• Title/Summary/Keyword: Area Deprivation

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Deriving the Declining Areas and Analysing Their Spatial Characteristics Using the Spatial Autocorrelation Measure (쇠퇴지역 도출 및 공간특성 분석에 관한 연구 - 공간적 자기상관을 이용하여 -)

  • Yun, Jeong-Mi;Seo, Kyung-Chon
    • Journal of the Korean Association of Geographic Information Studies
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    • v.13 no.3
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    • pp.64-73
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    • 2010
  • This study aims to analyse the spatial characteristics and to draw the declining areas from the whole area of Chung-Cheong Province. For this purpose, the temporal and spatial conditions by the urban decline diagnosis indexes are utilized. Additionally, the spatial autocorrelation method was applied for extraction of those areas. The spatial autocorrelation method is one of the methods on exploring spatial characteristics and considering the spatial factors. We also adopted the concepts of economics and then discovered the characteristics of deprivation areas. In applying this method, the positively valued areas were classified as the complementary areas, and the negatively valued areas as the substitutional areas. The findings show the declining areas and the growing areas caused by the growth of periphery. This study supports the regeneration plan of Chung-Cheong Province in extracting depressed or activated areas and explaining the characteristics of those areas.

Factors Affecting Spatial Distance to Outpatient Health Services (공간분석을 이용한 외래의료서비스 접근성 요인분석)

  • Shin, Ho-Sung;Lee, Sue-Hyung
    • Health Policy and Management
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    • v.21 no.1
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    • pp.23-43
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    • 2011
  • Access to health care is complicated to define. It is a multidimensional process. In addition to the matters of quality of care, geographical accessibility and availability of the right type of care, finance, and acceptability are all involved. The purposes of this paper are to measure the geographic distances between patient residency locations and health service organizations in which the patients hadvisited, and to investigate the association between geographical distance measures and variables involved in health service utilization. The study used the first and the second wave of the 2008 Korea Health Panel Survey. The samples of analyses were patients who had visited outpatient or used ambulatory health services, and the total observations (visit numbers) analyzed were 229,128. We divided the samples into a frequent-visit illness group (Group 1) and a non-frequent visit illness group (Group 2) based on over 5,000 total visit numbers. We exploited three level analyses using xtmixed of STATA${\Box}$ 11.1 command with/without interaction terms among age, sex, and occupation. Geographical distances were measured using the Haversine method. Group 1 was tended to older and lower equivalent income than those of Group 2, but the geographic difference were not observed in terms of area deprivation index and standard mortality ratios. Amongst group 1, diabetes mellitus patients travelled far to visit health care organizations, and arthritis patients were more deprived in terms of the personal and areal characteristics. The study revealed that residents in rural areas traveled about 10 times more long distances than those whom lived in larger cities after adjusting for various variables, which we used for analyses. This study contributed to the practical understanding of health service utilizations using empirical analyses, and found that the types of diseases and socioeconomic characteristics of patients tended to define the amount of travel distance to healthcare organizations.

Multilevel Analysis on Factors Influencing Death and Transfer in Inpatient with Severe Injury (입원 중증 손상 환자의 사망과 전원에 영향을 미치는 요인에 관한 다수준분석)

  • Choi, Young Eun;Lee, Kang Suk
    • Health Policy and Management
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    • v.23 no.3
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    • pp.233-243
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    • 2013
  • Background: This study was conducted to evaluate the individual and community level factors which were influencing the severe injury patients' death and transfer at discharge. Methods: Analysis data is based on Korean National Hospital Discharge In-depth Survey Data released by the Korea Center for Disease Control and Prevention from 2006 to 2008. Study subjects was 11,026 inpatients with of severe injury. For multi-level analysis, socio-demographic characteristics, injury related characteristics, hospitalization related characteristics were used as individual level factors, and socio-environmental characteristics and health care resource characteristics were used as community level factors. Results: As to community level factors affecting mortality of severe injury, the possibility of death was also high in cases of less numbers of surgeons per a population of 100,000 and more number of operation beds. As to community level factors affecting transfer of severe injury, vulnerable areas with higher social deprivation index and low population density had higher possibility of transfer. Conclusion: Both individual level factors and community level factors affected clinical outcomes of treatment for severe injury. In particular, since there happened higher death and transfer of severe injury in socioeconomic and medical vulnerable areas, special efforts for establishing preventive policy and care system for injury in national and area level should be directed toward such areas.

