Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
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An Empirical Analysis on Geographic Distribution of Physicians using the Central Place Theory

중심지이론을 이용한 의사의 지역적 분포에 관한 실증분석

  • 김춘배 (연세대학교 원주의과대학 예방의학교실) ;
  • 강명근 (연세대학교 원주의과대학 예방의학교실) ;
  • 고상백 (연세대학교 원주의과대학 예방의학교실) ;
  • 김한중 (연세대학교 의과대학 예방의학교실) ;
  • 유승흠 (연세대학교 의과대학 예방의학교실) ;
  • 손명세 (연세대학교 의과대학 예방의학교실)
  • Published : 1996.11.01
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Abstract

This study provides an empirical analysis of location competition for demand maximization by central place theory among physicians in nonmetropolitan areas of Korea. The results show that the primary care physicians distribute themselves evenly from urban communities to rural communities. The subspecialists, however, cluster together in major cities rather than decentralize themselves in rural counties. This study establishes the three statistical models : Primary care physicians, subspecialist physicians, and total physicians. Two models of primary care physicians and total physicians have a strong significance in multiple regression analysis (p=-.0001). The primary care model explains approximately 45% of the variation and the total physicians model explains approximately 70% of the variation in physician/1,000 population ratios across national counties. The subspecialist physicians model analysze the tobit regreassion because of the left consored and truncated values(57 cases = 0). In all three models, analysis of the coefficiencts for physician centralization degrees in the 0- to 5- and 5- to 10-km rings around the core county reveals each a positive and negative association betwee these degrees and the physician/1,000 population ratios in the core county. Also, the results provide moderate evidence that the relationship between clinic physicians and community hospitals is competitive, and the relationship between clinic physicians and pharmaceutists is synergistic. This suggests that public policy makers and local self-governing bodies must take an active role to ensure procider availability and the regional health planning in all nonmetropolitan areas of Korea.

Keywords

References

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