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Development of a Demand Model for Physician Workforce Projection on Regional Inequity Problem in Korea Using System Dynamics (시스템 다이내믹스를 활용한 지역별 국내 의사인력 수요에 대한 추계모델 개발)

  • Lee, Gyeong Min;Yoo, Ki-Bong
    • Health Policy and Management
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    • v.32 no.1
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    • pp.73-93
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    • 2022
  • Background: Appropriate physician workforce projection through reasonable discussions and decisions with a broad view on supply and demand of the workforce, thus, is very important for high-quality healthcare services. The study expects to provide preliminary research data on the workforce diagnosis standard model for Korean physician workforce policy decision through more flexible and objective physician workforce projection in reflection of diverse changes in healthcare policy and sociodemographic environments. Methods: A low flow rate through the causal map was developed, and an objective workforce demand projection from 2019 to 2040 was conducted. In addition, projections by scenarios under various situations were conducted with the low flow rate developed in the study. Lastly, the demand projection of the physician workforce by region of 17 cities and provinces was conducted. Results: First, demand of physicians in 2019 was 110,665, 113,450 in 2020, 129,496 in 2025, 146,837 in 2030, 163,719 in 2035, and 179,288 in 2040. Second, the scenario for the retirement of baby boomers led to a decrease in the growth rate due to time delay. Third, Seoul and Gyeonggi-do account for a high percentage of demand, a very high upward trend was identified in Gyeonggi-do, and as a result, the projection showed that the demand of the physician workforce in Gyeonggi-do would worsen over time. Conclusion: This study is meaningful in that rational and collective physician workforce supply and demand and its imbalance in workforce distribution were verified through various projections by scenarios and regions of Korea with System Dynamics.

Types of Living Areas according to the Flow Characteristics of Rural Dwellers using Mobile Floating Population Data (모바일 유동인구데이터를 활용한 농촌지역 생활자의 유동특성에 따른 생활권 유형화)

  • Kim, Young-Jin;Son, Yong-hoon
    • Journal of Korean Society of Rural Planning
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    • v.28 no.2
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    • pp.61-69
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    • 2022
  • This study categorizes and identifies the characteristics of the living areas of rural dwellers through cluster analysis using mobile floating population data. As a result, rural areas in Korea were classified into 34 rural living areas, and 5 types of rural living areas were derived. Although the 'Suburban in Mega City Areas' and 'Suburban in Regional City Areas' derived through this study have advantages in terms of accessibility to large cities, they are important for rural space management as they can undermine the unique values of rural areas due to urban expansion. In addition, 'Unclassified areas' have low accessibility in the national space, and there is a need to provide their own settlement environment. The population of rural areas in Korea exhibited a phenomenon of widespread migration. This means that rural residents who depend on metropolitan areas are provided with SOC beyond administrative boundaries. Therefore, there is a need to move away from establishing a homogeneous regional plan that does not consider population movement. Through this study, it was possible to understand the rural living area formed by the population movement occurring in the rural area. This is different in that the existing studies classified the national space based on the interconnectedness between regions, beyond the limitations of categorizing regions with homogeneous characteristics based on endogenous indicators. At this point in time when the need for a rural space plan is emphasized, it is important to understand the living area of rural dwellers and to design an appropriate rural plan. Therefore, the establishment of a rural plan suitable for the region using the results of this study can increase the efficiency of the project for revitalization of the rural area and contribute to the creation of an attractive national space.

A Mediated Effect of Grit on Relationship between Life Stress and Adaptations to College Life among Male Nursing Students (남자간호대학생의 생활스트레스와 대학생활 적응간의 관계-그릿의 매개효과)

  • Oh, Geum-Sook;Baek, Min-Ja;Jang, Hyo-Yeol
    • Journal of Convergence for Information Technology
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    • v.12 no.4
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    • pp.14-22
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    • 2022
  • This study was conducted to promote male nursing students' adaptation to college life by identifying life stress, grit, and degree of adaptation to college life, and the effect of grit mediating effect on the relationship between life stress and college life adjustment. became The subjects of this study were 209 male nursing college students enrolled in nursing departments in 5 major cities. The collected data were analyzed with SPSS/WIN 25.0. Life stress showed a significant negative correlation with college life adaptation and grit, but grit showed a positive correlation with college life adaptation. As a result of mediating effect verification, the final model explained 43.5% of college life adaptation. Therefore, in order to improve male nursing students' adaptation to college life, it is required to develop a program that can lower life stress and increase grit and college life adaptation level.

