• 농촌지도와개발
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• 제20권2호
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• pp.431-450
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• 2013

본 연구의 목적은 우리나라 농촌지역 공공보건시설의 잠재적 접근성을 측정하고 지역 간의 차이를 분석하는 것이다. 공공보건시설의 수요에 해당하는 인구를 대시메트릭 매핑기법을 활용하여 공간적으로 미시적인 수준에서 구축 분석하여 보다 정확한 접근도를 측정하였다. 최소거리 기반의 공공보건시설의 접근도 측정결과, 군지역과 읍면지역은 거주지로부터 각각 1,845m와 1,777m가 떨어져 있었다. 강원도와 경상북도에 입지하고 있는 지역들이 상대적으로 접근도가 낮았으며, 면지역의 접근도가 읍지역보다는 다소 우수한 것으로 나타났다. 본 연구의 결과는 농촌지역 공공보건시설의 잠재적 접근도의 현황과 지역 간의 격차를 구명하였다는 점에서 의의가 있다. 아울러, 향후 공공보건시설의 입지를 탐색하고 의료시설의 전달체계를 높이기 위한 기초자료로서 활용이 가능하다.

• International Journal of Internet, Broadcasting and Communication
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• 제10권4호
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• pp.37-42
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• 2018

As of 2016, Incheon Metropolitan City's cremation ratio was 91.2%, which is the second highest among all metropolitan municipalities nationwide (Busan Metropolitan City: 92.0%). In addition, the number of cremation at the outside of the jurisdiction has been steadily increasing since 2014. It is analyzed that the number of cremation at the inside of the jurisdiction is 16,004, which is 67.3% of total number of cremation, and the number of cremation at the outside of the jurisdiction is 7,779, which is 32.7%. We would like to suggest the following policy suggestions to solve the problems caused by the increase in cremation demand. First, the number of operations of cremation in public facilities located in Gyeonggi-do adjacent to Incheon Metropolitan City is needed to be increased. Second, the extension of the time limit for the use of cremation facilities of the dead people at the outside of the jurisdiction is needed. Third, the charge for cremation at the outside of the jurisdiction has to be increased. Fourth, improvement measures such as relaxation of residency requirements for deaths at the inside of the jurisdiction, who used the public facilities in Incheon Metropolitan City, should be undertaken.

• 한국주거학회논문집
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• 제24권5호
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• pp.77-88
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• 2013

This study is to find out how community facilities of 10-year public rental apartments are currently managed and to propose a new community program management plan by analyzing key characteristics and program needs of tenants. Site visits and questionnaire surveys have been conducted at five different complexes producing 469 results that can be summarized as follows; 1) There were significant differences in the use of facilities and vitality of community among five complexes depending on tenants' participation and efforts of management staff. It was advisable to dispatch specialists, such as housing welfare workers, who were dedicated to managing facilities and supporting community programs; 2) There were high demanded for communication facilitation programs and environmental activities. Development of communication contents and distribution of manuals to inform and educate tenants about various environmental programs will be helpful; 3) The number of community facilities in each complex should be reduced those with high demand and the regional community center should be more vitalized with supporting programs and staff.

• 지역연구
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• 제37권1호
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• pp.3-14
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• 2021

코로나19 이후 공공의료시설, 특히 감염병전문병원의 중요성이 높아졌다. 그러나 메르스 사태 이후 정부의 강력한 정책의지에도 불구하고 공공의료시설과 감염병전문병원의 공급은 충분히 이뤄지지 않았다. 여러 가지 이유가 있겠지만 가장 큰 문제로 대두된 것이 바로 사회·경제적 변화와 시대의 흐름을 충분히 반영하지 못한 예비타당성조사이다. 본 연구의 목적은 공공의료시설과 관련된 현행 예비타당성조사제도의 문제점을 도출하고 그 대안을 제시하는 것이다. 본 연구는 그 대안으로 '선택가치'를 제안한다. 선택가치는 불확실한 상황에 대한 지불의 사이므로 감염병에 대비한 공공의료시설의 편익항목으로 반영하는 것이 학술적으로 가능하다. 선택가치는 비시장 재화이므로 조건부가치추정법과 선택모형을 통해 추정가능하다. 본 연구에서는 두 가지 방법론의 장단점과 활용대안을 제시하였다. 일상에서는 그 존재가치가 보이지 않지만 위기 상황에서 나타나는 것이 바로 의료와 보건시스템이다. 따라서 의료·보건분야의 예비타당성평가에서도 보이지 않는 편익을 찾고, 후생변화를 반영할 수 있는 방법론 개발이 지속적으로 이뤄져야 할 것이다. 본 연구가 그 촉매제가 될 것으로 기대한다.

