• 지역연구
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• 제39권2호
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• pp.19-30
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• 2023

본 연구는 공간적 범위가 다른 지역 간 개발격차를 파악하기 위해 산업조직론의 집중지수를 활용하여 실증적으로 분석하고 이를 통한 정책적 시사점 제안한다. 연구의 범위는 2000년대부터 현재까지 지속적으로 해당 산업을 육성해 온 충청북도 11개 시·군이며, 선행연구 고찰을 통해 지역개발격차지수 이론을 기반으로 상위기업집중률과 허핀달 지수를 이용하여 분석하였다. 연구대상은 전국 지자체가 경쟁적으로 육성 의지를 표명하고 있는 바이오헬스산업으로 대상지의 시·군경쟁력강화산업 결과를 기반으로 4개의 세부분야(제약, 의료기기, 건강기능식품, 화장품)로 나누어 연구를 수행하였다. 세부분야별 매출액, 종사자수, 연구개발비를 기준으로 분석한 지역개발격차지수 결과에 따라 지역별로 강점이 다른 것을 확인할 수 있었으며, 이 결과를 통해 향후 지역별 차별화된 산업육성 전략을 수립하는 데 기초자료로 활용될 수 있는 정책적 시사점을 도출하였다.

• Journal of Korean Academy of Oral Health
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• 제42권4호
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• pp.145-151
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• 2018

Objectives: The purpose of this study was to interpret regional disparities in the number of teeth sealed with pit and fissure sealants, identify the factors that affect these disparities and find solutions for the same. Methods: Data were collected from the National Health Insurance Service and Korean statistical information service using metropolis-city-rural area dental health infrastructure variables, regional health behavior variables, and local finance-related variables. Results: In 2015, the number of teeth sealed with pit and fissure sealants per 100 people was higher in the metropolis or city than in the rural area. There was a positive correlation between the number of teeth sealed with pit and fissure sealants and the number of dentists, dental hygienists, dental institutions, standardization rate of subjective awareness of well-being, standardization rate of brushing after lunch, and the proportion of welfare budget in the general budget. There was a negative correlation with the annual standardization rate of health institution use, the standardization rate of unused medical services, and the local government's financial independence. According to the final model of the multiple regression analysis, while the impact of infrastructure on dentistry was not statistically significant, the statistical significance of standardization rate of brushing after lunch, the local government's financial independence, and the proportion of welfare budget in the general budget were maintained. Conclusions: To reduce regional disparities in the volume of use of pit and fissure sealants, it was concluded that it may be effective to select regions with a consideration of the level of regional economic power, implement separate and appropriate policies and projects, and improve the awareness in residents.

• 국제지역연구
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• 제13권3호
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• pp.73-91
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• 2009

본 연구는 중국의 성(省)별 소득불균형의 추이를 살펴보고 패널 데이터 분석방법을 이용하여 지역별 소득불균형에 대한 세계화의 영향을 추정하였다. 실증분석을 위한 패널 자료는 중국의 지역별 소득불균형이 크게 확대되기 시작한 1990년부터 자료가 이용 가능한 2007년까지 중국의 29개 성별 자료를 이용하였다. 1990년대 중국의 성간 불균형은 크게 확대되는 추세를 보였으며, 2000년 이후 불균형 정도는 서서히 약화되는 것으로 나타났다. 중국을 대상으로 한 실증분석 결과는 성의 국제무역 규모 수준뿐만 아니라 전체 성들의 평균에 대한 비율 모두 중국의 성별 소득 불균형에 중요한 영향을 미치는 변수임을 확인하였다. 이러한 결과는 국제무역의 성장은 성간 소득불균형을 확대시킬 수 있음을 의미한다. 한편 중국의 각 성들은 넒은 영역을 포함하므로 각각의 성들 내에서도 도시와 농촌지역간 불균형이 지역간 소득불균형의 중요한 원인이 될 수 있다. 그러므로 지역간 균형발전을 위한 중앙정부의 서부대개발정책과 병행하여 소도시들에 대한 다양한 개발정책들이 필요함을 시사한다.