A Study on Implementation of NAS-based K-12 Learning Management System for Supporting Developing Countries (개발도상국 지원을 위한 NAS기반의 K-12 학습관리 시스템 구현 방안에 대한 연구)

  • No, In-Ho;Yoo, Gab-Sang;Kim, Hyeock-Jin
    • Journal of Digital Convergence
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    • v.17 no.1
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    • pp.179-187
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    • 2019
  • Developing countries, including Africa, are experiencing very little human resources development due to the deprivation of equal educational opportunities, poor educational conditions, and the gap in information technology with developed countries. Developing countries that do not have excellent human resources are lagging behind in globalization competition with developed countries, and the problem of 'human resource development' in developing countries can not be avoided. In developing countries, education budgets are too low to meet education needs and compulsory education, and therefore they are not adequately responding to the increasing demand for education. The lack of education budget is due to the lack of education infrastructure. In this study, the NAS based server is configured to configure functions such as educational content and learning management, and the client area is presented with solutions for various media such as tablet, PC, and beam projector. And to support optimized e-learning services in developing countries by constructing a SCORM-based platform.

The Effect of Organizational Culture and Organizational Silence on Turnover Intention of Members of A Small and Medium-sized Hospital in The Metropolitan Area (수도권 일개 중소병원 구성원의 조직문화와 조직침묵이 이직의도에 미치는 영향)

  • Jung, Mun Gyo;Sohn, Tae Yong;Choe, Heon
    • Korea Journal of Hospital Management
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    • v.26 no.2
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    • pp.43-55
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    • 2021
  • Purposes: In this study, we examined the factors which silenced the organizing members and how the factors affects deprivation of employment about the organization culture, the organizational silence, and the turnover intention. Methodology: In order to research, we carry out a survey on 400 employees of small and medium hospitals. Among them, 321 questionnaires were used for actual analysis, excluding insincere respondents, non-responders or duplicate respondents. In order to verify the hypotheses in this study, we conduct the covariance Structural Equation Model(SEM). Finding: We obtained results using following hypotheses. First, ''The organization culture has an effect on the turnover intention.'' Second, ''The organization culture has an effect on the organizational silence'' Third, ''The organizational silence has a influence on the turnover intention.'' Finally, ''When the organization culture mediates the organizational silence, the adaptation relationship of the ornization effectiveness is different.'', as the key hypothesis, showed that the agreement culture, rational culture, and hierarchical culture of the organization culture type were statistically significant. The organizational silence as a parameter has the partial mediating effects(-) because it has direct and indirect effects. Practical Implications: The results of this study showed that the reason for the organizational silence of the organizing members is that the organization culture by a grade of rank is the largest and these the organizational silence affects the turnover intention.

The Factors Influencing Survival of Out-of-hospital Cardiac Arrest with Cardiac Etiology (병원 밖에서 발생한 심인성 심장정지환자의 생존 관련 요인 7년간 국가심장정지조사사업 자료 활용)

  • Jeong, Su-Yeon;Kim, Chul-Woung;Hong, Sung-Ok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.2
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    • pp.560-569
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    • 2016
  • Purpose The purpose of this study was not only to explore the factors associated with the survival of OHCA(Out-of-hospital Cardiac Arrest), but to provide ideas for improving the operation of emergency medical system in Korea. Method 90,734 OHCAs(Out-of-hospital Cardiac Arrest) with a cardiac etiology, who had been transported by 119 EMS ambulances for seven years from 2006 to 2012 in Korea, were analyzed. The data had a multilevel structure in that patient's survival in the same region is interrelated, so two-level (patient-region) logistic regression analysis was applied to adjust this correlation. Results The adjusted OR in group who were given CPR(Cardiopulmonary Resuscitation) by a bystander were 1.40 for survival to discharge. In addition, the adjusted OR in the group with an implementation of AED (automated external defibrillator) before arriving in hospital was 2.98 for survival to discharge. we categorized some continuous variables (number of emergency physician, OHCAs volume fo hospital, area deprivation level) into five quintiles. The adjusted OR in the number of emergency physician compared with Q1(lowest) was 1.29(Q2), 2.89(Q3), 3.39(Q4), 4.07(Q5), respectively. the adjusted OR in OHCAs volume of each hospital compared with Q1(lowest) was 2.06(Q2), 3.06(Q3), 3.46(Q4), 4.36(Q5), respectively. Lastly, the adjusted OR in deprivation level compared with Q1(least deprived area) was 0.72(Q4), 0.64(Q5) so that the adjusted OR of survival to discharge tended to decrease in more deprived districts. Conclusion The survival to discharge was better significantly in group given CPR by a bystander and with the implementation of AED before arriving in hospital. The survival to discharge tended to be significantly better in hospitals with a larger number of emergency physicians and higher volume of OHCAs in less deprived districts.

