• The Korean Journal of Emergency Medical Services
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• v.25 no.3
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• pp.37-48
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• 2021

Purpose: Mortality due to trauma is relevant to both low-income and high-income countries. A diversity of causes leads to mortality such as, socioeconomic status and geographic factors. This study sought to differentiate between cases of mortality in a metropolitan city and a rural area, with data from critical trauma patients. Methods: Community-based severe trauma surveillance data from 2018 was used in this study. Logistic regression was conducted to compare the odds ratios between deaths that occurred in a metropolitan city and a rural area. Multiple logistic regression by controlling variables such as type of medical institution and injury severity score was conducted to estimate the effect on the trauma patients. Results: In total, 28,217 participants were selected as total population. We observed that the odds of death decreased as the level of the trauma center increased. Compared to the metropolitan city, the odds ratio of rural areas was 1.44. The odds ratio increased as the injury severity score increased. Conclusion: This study suggests that the mortality of critical trauma patients is higher in rural areas than in metropolitan cities. More studies are needed to expand on this.

• Journal of the Korean Geographical Society
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• v.49 no.6
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• pp.897-916
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• 2014

There is a considerable community between Eight Constitution Medicine and disease ecology in that they examine the relationship between humans and environment in terms of genetic, environmental and cultural factors, in addition to the factor of germs. In this respect, the purpose of this research aims to investigate the community between Eight Constitution Medicine, a branch of Eastern Medicine and disease ecology in geography. The research method is to analyse the clinical results from 647 patients and the data from a field survey on the Yeonggwang-gun County, Jeollanam-do Province. The results are summarized as the following: First, geographical distribution of patients varies depending on the type of physical constitution; it is also divided into two types, an oceanic type and an inland type. Second, it is highly probable that there is a significant relation between a vulnerable disease in association with a type of physical constitution and patient's native place; there are diseases that are not associated with all the patients who have the same constitution; they might be incurred by the eating or life habits in association with the characteristics of geographical environment. Third, the case study of Yeonggwang-gun County, Jeollanam-do Province, with a focus on the mutual relationship among the three factors. shows that patients, who share in common the eating or life habits that coincide with their own personal types of constitution, maintain a good health condition; if not, they tend to be exposed to a various kinds of disease. Because the study on the community between Eight Constitution Medicine and disease ecology is now at the early stage, diverse types of approaches should be tried to be applied in the future.

• Journal of Environmental Health Sciences
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• v.32 no.2 s.89
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• pp.149-163
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• 2006

The purpose of this paper is to investigate the characteristics of human constitution adapting to environment. Human constitution adapting to climate zone is basically classified into four types: The $Af^{\ominus}$ constitution adapting to warm-humid climate, the $Aw^{\ominus}$ constitution adapting to warm-arid climate, the $Dw^{\oplus}$ constitution adapting to cold-arid climate and the $Df^{\oplus}$ constitution adapting to cold-humid climate. The ${\ominus}constitution$ can be changed into a ${\oplus}constitution$ by adapting to cold climate or by heredity combination with the ${\oplus}constitution$. The ${\oplus}constitution$ can be changed into a ${\ominus}constitution$ by adapting to warm climate or by heredity combination with the ${\ominus}constitution$. The four constitution types consequently can be classified into eight types: The $Af^{\ominus}$ constitution, the $Af^{\oplus}$ constitution, the $Aw^{\ominus}$ constitution, the $Aw^{\oplus}$ constitution, the $Dw^{\oplus}$ constitution, the $Dw^{\ominus}$ constitution, the $Df^{\oplus}$ constitution and the $Df^{\ominus}$ constitution. This study investigated the characteristics of fingers of people with these constitutions and confirmed that the fingers of the ${\ominus}constitution$ man are longer, slender and cooler than the fingers of the ${\oplus}constitution$ man.