• 한국경제지리학회지
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• 제13권3호
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• pp.442-456
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• 2010

유럽연합의 지역정책은 지리적 확대과정에서 발생되는 저소득 회원국과 지역의 경제적 손실을 보상하고 신규회원국의 가입을 회유하려는 목적으로 사용되어 왔다. 그 결과 지역정책의 목표와 지원대상지역은 확대되고 기금지원은 광범위하게 분산되었다. 최근 유럽연합은 저소득의 중 동부유럽국가의 대규모 가입에 따라 지역정책의 효율성을 높이고 재정적 문제를 해결하기 위해 지역정책을 변경하였다. 우선 광범위하게 분산된 지역정책의 목표를 크게 통합하고, 지역구분에 의한 지원을 단계적으로 폐지하고, 지원대상지역을 순차적으로 축소시키는 정책을 도입하였다. 또한 확대된 지리적 영역에서 지역간 협력을 촉진하여 지역간 결속을 강화하는 정책을 추진하고 있다. 유럽연합의 지역간 발전격차는 회원국간 격차는 수렴되는 현상을 보이고 있으나 거시 지역간 격차는 극화현상을 보이고 회원국 국내 지역격차는 심화되는 경향을 나타내고 있다. 이것은 유럽연합의 지역정책이 회원국간 경제격차의 완화에는 어느 정도 기여를 했다고 볼 수 있다. 그러나 거시지역과 국내 지역에는 격차해소를 위한 지역정책에도 불구하고 발전격차를 증가시킬 수밖에 없는 입지측면의 지역간 차별성으로 인해 경제격차가 심화되고 있다.

• Journal of Preventive Medicine and Public Health
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• 제57권3호
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• pp.260-268
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• 2024

Objectives: Regional disparities in cardiovascular care in Korea have led to uneven patient outcomes. Despite the growing need for and access to procedures, few studies have linked regional service availability to mortality rates. This study analyzed regional variation in the utilization of major cardiovascular procedures and their associations with short-term mortality to provide better evidence regarding the relationship between healthcare resource distribution and patient survival. Methods: A cross-sectional study was conducted using nationwide claims data for patients who underwent coronary artery bypass grafting (CABG), percutaneous coronary intervention (PCI), stent insertion, or aortic aneurysm resection in 2022. Regional variation was assessed by the relevance index (RI). The associations between the regional RI and 30-day mortality were analyzed. Results: The RI was lowest for aortic aneurysm resection (mean, 26.2; standard deviation, 26.1), indicating the most uneven regional distribution among the surgical procedures. Patients undergoing this procedure in regions with higher RIs showed significantly lower 30-day mortality (adjusted odds ratio [aOR], 0.73; 95% confidence interval, 0.55 to 0.96; p=0.026) versus those with lower RIs. This suggests that cardiovascular surgery regional availability, as measured by RI, has an impact on mortality rates for certain complex surgical procedures. The RI was not associated with significant mortality differences for more widely available procedures like CABG (aOR, 0.96), PCI (aOR, 1.00), or stent insertion (aOR, 0.91). Conclusions: Significant regional variation and underutilization of cardiovascular surgery were found, with reduced access linked to worse mortality for complex procedures. Disparities should be addressed through collaboration among hospitals and policy efforts to improve outcomes.

• 지역연구
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• 제14권2호
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• pp.35-50
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• 1998

This paper examines the determinants of imbalanced regional development in Korea during the period of 1985-1995. The review of previous analytical techniques have been used to analyze the determinants of disparities in regional development of disparities in regional development, but few has applied the regression technique which reduces a bias due to heterogeneity across region. The results of the study show that Kmenta model with per capita GRDP as dependent variable can reduce the heterogeneity bias in regional development and can minimize the statical errors in estimation and interpretation of the coefficients of the explanatory variables. According to the results of Kmenta model, urban infrastructure such as roads, information and communication facilities are major causes of regional disparity over the period of 1985-1995. The results of the study also indicate that local government should devote their policy efforts to identify and utilize the unique soci-economic characteristics of each locality in the process of regional development.

• Nutrition Research and Practice
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• 제16권6호
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• pp.755-764
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• 2022

BACKGROUND/OBJECTIVES: Cardiovascular diseases (CVDs) are the leading cause of death in Koreans, and eating habits, including diet quality, are among the etiologies of these diseases. Recently, various studies on regional health disparities have been conducted. However, there are limited studies on their relationship with nutritional factors. This study aimed to identify the magnitude of regional disparities in diet quality and prevalence of CVD in Korean adults. SUBJECTS/METHODS: This study included 17,646 participants aged ≥ 20 years from the 7^th (2013-2016) Korean National Health and Nutrition Examination Survey. Participants were classified into four groups based on their residential areas: City 1, City 2, City 3, and non-city. Demographic characteristics, health-related factors, body mass index (BMI), metabolic syndrome index, diet quality, and CVD prevalence were evaluated. RESULTS: In terms of demographic characteristics, age (P < 0.001), marital status (P < 0.001), educational level (P < 0.001), and income (P < 0.001) were lower in the non-city category. Health-related factors such as monthly drinking rate (P < 0.01) and mental stress (P < 0.05) were the highest in City 1 and lowest in the non-city group. Conversely, the current smoking rate (P < 0.05), BMI (P < 0.05), and prevalence of metabolic syndrome (P < 0.001) were the highest in the non-city group (P < 0.05). The non-city group also had the highest prevalence of CVDs (35.6%). This group had the lowest diet quality index (68.36 ± 0.22, P < 0.01), caused by low intake of fruit and calcium, a lack of sodium moderation, and an overall imbalance in the macronutrient and fatty acid ratio. When the diet quality index was increased by 1, the odds ratio for the prevalence of CVDs was reduced by 0.991 (P < 0.001), but this was not the case in all regions. CONCLUSIONS: This study provides useful information and data in identifying and resolving the regional health disparities related to CVD prevalence and implementation of public health nutrition systems.

