Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
권호 표지
DOI QR코드

DOI QR Code

Assessing Spatial Accessibility to Pediatric Dental Clinics Using the Geographic Information System

지리 정보 시스템을 활용한 소아 전문 치과의 공간적 접근성 평가

  • Seung-Eun, Lee (Department of Pediatric Dentistry, College of Dentistry, Wonkwang University) ;
  • Jiyoung, Ra (Department of Pediatric Dentistry, College of Dentistry, Wonkwang University)
  • 이승은 (원광대학교 치과대학 소아치과학교실) ;
  • 라지영 (원광대학교 치과대학 소아치과학교실)
  • Received : 2022.09.05
  • Accepted : 2022.10.16
  • Published : 2022.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to evaluate the accessibility of pediatric dental clinics and quantitatively compare the regions with the best and worst accessibility to pediatric dental clinics in South Korea using the geographic information system. Seoul city showed the highest density of pediatric dental clinics, while Gyeongbuk and Jeonbuk provinces showed the lowest density. Seoul city had a service area ratio of 100% in all districts on a 10 km basis. In Gyeongbuk and Jeonbuk provinces, more than half of the districts had a service area ratio of 0%. In Seoul, the average distance from elementary school to the nearest pediatric dental clinic was 3.45 km. The average distance values were 43.66 km and 40.57 km in Gyeongbuk and Jeonbuk provinces, respectively, which were 12.66 times and 11.76 times longer than the average distance in Seoul city.

이 연구는 지리 정보 시스템을 활용하여 우리나라 소아 전문 치과 병·의원의 접근성을 평가하고 접근성이 가장 좋은 지역과 좋지 못한 지역을 정량적으로 비교, 분석하고자 하였다. 분석 결과 서울에서 가장 높은 정도의 밀집도를 보여주었고, 경북과 전북에서 가장 낮은 정도의 밀집도를 보여주었다. 서울은 10 km 기준에서 모든 행정구역에서 100%의 서비스 면적 비율을 보여주어 서울의 모든 지역에서 수요가 발생할 수 있음을 나타냈다. 하지만 경북, 전북의 경우 절반 이상의 행정구역에서 0%의 서비스 면적 비율을 보여주었다. 초등학교에서 가장 가까운 소아치과 병·의원까지의 거리를 살펴보았을 때 서울은 평균 3.45 km였으나 경북, 전북은 각각 43.66 km, 40.57 km로 서울에 비해 각각 12.66배, 11.76배에 달하는 평균 거리를 보여주었다.

