• Health Policy and Management
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• v.34 no.1
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• pp.78-86
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• 2024

Background: The purpose of this study was to determine the effectiveness of the specialty hospital system by comparing the medical use of inpatients who had artificial joint replacement surgery in specialty hospitals and non-specialty hospitals. Methods: This study utilized 2021-2022 healthcare benefit claims data provided by the Health Insurance Review and Assessment Service. The dependent variable is inpatient medical use which is measured in terms of charges per case and length of stay. The independent variable was whether the hospital was designated as a specialty hospital, and the control variables were patient-level variables (age, gender, insurer type, surgery type, and Charlson comorbidity index) and medical institution-level variables (establishment type, classification, location, number of orthopedic surgeons, and number of nurses). Results: The results of the multiple regression analysis between charges per case and whether a hospital is designated as a specialty hospital showed a statistically significant negative relationship between charges per case and whether a hospital is designated as a specialty hospital. This suggests a significant low in charges per case when a hospital is designated as a specialty hospital compared to a non-specialty hospital, indicating that there is a difference in medical use outcomes between specialty hospitals and non-specialty hospitals inpatients. Conclusion: The practical implications of this study are as follows. First, the criteria for designating specialty hospitals should be alleviated. In our study, the results show that specialty hospitals have significantly lower per-case costs than non-specialty hospitals. Despite the cost-effectiveness of specialty hospitals, the high barriers to be designated for specialty hospitals have gathered the specialty hospitals in metropolitan and major cities. To address the regional imbalance of specialty hospitals, it is believed that ease the criteria for designating specialty hospitals in non-metropolitan areas, such as introducing "semi-specialty hospitals (tentative name)," will lead to a reduction in health disparities between regions and reduce medical costs. Second, it is necessary to determine the appropriateness of the size of hospitals' medical staff. The study found that the number of orthopedic surgeons and nurses varied in charges per case. Therefore, it is believed that appropriately allocating hospital medical staff can maximize the cost-effectiveness of medical services and ultimately reduce medical costs.

• Journal of dental hygiene science
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• v.13 no.2
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• pp.174-181
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• 2013

The objective of this research is to compare and analyze regional accessibility of Korean primary school students to oral health services from the perspective of public health geography by using geographic information system in which the choropleth map has been regarded as the most popular method. Statistical proximity on the basis of calculus of 205 regions-based school oral health data is optimized to set five class intervals for five maps. These choropleth maps of oral heal programs such as oral health education, tooth-brushing method education, preventive dental care and curative dental care, demonstrate that there exist wide regional discrepancies throughout the country in terms of primary school students' accessibility to oral health services within the programs. The paper not just contributes to overcoming the existing paradigm by actively considering an interdisciplinary research among public health dentistry, dental hygiene and geography of public health, but provides clear evidence for national oral health policy in South Korea.

• International Area Studies Review
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• v.22 no.2
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• pp.61-91
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• 2018

Credit Guarantee scheme is one of the most effective tools for the small business policy. The performance analysis on domestic institution level is relevant in terms of various factors of assisting tools factor. This study measured comparative global efficiency by DEA model and Super-efficiency model among 70 credit guarantee institutions in Japan, Taiwan, and Korea who are operating the schemes. At the result of the analysis, Korean credit guarantee institutions are comparatively efficient than Japanese institutions, and the DMU shows moderate in operation efficiency. The Super-efficiency ranked by Hiroshima, Taiwan SMEG, Pusan, Chiba, Shizuoka, Ulsan, and KOTEC. Most of the Credit Guarantee Institutions showed increasing returns to scale, and it indicates increasing input strategy. The statistical difference of efficiency level in Japan and Korea shows very meaning numbers. This research suggest that (1)Periodical Analysis are needed on Japanese Schemes, (2)The analysis on the impact of credit guarantee scale to the national economy and SME policy, (3) Analysis on the conclusive factors of the efficiency, (4)The policy direction has to be made by inefficient factor analysis, (5) The measurement tools of efficiency of the schemes in various aspects.

