• Journal of Preventive Medicine and Public Health
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• v.54 no.3
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• pp.208-217
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• 2021

Objectives: In spite of the importance of green space for reducing obesity-related problems, there has been little exploration of whether access to green space (e.g., parks and recreational facilities) influences the obesity rate of adults in the United States. The purpose of the study was to investigate the relationships among accessibility of green space, obesity rates, and socioeconomic and demographic variables among adults living in the State of Indiana, United States. Methods: We conducted a secondary data analysis to investigate the relationships among accessibility to green space, obesity rates, and socio-demographic variables with employing Geographic Information System in order to measure the accessibility of green space. Results: This study found that accessibility of green space served as a strong predictor of reduced obesity rates among adults (β=-2.478; p<0.10). In addition, adults with higher education levels, as well as better access to green space, were found to have even lower obesity rates (β=-0.188; p<0.05). Other control variables such as unemployment rates, food security, and physical inactivity are additional factors that influence obesity rates among adults. Conclusions: Accessibility of green space may play an important role in facilitating physical activity participation and reducing obesity rates.

• Journal of Preventive Medicine and Public Health
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• v.29 no.2 s.53
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• pp.215-225
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• 1996

Decentralization to local governments and amending of Health Center Law are to promote the efforts of health planning at the level of local agencies. In the health facility planning, it is important to take into account that what to be built, where to be located, how far should be service area and so forth, because health facilities are immovable, and require capital as well as personnel and consumable supplies. The aim of our study, answering to the question of 'where to be located?', is to determine the best location of urban health sub-center. At the local level, planning is the matter of finding the best location of specific facilitiy, in relation to population needs. We confine the accessibility, which is basic to location planning, to geographic one. Location-Allocation Model is used to solve the problem where the location is to maximize geographic accessibility. To minimize the weighted travel distance, objective function, $R_k=\sum{\sum}a_{ij}w_{i}d_{ij}$ is used. Distances are measured indirectly by map measure-meter with 1:25,000 Suwon map, and each potential sites, 10 administrative Dongs in Kwonson Gu, Suwon, are weighted by each number of households, total population, maternal age group, child age group, old age group, Relief for the livelihood, and population/primary health clinics. We find that Kuwoon-Dong, Seodun-Dong, Seryu3-Dong, according the descending orders, are best sites which can minimize the weighted distance, and conclude that it is reasonable to determine the location of urban health sub-center among those sites.

• Journal of the korean academy of Pediatric Dentistry
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• v.49 no.4
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• pp.453-467
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• 2022

The purpose of this study was to evaluate the accessibility of pediatric dental clinics and quantitatively compare the regions with the best and worst accessibility to pediatric dental clinics in South Korea using the geographic information system. Seoul city showed the highest density of pediatric dental clinics, while Gyeongbuk and Jeonbuk provinces showed the lowest density. Seoul city had a service area ratio of 100% in all districts on a 10 km basis. In Gyeongbuk and Jeonbuk provinces, more than half of the districts had a service area ratio of 0%. In Seoul, the average distance from elementary school to the nearest pediatric dental clinic was 3.45 km. The average distance values were 43.66 km and 40.57 km in Gyeongbuk and Jeonbuk provinces, respectively, which were 12.66 times and 11.76 times longer than the average distance in Seoul city.

• Korea Journal of Hospital Management
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• v.23 no.2
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• pp.28-41
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• 2018

Purpose: This study purposed to analyze the spatial accessibility of mental health institutions in Ganwon-Do using Geographic Information System and to suggest policy implications. Methodology: Network analysis was applied to assess the spatial accessibility of mental health institutions in Gangwon-Do. To perform the network analysis, network data set was built using administrative district map, road network, address of mental health institutions in Gangwon-Do. After building network data set, Two network analysis methods, 1) Service area analysis, 2) Origin Destination cost matrix were applied. Service area analysis calculated accessive areas that were within specified time. And using Origin Destination cost matrix, travel time and road travel distance were calculated between centroids of Eup, Myeon, Dong and the nearest mental health institutions. Result: After the service area analysis, it is estimated that 19.63% of the total areas in Gangwon-Do takes more than 60 minutes to get to clinic institutions. For hospital institutions, 23.08% of the total areas takes more than 60 minutes to get there. And 59.96% of Gangwon-do takes more than 30 minutes to get to general hospitals. The result of Origin-Destination cost matrix showed that most Eup Myeon Dong in Gangwon-Do was connected to the institutions in Wonju-si, Chuncheon-si, Gangneung-si. And it showed that there were large regional variation in time and distance to reach the institutions. Implication: Results showed that there were regional variations of spatial accessibility to the mental health institutions in Gangwon-Do. To solve this problem, Several policy interventions could be applied such as mental health resources allocation plan, telemedicine, providing more closely coordinated services between mental health institutions and community mental health centers to enhance the accessibility.

