Determining the Location of Urban Health Sub-center According to Geographic Accessibility

지리적 접근성을 이용한 도시지역 보건지소의 입지선정

  • Lee, Kun-Sei (Department of Preventive Medicine, College of Medicine, Kon-Kuk University) ;
  • Kim, Chang-Yup (Department of Health Policy and Management, College of Medicine, Seoul National University) ;
  • Kim, Yong-Ik (Department of Health Policy and Management, College of Medicine, Seoul National University) ;
  • Shin, Young-Soo (Department of Health Policy and Management, College of Medicine, Seoul National University)
  • 이건세 (건국대학교 의과대학 예방의학교실) ;
  • 김창엽 (서울대학교 의과대학 의료관리학교실) ;
  • 김용익 (서울대학교 의과대학 의료관리학교실) ;
  • 신영수 (서울대학교 의과대학 의료관리학교실)
  • Published : 1996.06.01

Abstract

Decentralization to local governments and amending of Health Center Law are to promote the efforts of health planning at the level of local agencies. In the health facility planning, it is important to take into account that what to be built, where to be located, how far should be service area and so forth, because health facilities are immovable, and require capital as well as personnel and consumable supplies. The aim of our study, answering to the question of 'where to be located?', is to determine the best location of urban health sub-center. At the local level, planning is the matter of finding the best location of specific facilitiy, in relation to population needs. We confine the accessibility, which is basic to location planning, to geographic one. Location-Allocation Model is used to solve the problem where the location is to maximize geographic accessibility. To minimize the weighted travel distance, objective function, $R_k=\sum{\sum}a_{ij}w_{i}d_{ij}$ is used. Distances are measured indirectly by map measure-meter with 1:25,000 Suwon map, and each potential sites, 10 administrative Dongs in Kwonson Gu, Suwon, are weighted by each number of households, total population, maternal age group, child age group, old age group, Relief for the livelihood, and population/primary health clinics. We find that Kuwoon-Dong, Seodun-Dong, Seryu3-Dong, according the descending orders, are best sites which can minimize the weighted distance, and conclude that it is reasonable to determine the location of urban health sub-center among those sites.

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