보건행정학회지 (Health Policy and Management)

  • 제26권3호
  • /
  • Pages.233-241
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  • 2016
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  • 1225-4266(pISSN)
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  • 2289-0149(eISSN)
한국보건행정학회 (Korean Academy of Health Policy and Management)
권호 표지
DOI QR코드

DOI QR Code

공간적 접근성이 내과환자의 내원일수에 미치는 영향 분석: 대도시 일개 병원을 대상으로

Effects of Spatial Accessibility on the Number of Outpatient Visits for an Internal Medicine of a Hospital

  • 이은주 (국민건강보험공단 빅데이터운영실) ;
  • 문경준 (연세대학교 대학원 보건행정학과) ;
  • 이광수 (연세대학교 보건과학대학 보건행정학과)
  • Lee, Eun-Joo (Big Data Steering Department, National Health Insurance Service) ;
  • Moon, Kyeong-Jun (Department of Health Administration, Yonsei University Graduate School) ;
  • Lee, Kwang-Soo (Department of Health Administration, Yonsei University College of Health Sciences)
  • 투고 : 2016.07.09
  • 심사 : 2016.09.26
  • 발행 : 2016.09.30
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Abstract

Background: This study purposed to analyze and understand how spatial accessibility of patients influenced the number of outpatient visits for the internal medicine of a hospital. Methods: A hospital with 100 beds in Seoul, South Korea provided data from 2013 January 1 to 2013 June 30. Euclidean distance and road ares were used to represent the spatial accessibility. Patient level data and dong level data were collected and used in spatial analysis. Dong level data was converted into grid level ($500{\times}500m$) for the multivariate analysis. Hot-spot analysis and generalized linear model were applied to the data collected. Results: Hot-spots of outpatient visits were found around the study hospital, and cold-spots were not found. Number of outpatient visits was varied by the distance between patient resident and hospitals, and about 80% of total outpatient visits was occurred in within the 5 km from study hospital, and 50% was occurred in within 1.6 km. Spatial accessibility had significant influences on the outpatient visits. Conclusion: Findings provide evidences that spatial accessibility had influences on the patients' behaviors in utilizing the outpatient care of internal medicine in a hospital. Results can provide useful information to health policy makers as well as hospital managers for their decision making.

Keywords

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