• Health Policy and Management
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• v.27 no.4
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• pp.315-323
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• 2017

Background: This study was purposed to analyze the effect of spatial accessibility to the psychiatry department in general hospital on the outpatient visit of mental patients. Methods: Data was provided from the Statistics Korea and Statistical Geographic Information Service, National Health Insurance Service, Health Insurance Review and Assessment Service, and Korea Transport Institute in 2015. The study regions were 103 administrative regions such as Si and Gu. The 103 regions had at least one general hospitals with a psychiatry department. The number of outpatient visit of mental patients in regions was used as the dependent variable. Spatial accessibility to mental general hospital was used as the independent variable. Control variables included such as demographic, economic, and health medical factors. This study used network analysis and multi-variate regression analysis. Network analysis by ArcGIS ver. 10.0 (ESRI, Redlands, CA, USA) was used to evaluate the average travel time and travel distance in Korea. Multi-variate regression analysis was conducted by SAS ver. 9.4 (SAS Institute Inc., Cary, NC, USA). Results: Travel distance and time had significant effects on the number of outpatient visits in mental patients in general hospital. Average travel time and travel distance had negative effects on the number of visits. Variables such as (number of total population, percentage of aged population over 65, and number of mental general hospital) had significant effects on the number of visit in mental patients. Conclusion: Health policy makers will need to consider the spatial accessibility to the mental healthcare organization in conducting regional health planning.

• The Korean Journal of Health Service Management
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• v.13 no.1
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• pp.15-30
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• 2019

Objectives: This study aimed to analyze people's accessibility to medical institutions providing national gastric cancer screening services in Gangwon-do using a geographic information system(GIS). Methods: To assess the spatial accessibility, network analysis was applied. Two types of network analysis-Service area analysis and origin-destination cost matrix(OD-cost matrix)-were applied to create network dataset. Results: The results of the analysis of the service area revealed that it took more than 60 minutes each to reach tertiary hospitals and general hospitals from 74.4% and 9.6% of Gangwon-do areas, respectively. Similarly, it took more than 60 minutes each to reach hospitals and clinics from 4.2% and 3.4% of Gangwon-do areas, respectively. The results of the OD-cost revealed that there were large regional variations in distance and time taken to reach the medical institutions. Conclusions: there were regional variations of spatial accessibility between Si and Gun in Gangwon-do.

• Journal of the Korean Society for Library and Information Science
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• v.34 no.4
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• pp.143-160
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• 2000

The primary purpose of the present study is two-fold: i) to analyze the level of understanding and perception of stakeholders on the dissemination policy of digital geographic information and ii) to explore the policy direction to enhance the user accessibility based upon stakeholder analysis. The study is composed of descriptive analysis with extensive literature review and empirical analysis. The empirical analysis employs qualitative method as well as quantitative one, articulating perception of stakeholders in a comparative manner and suggesting policy directions. Based on the interview and the survey results, the study proposes the overall directions of dissemination policy to facilitate the efficient use of digital geographic information.

• Journal of Korean Society of Rural Planning
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• v.10 no.3 s.24
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• pp.41-51
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• 2004

This study aims to develop a potential evaluation method for urban spatial expansion using remote sensing (RS) and geographic information system (GIS). A multi-criteria evaluation method with several criteria and their weighting values was introduced to evaluate the score and quantification of the potential surface around the existing cities. The six criteria with one geographic factor, slope, and five accessibility factors, time distance from center of the city, national road, interchange of expressway, a big city, and station, were defined for the potential. RS techniques were applied for classification of the actual urban expansion maps between two periods, and GIS functions were used for score of accessibility criteria with a distance decay function from geographic, road and several point maps, which was developed in this study. The new methodology was applied to a test area, Suwon, between 1986 and 1996. In order to optimize the six weighting values, this study made new findings to search the optimal combination of the weighting values from new methodology, weighted scenario method for intensity order (WSM), combined with intensity order and AHP method, including a trial and error method for sensitivity analysis to make the intensity order. The optimal combination of the weighting values by the new method generated the optimal potential surface, considering spatial trend of urban expansion in the test area.

• Proceedings of the Korean Association of Geographic Inforamtion Studies Conference
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• 2007.10a
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• pp.247-256
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• 2007

Accessibility is a field of study that has primarily been applied to urban or transportation problems two dimensionally. However, in large complex buildings as shopping centers or hospitals, inter-spatial accessibility among compartments has to be taken into account such as in building layouts or evacuation planning. This study expands space syntax theory, one of accessibility-related methodologies used for computing connectivity in urban or architectural spaces, into 3D indoor spaces. Although space syntax is basically a topology-based theory that does not consider general costs such as distance or time, this study suggests modification that incorporates different types of impedances in moving between places including distances, turns and transfers between floors. The proposed method is applied to a 3D campus building model in computing and displaying the accessibility to exit doors or cohesive accessibility among similar functions.

• Journal of the Korean Association of Geographic Information Studies
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• v.17 no.4
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• pp.112-128
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• 2014

This study aims to analyse the variation of spatial accessibility pattern based on 2SFCA(2 Step Floating Catchment Area) by changing its parameter values. The general pattern of the result of 2SFCA analysis shows that the spatial accessibility value is decreased by growing base population, while the spatial accessibility value is increased by growing PPR(Provider to Population Ratio). The three characteristics of local pattern in the Gumi City are founded by cluster analysis on the sensitive analysis procedure. Firstly, the variation of the accessibility values is insignificant in the fringe area of the Gumi City. Secondly, the variation of the accessibility values is diverse in the surrounding area of the welfare facilities. Especially, Dong areas are more sensitive to PPR variation, while others are more sensitive to base population variation. Thirdly, the larger parameter values, the more the spatial accessibility of the central areas, where elder people can access welfare facilities more easily, is improved. It needs to choose parameter values with caution to analyse spatial accessibility based on 2SFCA.