A Study on the Implementation of a IoT Sensor-based Smart Compression System (센서 기반의 스마트 압축 시스템 구현에 대한 연구)

  • Oh, Eun-Young;Yoon, Keun-Young
    • The Journal of the Korea institute of electronic communication sciences
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    • v.16 no.6
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    • pp.1287-1294
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    • 2021
  • This paper is a study on the implementation of a sensor-based smart compression system for improving home and street environments. Since modernization, the amount of garbage has been increasing every year, and this has seriously adversely affected not only people but also ecosystems such as marine pollution and soil pollution. In particular, in large cities with large floating populations, garbage is dumped on the streets without proper measures to deal with the amount of waste generated. In order to improve this problem, this paper intends to implement a system with automatic compression and opening/closing functions using sensors. This system is designed to activate automatic opening/closing function through an infrared sensor, and automatically opening and closing when the inclination is changed using an impact sensor. In addition, by installing a distance sensor, the amount of internal waste can be easily monitored from the outside, and a manual compression switch and a manual opening/closing switch is separately designed to enable opening and closing and compression as needed to increase the effectiveness.

Analysis of Farmland Price Determinants in Parcel-level Using Real Transaction Price of Farmland (농지실거래가격을 활용한 필지 단위 농지가격 결정요인 분석)

  • Jeon, Mugyeong;Yi, Hyangmi;Kim, Yunsik;Kim, Taeyoung
    • Journal of Korean Society of Rural Planning
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    • v.28 no.2
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    • pp.41-50
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    • 2022
  • The primary purpose of this study is to identify various factors that affect farmland prices according to changes in the actual transaction price of farmland over the past decade, and to use this to derive policy implications for price stabilization. To this end, the farmland price model are constructed at the parcel level in the case area (Namwon-si, Jinju-si). The analysis method is based on the Hedonic price function, and the OLS and the quantile regression are used for the parcel level model. As a result of estimating the parcel level farmland price model in the case area, the larger the parcel area, the lower the farmland price, and the higher the farmland price outside the agricultural promotion area. It was found that there was a price difference according to the type of special purpose areas, and the location characteristics showed some differences across the cities. The farmland price models presented in this study are suitable for identifying the factors affecting farmland prices, and are expected to be highly utilized in that it is possible to construct flexible variables suitable for regional characteristics.

Determinants of Trust in Local Governments - Focusing on Risk Perception (사회 안전인식에 따른 지방자치단체 신뢰도 영향요인 분석)

  • Lee, Yun Ju;Choi, Yeol
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.42 no.4
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    • pp.591-597
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    • 2022
  • As social anxiety is increasing due to the spread of the COVID-19 epidemic, the responses at the level of local governments are also changing depending on the characteristics. We analyzed the factors influencing perceptions of social safety as they relate to the trustworthiness of local governments. Based on a 2020 social survey of 16 cities, counties, and districts in Busan Metropolitan City, the effects of householder characteristics, economic characteristics, local attachment characteristics, and social safety perception characteristics on the reliability of the local government were analyzed through an ordinal logistic regression analysis. It was found that the more vulnerable the class was and the safer the region was, the higher the trust was in the basic local government. In order to respond and preemptively recover damage in natural and social disaster situations, continuous efforts are needed to strengthen the capabilities of basic local governments.

An Investigation of the Relative Importance of the Selection Attributes of School Milk Programs by Conjoint Analysis (컨조인트 분석을 활용한 학교 우유급식의 서비스 품질 속성 및 상대적 중요도 도출)

  • Park, Moon-kyung;Kim, Hye-young;Baek, Hee-joon;Jeong, Yun-hui
    • Journal of the Korean Society of Food Culture
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    • v.37 no.5
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    • pp.429-437
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    • 2022
  • This study evaluated the quality of school milk programs and analyzed the relative importance of school milk program selection attributes using conjoint analysis. The survey was conducted on students from middle and high schools in metropolitan cities that provide school milk programs. Responses were received from 414 students and the data was subjected to frequency analysis, t-test, and conjoint analysis using the SPSS Statistics Package. While evaluating white milk in the school milk program, middle school students rated 'packaging condition' (4.23) the highest, high school students rated 'nutrition' (4.64) the highest, and their evaluation of all the quality attributes was significantly different from that of middle school students (p<0.001). Overall satisfaction scores too, showed a significant difference between high school (4.46) and middle school students (4.01) (p<0.001). Processed milk & dairy products had the highest satisfaction score in the attribute of 'serving time' (4.57). The relative importance of the choice attributes of the school milk program was in the order of 'number per item' (62.260%), 'temperature' (25.708%), and 'serving method' (12.032%) for all students. The school milk program most preferred by all students and middle school students was to provide milk at a refrigerated temperature, select white milk three times a week, processed milk, fermented milk, and cheese twice a week, and provide it at the desired time.