• 한국농촌건축학회논문집
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• 제17권4호
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• pp.33-40
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• 2015

This study is aimed at exploring the direction and characteristics of Japanese medical facility improvement in each area, a move to strengthen local medical services. Also, this study is intended to establish implications for Korea, which has similar social conditions as Japan's. Based on the findings, Japanese medical facility improvement has the following characteristics. First, as for medical service supply system, the linkage between facilities was being strengthened. The purpose is to share the functions and roles of limited medical facilities. It allows patients to receive complete medical services in one area. Second, local public health facilities were consolidated to boost their management efficiency and to improvement their original functions. Third, local medical facility roles were divided into different levels. The purpose is to treat patients more efficiently depending on their diseases. In other words, the cooperative medical system was strengthened by dividing the roles of medical facilities. It is aimed at treating each patient more systematically depending on their conditions in line with the treatment stage. The findings suggest the following for Korea. In order to supply and maintain stable medical services regionally in line with social changes, functional issues of medical facilities should be tackled consistently and systematically.

• 한국융합학회논문지
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• 제9권9호
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• pp.105-115
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• 2018

본 연구는 지방의료원의 문제점을 진단하고 향후 개선 방안을 강구하기 위하여 지방 전북에 소재하는 G의료원과 N의료원을 연구 대상으로 선정하였다. 조직 및 인력 현황, 예산 및 경영 현황, 진료실적, 공공사업 추진실적, 고객만족도 조사를 중심으로 분석하였다. 그 결과, 재정상황은 인력 면에서 민간병원이나 국립대학병원에 비해 의사인력을 충분히 확보하지 못하였으며, 재정상황은 두 의료원경우 부채를 가지고 있으며, 의료급여환자수는 G의료원은 의료급여 환자 수가 매년 증가하고 있지만 N의료원의 경우 오히려 감소하고 있는 것으로 파악되었다. 환자만족도 조사결과는, G의료원의 경우 전국 평균점수에 근사하였고 N의료원은 전국 평균에 비해 약간 낮았다. 의료원의 발전과 운영효율화에 필수적인 정책은 공공병원 정체성 확립, 우수 의료인력 확충, 병원특성화 및 연계진료체계 구축이다. 또한 공공서비스에 대한 국비와 지방비의 안정적인 재정적 지원책 확보와 장례업, 임대업, 국책사업의 위임을 통한 안정적 수익사업의 구축이 중요하다.

• Journal of Information Technology Applications and Management
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• 제16권3호
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• pp.87-100
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• 2009

The purpose of this study is to investigate the evolution of regional tourism resources from the perspective of business ecosystem network. A regional tourism structure changes due to various factors such as natural resources, facilities, festivals and events, public resources, and etc. An exploratory analysis was conducted to examine the interaction between resource characteristics and alliance complexity in the regional tourism industry. In the process, the duality of technology provides an insight into the interaction among several players within an alliance network which include regional attractions and tourism industry. As a result. we identified four types of tourism alliance network: functional, organizational, resource-oriented, and artificially-allied. The managerial implications are also discussed.