• Korea Journal of Hospital Management
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• v.18 no.2
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• pp.15-32
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• 2013

Few public health researchers have paid research attention to the location of medical institutions in Korea. Previous studies were published in geography journals, and relied on limited data in terms of geographic regions and the type of medical institutions. This study utilized nationwide data covering 8 types of medical institutions. We obtained data from Health Insurance Review and Assessment Service and National Population and Housing Census. The correlation coefficients of resident, daytime, university-graduate population, and the population of different age groups (fewer than 15, 15~64, 65 or more) were compared to understand their relative association with the location of medical institutions. Medical clinic, dental clinic, oriental medical clinic, and pharmacy, all of which are almost completely operated by private sector, showed strong positive correlation with population. Hospital-level medical institutions, which are operated by both public and private sector, had moderate positive correlation. Daytime population and university-graduate population, rather than resident population, were more correlated with the location of medical clinics. The correlation coefficients of the population of 15~64 age group and the location of medical institutions were greater than that of other age groups. The results showed that daytime and university-graduate population are more important than resident population to explain the location of medicalrelated facilities. The results also suggests that the population of age groups (especially, 15~64) might be one of important influence factors in the location of medical institutions.

• Journal of the Korean association of regional geographers
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• v.10 no.3
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• pp.606-623
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• 2004

Emergency medical service pertains highly to the public service sector which has to be provided equally in a society and evenly in a spatial dimension by the government. However, emergency medical centers in Korea are inequally distributed in a space and also human capital, facility, and equipment for emergency medical centers show clear disparity among regions. This research analyzed the spatial balance of the demand supply level for emergency medical service in Seoul by constructing the potential demand surface map and supply surface map for this service. The surface map of demand-supply balance for emergency medical service was constructed by GIS based map algebra algorism. The results by this analysis very clearly reveal the spatial disparity of emergency medical service. The places where are over-represented by demand level compared to their supply level are estimated to require an additional establishment of emergency medical centers in the near future. While, the places where are over-represented by supply level compared to their potential demand for emergency medical services indicate the possibility of problems in the management of emergency medical centers because of a surplus in the supply of emergency medical services. The results of this research can be utilized in providing valuable information for the adequate provision of emergency medical centers and for the estimation of range on the service area of emergency medical services.

• Journal of the Economic Geographical Society of Korea
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• v.16 no.2
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• pp.198-217
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• 2013

This research aims to examine the behavior changes of telemedicine participants with regard to time-space reconfiguration and to address the implications of telemedicine in terms of extensibility and restrictions (ambilaterality). According to the results of this research, telemedicine can lead to behavior changes in telemedicine participants, particularly patients. However, it is difficult to anticipate the time-space reconfiguration of telemedicine participants drastically. In other words, although telemedicine minimizes patients' burden of accessibility to and utilization of medical institutions, it requires the patients to visit medical institutions at least once due to the restricted application of telemedicine related to technological problems, the characteristics of medical practice and mutual stakes among the medical institutions involved in telemedicine. And physicians (telemedicine providers as mediators between medical specialists and patients) and medical specialists (as the ultimate telemedicine providers) do not evidence considerable changes in their behaviors, except for offline meetings for information sharing and medical training. Because the present telemedicine system does not require simultaneity between physicians, patients and medical specialists. Furthermore, present telemedicine operation is absorbed into existing medical activities as a health care delivery method. These phenomena are due to 1) the interests among medical institutions and the limitation or generalization of telemedicine technologies to stimulate regional-based telemedicine operation and 2) the goal of face-to-face interactions between patients and doctors, which is to avoid misdiagnosis and side effects. Finally, medical activities related to telemedicine do not differ from general medical activities. The ambilaterality of telemedicine in terms of extensibility and the restriction of time-space reconfiguration is an unsettled problem in the ICT technologies of medical services.

• The Korea Journal of Herbology
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• v.29 no.3
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• pp.1-10
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• 2014