Effects of socio-ecological factors on mental health of the residents in a single room occupancy (Jjok-bang) of South Korea (사회생태적 모델을 적용한 쪽방 주민의 정신건강 영향요인 분석)

  • Heo, Hyun-Hee;Che, Xian Hua;Chung, Haejoo;Kim, Jin Sung;Jo, Minjin;Moon, Daseul;Cha, Sujin;Yu, Sarah
    • Korean Journal of Health Education and Promotion
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    • v.32 no.2
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    • pp.39-52
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    • 2015
  • Objectives: Residents of a single room occupancy (Jjok-bang) in Seoul are at high risk of having mental health issues. The majority of residents live in single households with past traumatic experiences including self-deprivation and social exclusion. This study was to investigate the association between mental health and socio-ecological factors at the intrapersonal and community levels. Methods: We conducted face-to-face surveys in Dongja-dong Jjok-bang area in June, 2014. Of 78 participants, 76% were male and the mean age was 60 years (SD=11.53). A multiple regression was used to analyze the association among depression, a sense of well-being, socio-ecological factors, and perceived empowerment and community solidarity. Results: Perceived empowerment (${\beta}=0.83$; 95% CI=0.40, 1.26) and community solidarity (${\beta}=0.52$; 95% CI=0.04, 1.01) were positively associated with a sense of well-being. Participants with empowerment (${\beta}=-2.55$; 95% CI=-4.86, -0.23) and those with community solidarity (${\beta}=-2.36$; 95% CI=-4.94, 0.21) were negatively associated with being depressed. Conclusion: Mental health of the residents in Jjok-bang was more influenced by empowerment and community solidarity than socio-demographic factors. It is necessary to improve public health infrastructures that can enable the residents to enhance empowerment and community solidarity utilizing socio-ecological perspectives.

Suggesting Strategies of Integrating Science Based on Worldview: Climate Change (세계관을 바탕으로 통합과학 교육전략 제안: 기후변화를 중심으로)

  • Oh, Jun-Young;Son, Yeon-A
    • Journal of the Korean Society of Earth Science Education
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    • v.11 no.1
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    • pp.1-20
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    • 2018
  • The purpose of this study is to suggest some strategies for integrated science. It also suggests educational strategies through worldview. The directions of most educational policy are based on the deficit model. It is assumed that learners are always lacking in knowledge, and as a result they do not understand properly. However, it is difficult for the public and students to change their attitudes because they do not feel much lacking. For example, the world view of climate change coexists with an optimistic mechanical worldview and an organic and entropy worldview. This study is characterized by the process of expanding awareness of living and fulfillment of knowledge rather than the existing deprivation model. Unconnected knowledge has problems in diversity. It is neither sustainable nor flexible. It is not about eliminating interdisciplinarity but about lowering it. We go into another area with your deep expertise, but we must have a purpose. As a result, not only problem solving but also dynamic feedback of mutual feedback between other domains increases the quality and quantity of knowledge.

Unemployment Disparities and Their Dynamics of the Metropolitan Areas since the Financial Crisis of 1997 (외환위기 이후 대도시지역간 실업의 차이와 그 역동성: 사회적 배제의 구조화에 대한 함의)

  • Lee, Won-Ho
    • Journal of the Economic Geographical Society of Korea
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    • v.11 no.1
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    • pp.94-110
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    • 2008
  • This study examines the unemployment and labor market demand dynamics as well as their implication for social exclusion in the metropolitan areas of Korea since the financial crisis of 1997. The unemployment research containing significant implication for social exclusion is a key area to be explored with the research of skill and income polarization due to structural economic transformation. Skill polarization usually results in the job loss for some people, which most likely leads to the economic deprivation and social exclusion. The unemployment rate and its regional disparity began to fall since 2000, but the disparity reversed to increase after 2005. The labor market dynamics of the metropolitan areas are turned out to be related with the size of the city and the relative shares of both manufacturing and service sectors. In addition, the employment growth is turned out to be related with the changes of both output and productivity. It is also found that the unemployment is affected with the job change and the tertiarization of the economy. However, it is of more significance to recognize that the dynamics and patterns of the labor market in the metropolitan areas are quite spatially differentiated and the differentiation is likely determined by the factors such as industrial structure, employment dynamics and job demand changes.

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A Comparative Study on Visibility Performance Between Pole Type Lightings and Low-Level Lightings (등주식 조명과 낮은 조명의 성능 비교에 관한 연구)

  • Park, Wonil;Lee, Sukki;Jin, Minsoo;Kim, Yongseok
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.17 no.6
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    • pp.185-201
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    • 2018
  • Road lighting is highly preferred as the major nighttime road safety countermeasures. When it comes to the pole-type road lighting, as it's installed at a certain height from the road surface, the driver is dazzled by the light source, interrupting the driver's visibility and furthermore, the light leaks to the area outside the road boundary, worsening the energy efficiency as well as generating the light pollution to the surrounding environment including the animals and plants. The study developed the low-level lighting systems, so it is possible to prevent the lights from being strayed, so there is no any side effects in terms of the sleep deprivation. The study compared the performance as the lightings between low-level lightings and conventional pole based lighting systems. As the results, the low-level lighting systems showed the higher performance in terms of average surface luminance, uniformity, glare compared to the conventional lighting systems.