• 보건행정학회지
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• 제26권1호
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• pp.12-23
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• 2016

Background: Many studies have explained regional disparities in health by socioeconomic status and healthcare resources, focusing on differences between urban and rural area. However some cities in Korea have the highest cardiovascular mortality, even though they have sufficient healthcare resources. So this study aims to confirm three hypotheses. (1) There are also regional health disparities between cities not only between urban and rural area. (2) It has different regional risk factors affecting cardiovascular mortality whether it is urban or rural area. (3) Besides socioeconomic and healthcare resources factors, there are remnant factors that affect regional cardiovascular mortality such as health behavior and physical environment. Methods: The subject of this study is 227 local authorities (si, gun, and gu). They were categorized into city (gu and si consisting of urban area) and non-city (gun consisting of rural area), and the city group was subdivided into 3 parts to reflect relative different city status: city 1 (Seoul, Gyeonggi cities), city 2 (Gwangyeoksi cities), and city 3 (other cities). We compared their mortalities among four groups by using analysis of variance analysis. And we explored what had contributed to it in whole authorities, city and non-city group by using multiple regression analysis. Results: Cardiovascular mortality is highest in city 2 group, lowest in city 1 group and middle in non-city group. Socioeconomic status and current smoking significantly increase mortality regardless of group. Other than those things, in city, there are some factors associated with cardiovascular mortality: walking practice(-), weight control attempt(-), deficiency of sports facilities(+), and high rate of factory lot(+). In non-city, there are other factors different from those of city: obesity prevalence(+), self-perceiving obesity(-), number of public health institutions(-), and road ratio(-). Conclusion: To reduce cardiovascular mortality and it's regional disparities, we need to consider differentiated approach, respecting regional character and different risk factors. Also, it is crucial to strengthen local government's capacity for practicing community health policy.

• 정보관리학회지
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• 제37권3호
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• pp.51-75
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• 2020

모든 공공도서관은 장서 기반의 지식문화서비스 기관이다. 이를 위해 가장 먼저 수립해야 할 필수적 정책인 동시에 전략적 메뉴가 장서개발정책이다. 특히 시도 단위의 종합지식정보센터 및 공동보존서고로서의 법정 업무를 수행해야 할 지역대표도서관은 최적 장서개발정책을 수립·적용해야 한다. 본 연구는 주요 선진국의 대도시 공공도서관 장서개발정책과 국내의 권역별 지역대표도서관 장서개발지침(안) 및 규정을 분석하였다. 그 결과, 대다수 선진국의 정책은 구성체계 및 내용적 측면에서 충실한 반면에 국내는 공식화된 정책문서가 없는 실무지침에 불과하였다. 따라서 모든 지역대표도서관은 장서개발의 중요성 인식, 미래지향적 사고, 전략적 판단 등을 전제로 장서개발정책을 수립·문서화해야 하며, 이를 위한 기본원칙과 구성체계를 제언하였다.

• 보건행정학회지
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• 제22권1호
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• pp.85-108
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• 2012

One of the ways to achieve the principle of equal access for equal needs, availability and geographical accessibility of health care resources regardless of resident sites is important. The purpose of this paper is to measure socioeconomic inequities in distribution of health care resources among regions in the Republic of Korea (hereafter Korea). Data were extracted from regional statistics of National Health Insurance, Community Health Survey, Korea Social Science Data Archive, and Korean Statistical Information Services at the same period of 2009. The dependent variables were the number of health workforce and health care facilities in each region. The proxy indicator of regional socioeconomic status was local tax per person. To identify whether inequalities among regions, we examined the concentration index(CI) and indirectly standardized CI by controlling each region's demographics and need factors. Total observations were 232 districts in nationwide, and we analyzed separately Seoul(25 districts) and non-Seoul areas(207 districts). The standardized CI values of health care resources were positive(favoring the rich region) across the nation in almost all kinds of resources. Especially the number of specialist, dentist, dental clinics, clinics, oriental medical clinics, pharmacists, and pharmacies were statistically significantly favoring the rich region. But the CI for the number of long-term care hospitals, public health centers were negative(favoring the poor region). The tendency of CI presenting positive values were increased in Seoul area. But in the case of non-Seoul, the CI indexes were nearly zero. The results suggest that except the Seoul area, little regional socioeconomic-related inequalities were observed in the distribution of health care resources in Korea.