• 한국산학기술학회논문지
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• 제7권1호
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• pp.80-88
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• 2006

본 연구에서는 우리나라의 16개 광역자치단체별 지역 혁신 잠재력을 분석하고자 지역혁신기반, 지역혁신활동, 지역혁신성과 등 3개 분야를 20개 지표에 의해 산출하였고, 이를 총괄한 종합 혁신 잠재력을 측정하였다. 측정결과 지역혁신기반의 불균형이 심각한 것으로 확인되었고 이러한 격차는 연구기반과 정보기반에서도 발견되었다. 3개 분야 모두 수도권과 비수도권 간의 불균형 격차가 큰 반면, 정부의 지역혁신 지원 사업에 기인한 지역혁신활동은 비교적 균등한 것으로 나타났다. 종합 혁신 잠재력이 낮은 일부 지역의 경우 3개 분야 간 편차가 상대적으로 크게 나타나고 있어 이를 보완하기 위한 정책지원이 뒷받침되어야만 지역혁신이 성공적이고 지속적으로 이루어 질 수 있을 것이다. 최근 첨여정부가 추진하고 있는 공공기관 이전 및 혁신도시 건설을 성공적으로 추진하기 위해서는 지식기반산업과 지방정보산업 육성을 중점적으로 추진하면서 연구 인력이 지방에 정착할 수 있는 프로그램을 개발하는 것이 중요하다고 본다.

• 지역사회간호학회지
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• 제29권1호
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• pp.21-32
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• 2018

Purpose: This study attempted to identify regional disparities of self-rated health among Korean wage workers and to investigate the influencing factors on them. Methods: The study subjects were 25,069 workers in 16 regions who were extracted from the 2014 Korean Working Condition Survey (KWCS). A multilevel analysis was conducted by building hierarchical data at individual and regional level. Results: In this study, 'financial autonomy rate' and 'current smoking rate' were identified as regional factors influencing the workers' self-rated health. When the socio-demographic and occupational factors of the workers were controlled, 'current smoking rate', a health policy factor, explained the regional disparity of workers' health status. Conclusion: We found that the health status of workers can be affected by the health behavior level of the whole population in their residential area. In order to improve the health status of working population and to alleviate their regional health inequalities, it is necessary to strengthen macro and structural level interventions.

• 보건행정학회지
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• 제33권3호
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• pp.273-294
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• 2023

Background: Most developed countries are working to improve their universal health coverage systems. This study investigates regional disparities in unmet healthcare needs and their causes in South Korea. Additionally, it compares the unmet healthcare needs rate in South Korea with that of 33 European countries. Methods: The analysis incorporates information from 13,359 adults aged 19 or older, using data from the Korea Health Panel. The dependent variables encompass the experience of unmet healthcare needs and the three causes of occurrence: "burden of medical expenses," "time constraints," and "lack of care." The primary variable of interest is the region of residence, while control variables encompass 14 socio-demographic, health, and functional characteristics. Multivariable binary logistic regression analysis, accounting for the sampling design, is conducted. Results: The rate of unmet healthcare needs in Korea is 11.7% (95% confidence interval [CI], 11.0%-13.3%), which is approximately 30 times higher than that of Austria (0.4%). The causes of unmet healthcare needs, ranked in descending order, are "lack of care," "time constraints," and "burden of medical expenses." Predictive probabilities for experiencing unmet healthcare needs and each cause differ significantly between regions. For instance, the probability of experiencing unmet healthcare needs due to "lack of care" is approximately 10 times higher in Gangwon-do (13.5%; 95% CI, 13.0%-14.1%) than in Busan (1.3%; 95% CI, 1.3%-1.4%). The probability due to "burden of medical expenses" is approximately 14 times higher in Seoul (4.1%; 95% CI, 3.6%-4.6%) compared to Jeollanam-do (0.3%; 95% CI, 0.2%-0.4%). Conclusion: Amid rapid sociodemographic transitions, South Korea must make significant efforts to alleviate unmet healthcare needs and the associated regional disparities. To effectively achieve this, it is recommended that South Korea involves the National Assembly in healthcare policy-making, while maintaining a centralized financing model and delegating healthcare planning and implementation to regional authorities for their local residents-similar to the approaches of the United Kingdom and France.