Keywords

References

  1. Roh BR, Yang KE : Text mining analysis of south korea's birth-rate decline issue in newspaper articles - transition patterns over 18 years. Korean J Soc Welfare, 71:153-175, 2019.
  2. Lee CH : Did pronatal policy in korea fail? : a decomposition of fertility change from 2000 to 2016. Korean J Economic Studies, 66:5-42, 2018.
  3. Nam DH : The distribution of patients visiting pediatric dentistry of seoul national university dental hospital and its correlation to socio-economic and physical variables for the last 10 years (2008 - 2017). Seoul National University school of dentistry, 2019.
  4. Kim HW, Kim JB : A trend of treatment in department of pediatric dentistry for 10 years. J Korean Acad Pediatr Dent, 46:328-336, 2019. https://doi.org/10.5933/JKAPD.2019.46.3.328
  5. Seo MK, Song JS, Shin TJ, Hyun HK, Kim JW, Jang KT, Lee SH, Kim YJ : Chronological trends in practice pattern of department of pediatric dentistry : 2006 - 2015. J Korean Acad Pediatr Dent, 45:215-224, 2018. https://doi.org/10.5933/JKAPD.2018.45.2.215
  6. Kim HJ, Hyun HK, Kim YJ, Kim JW, Jang KT, Lee SH, Hahn SH, Kim CC : A study of new-patient distribution and the motives for visiting in the department of pediatric dentistry at Seoul national university dental hospital. J Korean Acad Pediatr Dent, 38:25-32, 2011. https://doi.org/10.5933/JKAPD.2011.38.1.025
  7. Kim MJ, Shun YK, Shim YS : A study of parental knowledge and attitude about infant oral health care. J Korean Acad Pediatr Dent, 27:292-299, 2000.
  8. Chae JK, Song JS, Shin TJ, Hyun HK, Kim JW, Jang KT, Lee SH, Kim YJ : Regional distribution and practice pattern of pediatric dental clinics in Korea. J Korean Acad Pediatr Dent, 47:44-52, 2020. https://doi.org/10.5933/JKAPD.2020.47.1.44
  9. Yeo JY, Jeong HS : Determinants of dental screening and unmet dental needs : Interaction effect between geographical accessibility and economic affordability. Korean J Health Econ Policy, 18:109-126, 2012.
  10. Yeon JM, Lee TY, Min HH : Factors related to dental service quality evaluated by dental clinic patients. J Korean Soc Dent Hyg, 12:665-674, 2012. https://doi.org/10.13065/jksdh.2012.12.4.665
  11. Ma SI, Kim HS : Accessibility to welfare facilities for the aged through GIS network analysis : Focused on inland areas in Incheon. Korea Spatial Planning Rev, 70:61-75, 2011. https://doi.org/10.15793/KSPR.2011.70..004
  12. Park JH, Park YY, Lee KS : Analysis on the spatial accessibility of mental health institutions using GIS in Gangwon-do. Korean J Hospital Management, 23:28-41, 2018.
  13. Lee EJ, Moon KJ, Lee KS : Effects of spatial accessibility on the number of outpatient visits for an internal medicine of a hospital. Health Policy Management, 26:233-241, 2016. https://doi.org/10.4332/KJHPA.2016.26.2.233
  14. Kim L, Ahn J : A comparative study of the accessibility to social welfare facilities for use in Gyeongbuk province Utilizing GIS. Social Welfare Policy, 41:107-129, 2014. https://doi.org/10.15855/swp.2014.41.3.107
  15. Higgs G : A literature review of the use of GIS-based measures of access to health care services. Health Serv Outcomes Res Methodol, 5:119-139, 2004. https://doi.org/10.1007/s10742-005-4304-7
  16. Joo HT, Jeong BJ, Cho IW, Shin HSeung, Lim MH, Park JC : Geographic information system (GIS) analysis on the distribution of patients visiting at a dental college hospital : a pilot study. J Dent Rehabil Appl Sci, 31:283-293, 2015. https://doi.org/10.14368/jdras.2015.31.4.283
  17. Lee KH : Improvement of oral hygiene methods for early childhood. J Korean Acad Pediatr Dent, 34:264-272, 2007.
  18. Hwang IK, Mah YJ : Analysis of Factors that Affect the Follow-up Pattern after Dental Treatment under Conscious Sedation in Children. J Korean Acad Pediatr Dent, 45:324-333, 2018. https://doi.org/10.5933/JKAPD.2018.45.3.324
  19. Jung YS, Shin JS : 5 Year Cumulative Survival Rate of Composite Resin Restorations in Permanent First Molars. J Korean Acad Pediatr Dent, 46:310-317, 2019. https://doi.org/10.5933/JKAPD.2019.46.3.310
  20. Kim IY, Kim JM, Jeong TS, Kim S : 5 years evaluation of composite resin restoration on permanent first molar in children. J Korean Acad Pediatr Dent, 35:110-117, 2008.
  21. Ramos-Gomez F, Kim YJ, Ng MW, Yang S : New visions in pediatric dentistry keeping healthy teeth caries free : Pediatric CAMBRA protocols. J Korean Acad Pediatr Dent, 40:72-81, 2013. https://doi.org/10.5933/JKAPD.2013.40.1.72
  22. Health Insurance Review & Assessment Service : Searching for hospitals and pharmacies. Available from URL: https://www.data.go.kr/tcs/dss/selectDataSetList.do?keyword=%EC%A0%84%EA%B5%AD+%EB%B3%91%EC%9D%98%EC%9B%90+%EB%B0%8F+%EC%95%BD%EA%B5%AD+%ED%98%84%ED%99%A9https://www.data.go.kr/tcs/dss/selectDataSetList.do?keyword=%EC%A0%84%EA%B5%AD+%EB%B3%91%EC%9D%98%EC%9B%90+%EB%B0%8F+%EC%95%BD%EA%B5%AD+%ED%98%84%ED%99%A9 (Accessed on February 27, 2022).
  23. Statistical Korea : Korean Statistical Information Service. Available from URL: https://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1DA7015S&vw_cd=MT_ZTITLE&list_id=B11&seqNo=&lang_mode=ko&language=kor&obj_var_id=&itm_id=&-conn_path=MT_ZTITLE (Accessed on February 27, 2022).
  24. Ministry of Public Administration and Security : National elementary and middle school location standard data. Available from URL: https:// data.go.kr/data/15021148/standard.do (Accessed on March 10, 2022).