A Study on the Spatiotemporal Characteristics of Chemical Discharges and Quantified Hazard-Based Result Scores Using Pollutant Release and Transfer Register Data (화학물질배출이동량 자료를 활용한 화학물질배출량 및 유해기반지수 정량화와 시공간 특성 연구)

  • Lim, Yu-Ra;Gan, Sun-Yeong;Bae, Hyun-Joo
    • Journal of Environmental Health Sciences
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    • v.48 no.5
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    • pp.272-281
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    • 2022
  • Background: The constant consumption of chemical products owing to expanding industrialization has led to an increase in public interest in chemical substances. As the production and disposal processes for these chemical products cause environmental problems, regional information on the hazard level of chemical substances is required considering their effects on humans and in order to ensure environmental safety. Objectives: This study aimed to identify hazard contribution and spatiotemporal characteristics by region and chemical by calculating a hazard-based result score using pollutant release and transfer register (PRTR) data. Methods: This study calculated the chemical discharge and hazard-based result score from the Risk-Screening Environmental Indicators (RSEI) model, analyzed their spatiotemporal patterns, and identified hotspot areas where chemical discharges and high hazard-based scores were concentrated. The amount of chemical discharge and hazard-based risk scores for 250 cities and counties across South Korea were calculated using PRTR data from 2011 to 2018. Results: The chemical discharge (high densities in Incheon, Daegu, and Busan) and hazard-based result scores (high densities in Incheon, Chungcheongnam-do, and some areas of Gyeongsangnam-do Province) showed varying spatial patterns. The chemical discharge (A, B) and hazard-based result score (C, D) hotspots were identified. Additionally, identification of the hazard-based result scores revealed differences in the type of chemicals contributing to the discharge. Ethylbenzene accounted for ≥80% of the discharged chemicals in the discharge hotspots, while chromium accounted for >90% of the discharged chemicals in the hazard-based result score hotspots. Conclusions: The RSEI hazard-based result score is a quantitative indicator that considers the degree of impact on human health as a toxicity-weighted value. It can be used for the management of industries discharging chemical substances as well as local environmental health management.

The Effect of Security Information Sharing and Disruptive Technology on Patient Dissatisfaction in Saudi Health Care Services During Covid-19 Pandemic

  • Beyari, Hasan;Hejazi, Mohammed;Alrusaini, Othman
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.16 no.10
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    • pp.3313-3332
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    • 2022
  • This study is an investigation into the factors affecting patient dissatisfaction among Saudi hospitals. The selected factors considered for analysis are security of information sharing, operational practices, disruptive technologies, and the ease of use of EHR patient information management systems. From the literature review section, it was clear that hardly any other studies have embraced these concepts in one as was intended by this study. The theories that the study heavily draws from are the service dominant logic and the feature integration theory. The study surveyed 350 respondents from three large major hospitals in three different metropolitan cities in the Kingdom of Saudi Arabia. This sample came from members of the three hospitals that were willing to participate in the study. The number 350 represents those that successfully completed the online questionnaire or the limited physical questionnaires in time. The study employed the structural equation modelling technique to analyze the associations. Findings suggested that security of information sharing had a significant direct effect on patient satisfaction. Operational practice positively mediated the effect of security of information sharing on patient dissatisfaction. However, ease of use failed to significant impact this association. The study concluded that to improve patient satisfaction, Saudi hospitals must work on their systems to reinforce them against the active threats on the privacy of patients' data by leveraging disruptive technology. They should also improve their operational practices by embracing quality management techniques relevant to the healthcare sector.

Mitigation of seismic pounding between RC twin high-rise buildings with piled raft foundation considering SSI

  • Farghaly, Ahmed Abdelraheem;Kontoni, Denise-Penelope N.
    • Earthquakes and Structures
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    • v.22 no.6
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    • pp.625-635
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    • 2022
  • High-rise buildings (HRBs) are considered one of the most common structures nowadays due to the population growth, especially in crowded towns. The lack of land in crowded cities has led to the convergence of the HRBs and the absence of any gaps between them, especially in lands with weak soil (e.g., liquefaction-prone soil), but then during earthquakes, these structures may be exposed to the risk of collision between them due to the large increase in the horizontal displacements, which may be destructive in some cases to the one or both of these adjacent buildings. To evaluate methods of reducing the risk of collision between adjacent twin HRBs, this research investigates three vibration control methods to reduce the risk of collision due to five different earthquakes for the case of two adjacent reinforced concrete (RC) twin high-rise buildings of 15 floors height without gap distance between them, founded on raft foundation supported on piles inside a liquefaction-prone soil. Contact pounding elements between the two buildings (distributed at all floor levels and at the raft foundation level) are used to make the impact strength between the two buildings realistic. The mitigation methods investigated are the base isolation, the tuned mass damper (TMD) method (using traditional TMDs), and the pounding tuned mass damper (PTMD) method (using PTMDs connected between the two buildings). The results show that the PTMD method between the two adjacent RC twin high-rise buildings is more efficient than the other two methods in mitigating the earthquake-induced pounding risk.