보건의료산업학회지 (The Korean Journal of Health Service Management)

  • 제13권1호
  • /
  • Pages.15-30
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  • 2019
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  • 2093-5986(pISSN)
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  • 2288-0666(eISSN)
보건의료산업학회 (Korea Society of Health Service Management)
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지리정보시스템을 이용한 국가 위암검진서비스 제공 의료기관에 대한 공간적 접근성 평가 - 강원도 지역을 중심으로 -

Assessment on the Spatial Accessibility of Medical Institutions Providing National Gastric Cancer Screening Service using a geographic information system - Focused on the Area of Gangwon-do -

  • 박영용 (연세대학교 대학원 보건행정학과) ;
  • 박주현 (연세대학교 대학원 보건행정학과) ;
  • 박유현 (연세대학교 대학원 보건행정학과) ;
  • 이광수 (연세대학교 보건과학대학 보건행정학과)
  • Park, Young-Yong (Department of Health Administration, Graduate School, Yonsei University) ;
  • Park, Ju-Hyun (Department of Health Administration, Graduate School, Yonsei University) ;
  • Park, Yu-Hyun (Department of Health Administration, Graduate School, Yonsei University) ;
  • Lee, Kwang-Soo (Department of Health Administration, College of Health Science, Yonsei University)
  • 투고 : 2019.03.05
  • 심사 : 2019.03.29
  • 발행 : 2019.03.31
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초록

Objectives: This study aimed to analyze people's accessibility to medical institutions providing national gastric cancer screening services in Gangwon-do using a geographic information system(GIS). Methods: To assess the spatial accessibility, network analysis was applied. Two types of network analysis-Service area analysis and origin-destination cost matrix(OD-cost matrix)-were applied to create network dataset. Results: The results of the analysis of the service area revealed that it took more than 60 minutes each to reach tertiary hospitals and general hospitals from 74.4% and 9.6% of Gangwon-do areas, respectively. Similarly, it took more than 60 minutes each to reach hospitals and clinics from 4.2% and 3.4% of Gangwon-do areas, respectively. The results of the OD-cost revealed that there were large regional variations in distance and time taken to reach the medical institutions. Conclusions: there were regional variations of spatial accessibility between Si and Gun in Gangwon-do.

키워드

참고문헌

  1. http://kostat.go.kr/portal/korea/index.action.
  2. http://www.ncc.re.kr/main.ncc?uri=manage01_4.
  3. Y.S. Park, J.L. Yoon, J.S. Kim(2009), Evaluation of evidence-based screening programs for cancers, Korean Journal of Health Promot Dis Prev, Vol.9(2);86-96.
  4. H.J. Cho(2013), Equity in health care: current situation in South Korea, Journal of Korean Med Assoc, Vol.56(3);184-194. https://doi.org/10.5124/jkma.2013.56.3.184
  5. http://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=1440.
  6. https://www.cancer.go.kr/
  7. D.H. Cho(2017), A Review of Evaluation Methods for Spatial Equity of Public Service Distributions, Journal of Geography Education, Vol.48;100-120.
  8. S.Y. Choi, K.S. Lee(2017), The Spatial Accessibility of Women in Childbearing Age for Delivery Services in Gangwon-do, Health Policy and Management, Vol.27(3);229-240. https://doi.org/10.4332/KJHPA.2017.27.3.229
  9. G. Higgs(2004), A literature review of the use of GIS-based measures of access to health care services, Health Services and Outcomes Research Methodology, Vol.5(2);119-139. https://doi.org/10.1007/s10742-005-4304-7
  10. J.H. Park, S.Y. Choi, K.S. Lee(2017), Regional Variation in National Gastric Cancer Screening Rate in Korea, Health Policy and Management, Vol.27(4);296-303. https://doi.org/10.4332/KJHPA.2017.27.4.296
  11. http://ncc.re.kr/cancerStatsView.ncc?bbsnum=459&searchKey=total&searchValue=&pageNum=1
  12. H.Y. Lee, J.H. Sim(2011), Geographic information systems second edition, Bobmunsa, pp.698-713.
  13. http://www.prism.go.kr/homepage/entire/retrieveEntireDetail.do;jsessionid=C8A09B14A42493BFFCF39EC7DF5EFEE2.node02?cond_research_name=&cond_research_start_date=&cond_research_end_date=&research_id=1351000-201600309&pageIndex=91&leftMenuLevel=160.
  14. H.S. Shin, S.H. Lee(2011), Factors Affecting Spatial Distance to Outpatient Health Services, Health Policy and Management, Vol.21(1);23-43. https://doi.org/10.4332/KJHPA.2011.21.1.023
  15. S.H. Kim, T.G. Kim, K. Suh(2015), Assessment of Accessibility to Medical Facilities in Rural Areas using Real Road Distance focusing on Pyeongchang-gun, Journal of the Korean Society of Agricultural Engineers, Vol.57(4);39-49. https://doi.org/10.5389/KSAE.2015.57.4.039
  16. J. Cinnamon, N. Schuurman, V.A. Crooks(2008), A method to determine spatial access to specialized palliative care services using GIS, BMC Health Services Research, Vol.8;140. https://doi.org/10.1186/1472-6963-8-140
  17. J. Fortney, K. Rost, J. Warren(2000), Comparing alternative methods of measuring geographic access to health services, Health Services and Outcomes Research Methodology, Vol.1(2);173-184. https://doi.org/10.1023/A:1012545106828
  18. S.Y. Park, B.W. Park, J.K. Kim(2015), Direction of Improvement of Medical Services in Gangwon-do, Research Institute for Gangwon, Vol.473;1-12.
  19. J.M. Kwak, D.Y. Kim, E.W. Seo, K.S. Lee(2015), The Effects of Hospital Resources on the Service Uses : Hospital Service Area Approach, Health Policy and Management, Vol.25(3);221-228. https://doi.org/10.4332/KJHPA.2015.25.3.221
  20. K.S. Choi, J.H. Yang, S.Y. Kye, S.H. Lee, E.C. Park, H.R. Shin, C.M. Kim(2004), Factors associated with performance of national cancer screening program in korea, Korean Journal of Preventive Medicine, Vol.37(3);246-252.
  21. H.H. Park, I.A. Chun, S.Y. Ryu, J. Park, M.A. Han, S.W. Choi, J.H. Shin(2016). Social disparities in utilization of preventive health services among Korean women aged 40-64, Journal of Health Informatics and Statistics, Vol.41(4);369-378. https://doi.org/10.21032/jhis.2016.41.4.369
  22. K.S. Moon, Y.K. Kim, H.J. Chang(2016), Determinants of the Use and Type of Comprehensive Medical Examination Services, The Korean Journal of Health Service Management, Vol.10(2);83-97 https://doi.org/10.12811/kshsm.2016.10.2.083
  23. J.Y. Yeo, H.S. Jeong(2012), Determinants of health screening and its effects on health behaviors, Health Policy and Management, Vol.22(1);49-64. https://doi.org/10.4332/KJHPA.2012.22.1.049
  24. http://health.re.kr/?p=2510
  25. Y.S. Shin, C.Y. Park, S.H. Jung, H.Y. Jung, H.Y. Kang(2006), Comparison of customer satisfaction with health examination programs provided by the Korea National Health Insurance and private healthcare organizations in Korea, Journal of Korean Society of Quality Assurance in Health Care, Vol.12(1);40-51.