  25. Ministry of Land, Infrastructure and Transport : Administrative district boundary. Available from URL: https://data.nsdi.go.kr/dataset/15144 (Accessed on March 2,2022).
  26. Ministry of the Interior and Safety : Seoul Administrative District Statistics. Available from URL: https://data.go.kr/data/15047164/fileData.do (Accessed on March 15, 2022).
  27. Ministry of the Interior and Safety : Gyeongsang-bukdo Administrative District. Available from URL: https://data.go.kr/data/15086638/fileData.do (Accessed on March 15, 2022).
  28. Ministry of the Interior and Safety : Jeonlabukdo Administrative District. Available from URL: https://data.go.kr/data/15055812/fileData.do?recommendDataYn=Y (Accessed on March 15, 2022).
  29. Ministry of Land, Infrastructure and Transport : Korea Transport DataBase. Available from URL: https://ktdb.go.kr/www/index.do (Accessed on April 22, 2022).
  30. Choi JH, Joo SM : An analysis on the characteristics of obstetrics and gynecology distribution in daegu metropolitan city using GIS spatial analysis. J Daegu Gyeongbuk Studies, 12:149-156, 2013.
  31. Park KY, Kim JH, Kim BE, Hwang JH : Pattern analysis of coffee shop locations: focusing on urban spatial analysis. J Residential Environment Institute Korea, 15:135-146, 2017.
  32. Korea Research Institute for Human Settlements : National territorial monitoring report 2020. National Geographic Information Institute of Ministry of Land, Infrastructure and Transport, 2021. Available from URL: https://www.korea.kr/archive/expDocView.do?docId=39547 (Accessed on November 15, 2022).
  33. Hong JH, Shin DB : Analysis of patient disease-oriented medical service areas using the Korea health panel study. J Korean Soc Geospat Inform Sci, 28:59-67,2020.
  34. Im JH, Park JH : Spatial distribution of underserved emergency medical service areas and their residents' attributes - focusing on Chungnam province. J Korea Planning Association, 51:63-75, 2016.
  35. Lee JS, Oh YS, Eun DS : An analysis on the characteristics of barrier free certifications in elementary school. J Korea Academia-Industrial Cooperation Society, 20:26-35, 2019.
  36. Kwon JH, Park SH : A study on the factors affecting pedestrian traffic fatal accidents around elementary schools : a case study of the Seoul metropolitan city. J Korea Planning Association, 53:57-73, 2018. https://doi.org/10.17208/jkpa.2018.06.53.3.57
  37. Aday LA, Andersen R : A framework for the study of access to medical care. Health Ser Res, 9:208-220, 1974.
  38. Grad FP : The preamble of the constitution of the World Health Organization. Bull World Health Organ, 80:981-984, 2002.
  39. Levesque JF, Harris MF, Russell G : Patient-centred access to health care: conceptualising access at the interface of health systems and populations. Int J Equity Health, 12:18, 2013.
  40. Kim KH, Shin KS, Kim ED : Developing analysis method for optimal hospital location selection. Technology Management, 5:121-149, 2020. Available from URL : https://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART002597223 (Accessed on November 15, 2022). https://doi.org/10.33443/TM.2020.5.2.121
  41. Kim DK, Shim GE : An analysis of the locational selection factors of the small- and medium-sized hospitals using the AHP : centered on the spine and joint hospitals. J Korea Contents Assoc, 18:191-214, 2018. https://doi.org/10.5392/JKCA.2018.18.05.191
  42. Park KL : An analysis on the characteristics of dental clinic distribution in Busan area using geographic information system. Kosin Med J, 21:108-118, 2006.
  43. Choi YK, Lee DM : A study on the medical service facility location using AHP. J Korean Production Operations Management Society, 28:293-308, 2017.
  44. Saddki N, Yusoff A, Hwang YL : Factors associated with dental visit and barriers to utilisation of oral health care services in a sample of antenatal mothers in Hospital University Sains Malaysia. BMC Public Health, 10:75, 2010.
  45. Go MJ, Yang HJ, An SY : An epidemiologic study on the pediatric patients in department of pediatric dentistry, Wonkwang University Sanbon dental hospital for last 5 years (2007 - 2011). J Korean Acad Adv Gen Dent, 3:15-19, 2014.
  46. Ko YH, Baik BJ, Kim JG, Yang YM : A research on the evaluation of the new patients for the last 8 years in Dept. of Pediatric Dentistry of Chonbuk University. J Korean Acad Pediatr Dent, 34:292-298, 2007.
  47. Kullgren JT, McLaughlin CG : Beyond affordability : the impact of nonfinancial barriers on access for uninsured adults in three diverse communities. J Community Health, 35:240-248, 2010. https://doi.org/10.1007/s10900-010-9230-0
  48. Jeon BY, Choi SM, Kim CY : Socioeconomic equity in regional distribution of health care resources in Korea. Health Policy Management, 22:85-108, 2012. https://doi.org/10.4332/KJHPA.2012.22.1.085
  49. Lee HG, Son DH, Na CH, Kim JH : Analysis of the characteristics of children and adolescent patients received sealant after national health insurance coverage using big data. J Korean Acad Pediatr Dent, 48:129-139, 2021. https://doi.org/10.5933/JKAPD.2021.48.2.129
  50. Ryu JI, Park HA, Lee SJ, Jeon JE : A qualitative study on the evaluation of the registered dentists' program of dentists. J Korean Acad Oral Health, 45:64-70, 2021. https://doi.org/10.11149/jkaoh.2021.45.2.64
  51. Kim MJ, Han DH, Kim JB : Effect of the family dentist system on oral health status of children and adolescents in Busan, Korea. J Korean Soc Dent Hyg, 13:501-507, 2013. https://doi.org/10.13065/jksdh.2013.13.3.501