Objectives : In this study, we investigated Hyangyak in "Single-medicine prescription treatment of domestic herbs" of "Kwangjebikeup" and then conducted further studies focusing on ginseng as it is written in "Single-medicine prescription treatment of domestic herbs". Methods : Through a study of classical literature on Hyangyak and ginseng, information regarding the two was gathered and analyzed, with respect to both time and region. Results : All of the herbs in "Single-medicine prescription treatment of domestic herbs", the 4th volume of "Kwangjebikeup", are domestic herbs. Ginseng was a part of the flora of the Korean Peninsula from long ago and ginseng was cultivated from most of the peninsula. We confirmed cultivation of ginseng in Sungcheon, Pyungan-do and most areas of Hamgyeong-do through geography books such as "Geography Monograph of King Sejong". Because the natural environmental condition of the Korean Peninsula was conducive to growing wild ginseng, it was possible to cultivate ginseng. In the late Chosun period, cultivated ginseng was so prevalent that people would have been able to collect and use ginseng without great difficulty. In "Kwangjebikeup", ginseng shows superior efficacy in terms of first-aid. "Kwangjebikeup" contains practical herbal medicines that were based on obtainable ingredients. Conclusions : The purpose of publication of this book was to make medical knowledge available to general public in an easy-to-understand form. And through added clinical experiences of the author, we know that "Kwangjebikeup" played a role in settlement and spreading of foreign knowledge to civilians.

• Korean Journal of Oriental Medicine
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• v.16 no.2
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• pp.65-73
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• 2010

This study is to discuss the content of Posangkimun on the whole and to report the understanding of Seokgok Lee Gyujoon on western civilization. Through the overall analysis of Posangkimun, it is found the following facts: 1. Posangkimun aroused interest of academic circles as it covered theories of western civilization. Most of the introduction to western civilization contained in the book is related to astronomy and geography. Seokgok criticized all the western theories on revolution of the earth, astronomy, continents and oceans on the ground that these theories were not congruous with the teaching of the Oriental sages. 2. Seokgok found the reasons why the West had led the East from 'nationalism' of the West. The nationalism mentioned here were more similar to 'democracy' in modern sense, or rather 'democratism'. What is specially noteworthy is that he did not find the reasons of western advancement from the spiritual issues not from the machine civilization. In this way, Seokgok could avoid the fallacy of throwing away traditional ideas to concentrate in western machine civilization. 3. The content of Posangkimun shows that Seokgok was a person with a very conservative view. Notwithstanding his inclination, he had good knowledge about western theories, most of which were gathered from newspapers and magazines at that time. It means that newspapers and magazines should be treated with more importance when studying Korean intellectuals in late Joseon period or during the time of Japanese forced occupation.

• Journal of the Korean Geographical Society
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• v.40 no.2 s.107
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• pp.242-251
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• 2005

This study investigates the distribution characteristics of medical services in Korea. For the purpose this paper examines the spatial discordance between the provisions of the medical services and the need for them, and analyzes the spatial distribution patterns of medical service in both inter- and intra-regional levels. Disclosed is a severe regional disparity problem in the provision of medical facilities at both inter-regional and intra-regional levels. In recent years people's interest gets increased more in the social well-being of the community, and the resulting strong request makes it desirable to restructure the healthcare service system. This study has thus attempted to draw out the distribution function of the medical facilities, based on the examination of the real data. A particular attention has been paid to whether there exists any hierarchical structure in their size distribution. Quite remarkably, no appreciable hierarchical structure has been observed in the scale of the medical facilities in Korea, in sharp contrast to of the three-level hierarchical structure assumed in the three-level referral system adopted widely. Remarkably, it is revealed that medical facilities in Korea are described by scale-invariant distribution functions. Instead, scale-invariant power-law behavior has been found in the size distribution, which is expected to be rather generic and applicable to other countries as well.

• Journal of Cadastre & Land InformatiX
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• v.54 no.1
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• pp.49-61
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• 2024

South Korea faces a declining population and rural areas vanishing due to urbanization. Infrastructure, especially medical facilities, may not be sustainable for a long-term. This may impact vulnerable groups like children, teens, and the elderly, worsened by an aging population and low birth rates. Gangwon-do, notably Chuncheon-si, suffers from rural depopulation and poor healthcare self-sufficiency. In this paper, using 2SFCA(Two-Step Floating Catchment Area), we analyze healthcare access in Chuncheon-si, identifying gaps and vulnerable areas. LISA analysis helps map medical vulnerability, considering patient demand and supply. The Gini coefficient assesses spatial inequality. We propose distributing healthcare services and personnel based on age and region. The aim is to identify locations for additional hospitals catering to the elders, Infants, Children, and Adolescents,considering spatial accessibility.