• 보건행정학회지
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• 제31권4호
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• pp.491-507
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• 2021

Background: This study aims to measure regional healthcare differences in Korea, and define relatively underserved areas. Methods: We employed position value for relative comparison index (PARC) to measure the healthcare status of 250 areas using 137 indicators in five following domains: healthcare demand, supply, accessibility, service utilization, and outcome. We performed a sensitivity analysis using t-SNE (t-distributed stochastic neighboring embedding). Results: Based on PARC values, 83 areas were defined as relatively underserved areas, 49 of which were categorized as moderate and 34 as severe. The provincial regions with the most underserved areas were Gyeongbuk (16 areas), Gangwon (13), Jeonnam (13), and Gyeongnam (12). Conclusion: This study suggests a relative comparison approach to define relatively underserved areas in healthcare. Further studies incorporating various perspectives and methods are required for policy implications.

• 대한지리학회지
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• 제35권1호
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• pp.77-93
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• 2000

본 연구는 북한의 지역격차를 분석하고, 상대적으로 낙후된 지역에 대한 개발전략으로서, 북한의 경제발전을 위해 확대.설치가 불가피한 경제특구와 연계하여 지역균형개발전략을 모색해 보았다. 북한의 지역간 인구성장 분석에 의하면, 북한은 지역균형개발정책에도 불구하고, 종주도시 평양과 여타 지역간에 극심한 지역격차를 보이고 있다. 따라서 앞으로 경제특구는 낙후된 지역 즉, 평양을 제외한 여타 지역에 고르게 입지하는 전략이 요구된다는 점을 가조하였다. 그리고 경제특구는 북한의 보유자원 관점에서 노동집약적인 가공공업형 경제특구와 관광형 경제특구로 나누어 추진되는 것이 바람직하며, 입지 후보지로는 신의주.남포.해주.청진.김책.함흥.원산 등의 지구는 가공공업형 경제특구로, 금강산.백두산.묘향산 등의 지구는 관광형 경제특구로 적합하다고 제안하였다.

• 농촌계획
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• 제17권1호
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• pp.29-42
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• 2011

The Purpose of this study is to develop indicators for low carbon planning in rural village. We made two indicators for inland area and waterside area to consider regional disparities. To develop indicators, a draft of the indicators was estimated with collected research materials and 52 experts reviewed this draft three times with Modified Delphi Technique to check the validity and revise the draft. As a result, the inland indicators were settled with 4 domains 8 items 20 indicators and the waterside indicators were 4 domains 8 items 22 indicators. The final indicators will be used to realize low carbon rural village planning in future which the government is pushing forward with construction of six-hundred low carbon green village.

• 농촌계획
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• 제19권1호
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• pp.109-122
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• 2013

The rapid rural urban migration and aging has generated an over-depopulation problems in rural areas since the 1980s. The purpose of this study constructs the marginal size of rural over-depopulated village through the analysis of the residential disparities such as farmer's ratio, basic life service accessibility, and levels of social and economic factors for each village community. This marginal scale could support evaluating diverse rural policies, which have been planned to apply to the rural development programs at the village level. The major challenges for over-depopulated villages are the lack of basic facilities, production infrastructures and inactive communities in the village. Therefore, the quantitative analysis of rural residential disparities according to rural village scale can provide the criteria for rural over-depopulated villages. We utilized Korea Agricultural Survey Data(2010) including specific residential condition of village level. The present study adopt multinomial-logit model for quantitative analysis of different village scales and decomposition techniques to separate the direct effect by the village scale factor from the endowment effects by regional or area characteristics, and residual effect by unknown factors. The present study found that the minimum scale of a rural over-depopulated village was 40 and 60 houses for the respective conditions of farmer's ratios less than 50% and greater than 75%. It was concluded based on the study findings that threshold scale could support evaluating the diverse rural policies, which have been planned to apply to the rural development programs at the village level.

• 대한지리학회지
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• 제42권1호
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• pp.41-62
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• 2007

