP2030, standards and goals are set based on domestic R&D on healthy life expectancy*
* Yoon Seok-joon et al. (2020). A Study on the Development of Health Status Measurement Platform for Implementation of Precision Public Health in Korea.

Trends in Healthy Life Expectancy(‘08~’18) and Estimation for 2030

Healthy life Overall
Healthy life Male
Healthy life Female
linear(Healthy life Overall)

Healthy life expectancy in '30 was estimated using a generalized linear model (GLM) based on research results (calculated for the period between ‘08 and ‘18)
The decrease in Healthy life expectancy in '12 and '18 may be attributed to the increase in the total number of claims (an increase in medical services), which was relatively large compared to the increase in life expectancy

Healthy Life Expectancy Goal

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Division		Goal
Division	'30 (Estimated)	(All) 73.3 years (95% CI: 72.2–74.4)
	Goal Setting	“Improve Healthy life expectancy to 73.3 years of age by '30”
		Monitoring	Male	71.4 years
		Monitoring	Female	75.0 years

Data source

Yoon Seok-joon, Kang Young-ho & Oh In-hwan (2020). A Study on the Development of Health Status Measurement Platform for Implementation of Precision Public Health in Korea.

To ensure the possibility of sustainable output of health-adjusted life expectancy index, we will establish an organization and personnel system to continuously provide a healthy life expectancy index through research and development, as well as develop governance to produce credible national statistics.

Overarching Goals

“ Promoting Health Equity “

Healthy Life Expectancy Gap by Income Level

Income Level

Reduce the disparity in healthy life expectancy between the top 20% income group and the bottom 20% to less than 7.6 years by ’30

As of '18, the Healthy life expectancy gap between the top 20% (Q5) and bottom 20% (Q1) by income level was 8.1 years, and the average for the past 11 years was 7.5 years
Compared to '08, the Healthy life expectancy of the top 20% by income level increased by 1.5 years, and that of the bottom 20% increased by 1.4 years

Table: Trends in Healthy life expectancy (HALE) gap by income level ('08–'18)

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Division	'08	'09	'10	'11	'12	'13	'14	'15	'16	'17	'18	'30 (Estimated)
Gap	8.0	7.9	7.5	7.1	6.7	7.1	7.3	7.4	7.6	7.6	8.1	7.6 (7.5~7.7)
Q5 (Top 20% Average)	71.8	72.0	72.0	71.8	71.5	72.4	72.9	73.4	73.4	73.6	73.3	76.1 (95% CI: 74.6–77.6)
Q1 (Bottom 20% Average)	63.8	64.1	64.5	64.7	64.8	65.3	65.6	66.0	65.8	66.0	65.2	68.5 (95% CI: 67.1–69.9)

Income Level-Related Health Equity Goals

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Division		Goal
Income Level	'30 (Estimated)	(All) 73.3 years (95% CI: 72.2–74.4)
	Goal Setting	“Close the gap in Healthy life expectancy between the top 20% by income level and the bottom 20% by income level to under 7.6 years
		Relative Value for Monitoring	“Increase the Healthy life expectancy of the bottom 20% to a level that exceeds the increments in Healthy life expectancy* over the past 10 years as of when the top 20% by income level was evaluated” * e.g. '18–'19 healthy life expectancy
		Relative Value for Monitoring	Purpose : Improve healthy life expectancy of the vulnerable group (Q1) and simultaneously reduce the gap

Healthy life expectancy gap by region(by city/county/borough)

Regional level

Narrow the gap between the top 20% and the bottom 20% local governments in healthy life expectancy to less than 2.9 years

As of '18, the healthy life expectancy gap between the top 20% local governments and the bottom 20% was 2.7 years, and the average for the past 11 years was 2.5
Compared to '08, the healthy life expectancy of the top 20% of local governments increased by 0.7 years, while that of the bottom 20% increased by 0.6

Table: Trends in the gap in Healthy life expectancy (HALE) among regions (city/county/borough) ('08–'18)

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Division	'08	'09	'10	'11	'12	'13	'14	'15	'16	'17	'18	'30 (Estimated)
Gap	2.6	2.4	2.3	2.4	2.4	2.3	2.0	2.2	2.9	2.7	2.7	2.9 (2.1~3.5)
Top 20% Regions	70.4	70.5	70.7	70.8	70.6	71.3	71.6	72.2	71.3	71.5	71.1	73.2 (95% CI: 71.6~74.7)
Top 20% Regions	Eunpyeong, Seoul	Gunwui, Gyeongsangbuk-do	Gwangyang, Jeollanam-do	Gwangyang, Jeollanam-do	Cheonan Dongnam, Chungcheongnam-d	Goyang Deogyang, Gyeonggi-do	Gangneung, Gangwon-do	Anyang Manan, Byeonggi-do	Haeundae, Busan	Sancheong, Gyeongsangnam-do	Wonju, Gangwon-do	73.2 (95% CI: 71.6~74.7)
Bottom 20% Regions	67.8	68.1	68.4	68.4	68.2	69.0	69.6	70.0	68.4	68.8	68.4	70.3 (95% CI: 68.1~72.6)
Bottom 20% Regions	Jin-gu, Busan	Gunwui, Gyeongsangbuk-do	Cheongju Seowon, Chungcheongbuk-d	Uiseong, Gyeongsangbuk-do	Changwon Jinhae, Gyeongsangnam-do	Hwasun, Jeollanam-do	Yeongam, Jeollanam-do	Chungju, Chungcheongbuk-do	Samcheok, Gangwon-do	Mokpo, Jeollanam-do	Nam-gu, Gwangju	70.3 (95% CI: 68.1~72.6)

Health Equity Goals by Regional Level

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Division		Goal
Regional Level	'30 (Estimated)	Gap: 2.9 years (95% Cl: 2.1-3.5)
	Goal Setting	"Close the healthy life expectancy gap between the top 20% local governments and the bottom 20% to below 2.9 years"
		Relative Value for Monitoring	"Increase the healthy life expectancy of the bottom 20% up to a level that exceeds the increment in the healthy life expectancy* over the past 10 years as of when the top 20% level of the region was evaluated" * e.g. '18-'19 Healthy life expectancy
		Relative Value for Monitoring	Purpose: Improve healthy life expectancy of vulnerable groups (bottom 20% local governments) and simultaneously reduce the gap