본 논문은 수도권 집중, 다른 말로 수도권/비수도권 격차의 정도 변화를 제도-정치적 차원의 변인으로부터 해명하고자 하였다. 제도와 그 이면의 사회 내 제 세력 분포의 변화를 지역격차의 변이와 연관짓기 위하여 조절이론의 접근방법을 취하였다. 1980년대는 권위주의 정부 특유의 중앙집권적 권력을 통해, 강력한 조항의 수도권 과밀규제 제도를 갖추고 있었으나, 구체적인 집행이 적절히 이루어지지 않았다. 이는 당시 국가기구의 구조적 선택의 결과로서, 수도권 집중을 완화시키지 못했다. 민주화 과정을 통해 지역이 자신의 발언권을 갖게 되자, 국가기구는 자본의 이해와 지역의 이해를 조정하는 위치에 서게 되었고, 이는 구체적인 수도권 과밀규제 및 지방 성장 정책으로 나타났다. 그리고 1980년대 말에서 외환위기 이전까지 수도권 집중은 뚜렷이 완화되었다. 이러한 변화는 지역의 등장에 힘입은 공간적 조절양식의 변화로 해석되었다. 외환위기는 자본의 역량을 강화시켰고, 국가기구는 자본의 요구에 보다 민감하게 되었다. 자본의 지속적인 수도권 과밀규제 완화 주장을 통해, 수도권 규제는 완화되었고 그 만큼 수도권과 비수도 권간의 격차는 다시 확대되었다.

• 대한원격탐사학회:학술대회논문집
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• 대한원격탐사학회 1999년도 Proceedings of International Symposium on Remote Sensing
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• pp.107-114
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• 1999

The large-scale distribution of crops Is usually determined by climate. We present the results of a climate-crop prediction based on spatial bio-physical process model approach, implemented in a GIS (Geographic Information System) environment using several regional and global agriculture-environmental databases. The model utilizes daily climate data like temperature, rainfall, solar radiation being generated stocastically by in-built model weather generator to determine the daily biomass and finally the crop yield. Crops are characterized by their specific growing period requirements, photosynthesis, respiration properties and harvesting index properties. Temperature and radiation during the growing period controls the development of each crop. The model simulates geographic/spatial distribution of climate by which a crop-growing belt can also be determined. The model takes both irrigated and non-irrigated area crop productivity into account and the potential increase in productivity by the technical means like mechanization is not considered. All the management input given at the base year 1995 was kept same for the next twenty-year changes until 2015. The simulated distributions of crops under current climatic conditions coincide largely with the current agricultural or specific crop growing regions. Simulation with assumed weather generated derived climate change scenario illustrate changes in the agricultural potential. There are large regional differences in the response across the country. The north-south and east-west regions responded differently with projected climate changes with increased and decreased productivity depending upon the crops and scenarios separately. When water was limiting or facilitating as non-irrigated and irrigated area crop-production effects of temperature rise and higher $CO_2$ levels were different depending on the crops and accordingly their production. Rise in temperature led to yield reduction in case of maize and rice whereas a gain was observed for wheat crop, doubled $CO_2$ concentration enhanced yield for all crops and their several combinations behaved differently with increase or decrease in yields. Finally, with this spatial modeling approach we succeeded in quantifying the crop productivity which may bring regional disparities under the different climatic scenarios where one region may become better off and the other may go worse off.

• Journal of Preventive Medicine and Public Health
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• 제47권2호
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• pp.113-123
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• 2014

Objectives: Several previous studies have found that healthy behaviors substantially reduce non-communicable disease incidence and mortality. The present study was performed to estimate the prevalence of four modifiable healthy behaviors and a healthy lifestyle among Korean adults according to socio-demographic and regional factors. Methods: We analyzed data from 199 400 Korean adults aged 19 years and older who participated in the 2010 Korean Community Health Survey. We defined a healthy lifestyle as a combination of four modifiable healthy behaviors: non-smoking, moderate alcohol consumption, regular walking, and a healthy weight. We calculated the prevalence rates and odds ratios of each healthy behavior and healthy lifestyle according to socio-demographic and regional characteristics. Results: The prevalence rates were as follows: non-smoking, 75.0% (53.7% in men, 96.6% in women); moderate alcohol consumption, 88.2% (79.7% in men, 96.9% in women); regular walking, 45.0% (46.2% in men, 43.8% in women); healthy weight, 77.4% (71.3% in men, 73.6% in women); and a healthy lifestyle, 25.5% (16.4% in men, 34.6% in women). The characteristics associated with a low prevalence of healthy lifestyle were male gender, younger age (19 to 44 years of age), low educational attainment, married, living in a rural area, living in the Chungcheong, Youngnam, or Gwangwon-Jeju region, and poorer self-rated health. Conclusions: Further research should be implemented to explore the explainable factors of disparities for socio-demographic and regional characteristics to engage in the healthy lifestyle among adults.

• 한국응급구조학회지
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• 제27권2호
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• pp.91-111
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• 2023

Purpose: This study aims to compare 119 emergency medical services (EMS) in South Korea and Japan to provide essential data for EMS improvement in South Korea. Methods: Recent data and regulations on firefighting and EMS in South Korea and Japan were analyzed and compared. Results: South Korea follows a centralized approach to EMS, whereas Japan operates with autonomous bodies that establish their own criteria. Japan considers more regional variables than South Korea. In South Korea, there are shortages in fire station deployment among the 119 emergency medical resources in certain regions, leading to significant regional disparities. South Korea has a larger population served by its 119 emergency medical resources with a higher workload and dispatch numbers than Japan. The percentage of non-transported patients among the total number of dispatches was higher in South Korea. Conclusion: Increasing the number of medical professionals and ambulances per population to the level of Japan to reflect local conditions and include various underlying variables such as daytime population, aging, and emergency dispatch conditions in the deployment of 119 emergency resources, and to reduce the deployment gap between regions, will contribute to improving the performance of the South Korea EMS system.

• 분석과 대안
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• 제7권2호
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• pp.179-207
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• 2023

기후변화에 대응한 국제사회의 실천과제인 탄소중립이 각국의 국가 미래 발전을 좌우하는 핵심 산업전략으로 옮겨가고 있다. G2의 경제 대국으로 성장한 중국이지만 고탄소 배출의 산업구조로 인해 이 같은 기후변화 글로벌 이슈를 선도하기 어려울 것이라는 일부 관측이 무색하게도, 중국은 탄소중립을 자국 산업경쟁력 강화를 위한 수단으로 활용하고 있다. 중국정부는 탄소중립 달성을 위한 국정 방침과 이를 이행하기 위한 분야별 세부 계획을 수립, 특히 탄소중립 산업전략을 통해 외부로부터의 기후대응 국제규범 외압을 자국 산업구조의 조정과 신산업 육성을 위한 지렛대로 삼고자 한다. 그러나 이 같은 탄소중립 산업전략은 지역별 경제·산업 수준 등 여건에 따라 중점분야 및 집행력에서 차이가 있을 것으로 예상된다. 이 글에서는 중국 지역별 탄소중립 이행여건과 주요 산업정책의 내용 및 특징을 분석한다. 상이한 경제발전 수준과 산업구조 등에 따라 지역별 탄소배출 규모, 배출원, 효율성에 상당한 차이가 있을 수밖에 없다. 이는 중앙으로부터 주어진 탄소중립 목표를 이행하는 데 있어 상이한 초기 조건과 내생적 요소를 부여하게 되며, 이 같은 주어진 구조적 요인들은 각 지역에 유리한 탄소중립 산업전략의 방향과 중점정책의 조성 및 추진을 제약하게 된다. 특히 탄소중립 이행 관련 지방정부의 정책 자율성 정도를 제약함으로써, 중앙-지방 환경거버넌스의 지역별 특징이 나타날 것이다. 이 같은 점은 보다 정확한 중국 탄소중립 향방을 탐색하기 위해서 국가를 단위로 한 총괄적 연구와 더불어 지역별 모니터링이 긴요함을 시사한다.

• 보건행정학회지
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• 제28권3호
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• pp.240-250
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• 2018

By the end of 2017, in a world of 7.6 billion people, there were inequalities in healthcare indices both within and between nations, and this gap continues to increase. Therefore, this study aims to understand the current status of regional inequalities in healthcare indices and to find an action plan to tackle regional health inequality through a geo-economic review in Korea. Since 2008, there was great inequality in life expectancy and healthy life expectancy by region in not only metropolitan cities but also districts in Korea. While the community health statistics from 2008-2017 show a continuous increase of inequality during the last 10 years in most healthcare indices related to noncommunicable diseases (except for some, like smoking), the inequality has doubled in 254 districts. Furthermore, health inequality intensified as the gap between urban (metropolitan cities) and rural regions (counties) for rates of obesity (self-reported), sufficient walking practices, and healthy lifestyle practices increased from twofold to fivefold. However, regionalism and uneven development are natural consequences of the spatial perspective caused by state-lead developmentalism as Korea has fixed the accumulation strategy as its model for growth with the background of export-led industrialization in the 1960s and heavy and chemical industrialization in the 1970s, although the Constitution of the Republic of Korea recognizes the legal value of balanced development within the regions by specifying "the balanced development of the state" or "ensuring the balanced development of all regions." In addition, the danger of a 30% decline or extinction of local government nationwide is expected by 2040 as we face not only a decline in general and ageing populations but also the era of the demographic cliff. Thus, the government should continuously operate the "Special Committee on Regional Balanced Development" with a government-wide effort until 2030 to prevent disparities in the health conditions of local residents, which is the responsibility of the nation in terms of strengthening governance. To address the regional inequalities of rural and urban regions, it is necessary to re-adjust the basic subsidy and cost-sharing rates with local governments of current national subsidies based mainly on population scale, financial independence of local government, or distribution of healthcare resources and healthcare indices (showing high inequalities) overall.