• Land and Housing Review
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• v.14 no.4
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• pp.17-37
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• 2023

The rental housing market in South Korea, specifically monthly rent with deposit, has been expanding over the last three decades (8.2% in 1990 to 21.0% in 2020), partly replacing the traditional Jeonse market. The distribution of rent has changed due to public rental subsidies and the emergence of luxury rental housing, while the distribution of rental household income has been polarized because of the emergence of rich renters. This study attempts to measure the structural changes in the rental market by developing a new indicator of income-rent mismatch. Using the seven series of the Korea Housing Survey, this study analyzed the changes in rent (reflecting the conversion rate) and income levels of rental households in 2006 (base year) and 10-15 years later (the analysis year) at the national level and at the spatial unit of 16 metropolitan cities and provinces (excluding Sejong), respectively, by dividing them into quartile data. The result reveals that rental housing was undersupplied in middle- and high-income rental housing due to the decline in the highest quartile (25%→18%) and the third quartile groups (25%→20%), while the supply of public rental housing expanded for the second quartile (25%→28%) and the lowest quartile (25%→35) groups. On the demand side, the highest income quartile shrank (25%→21%), while the lowest income quartile grew (25%→31%). Comparing the 16 metropolitan cities and provinces, there were significant regional differences in the direction and intensity of changes in rent and renter household income. In particular, the rental market in Seoul was characterized by supply polarization, which led to an imbalance in the income distribution of rental households. The structural changes in the apartment rental market were different from those in the non-apartment rental market. The findings of this study can be used as a basis for future regional rental housing markets. The findings can support securing affordable rental housing stock for each income quartile group on monthly rent and developing housing stability measures for a balance between income and rent distribution in each region.

• Korean Journal of Agricultural Science
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• v.1 no.1
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• pp.59-66
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• 1974

This paper describes how location influences on the development of dairy farming. It compares Chuncheon, which in the mountains, Daejeon, which is a transportation center and on flat ground, and Incheon, which is the gate to Seoul and an industrial city. The results analyzed are summarized as follows : 1. Incheon, due to her vast market, influenced strongly on the development of management. But shortage of roughage for feeds is the critical problem there. 2. Owing to the side job of raising chicks, which involves 92% of dairy farmers there, Chuncheon does not make smooth utilization of vast grass pasture. 3. In Daejeon's case, running orchards concurrently is the problem. 4. There exists no gap in wages between the region. The labor supply is most affluent in Incheon and there is competition with other forms of agriculture in the mountainous area. 5. The full-time employee tends to be skillful in accordance with his career. Family labor has been skillful, but the full-time employee is very fluid and shows varieties of skill. 6. Because of the obscurity of the distribution of labor with other jobs in Chuncheon and Daejeon, many unspecialized men serve. 7. The prices of milk are different in each region. The income of dairy farmers is strongly influenced by the low purchasing price of milk plants, and this is one of the important factors hindering the development of dairy farm ing in Chuncheon.

• Journal of the Korean Geographical Society
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• v.48 no.1
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• pp.87-111
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• 2013

Regional disparities between eastern and western regions is the most of serious problem for balanced regional development in Turkey. The Southeastern Anatolia Project (GAP) is being implemented to eliminate these regional development disparities. The work that was initially planned as predominantly for hydraulic energy production to utilize water resources of the Tigris and Euphrates rivers more effectively was later transformed into an integrated multi-sector regional development project. This study noted that this region had very limited cash crop production because of the constraints of semi-arid climate of the southeastern region, however, later, it has changed Turkey's major cotton producing region since Southeastern Anatolia Project carried out. Therefore, this study investigated background, process, and content of the Southeastern Anatolia Project with respect to high cotton productivity in this region and examined the dynamic changes of cotton productivity in this region. In addition, Sanliurfa prefecture is one of the main development axes of the Southeastern Anatolia Project, because government investments are concentrated on this prefecture. Therefore, this study examined the background and process of cotton farming growth in this prefecture. In 2011, Sanliurfa prefecture produced 37.6% of Turkey's total cotton production. This is mainly due to agricultural infrastructure expansion such as land consolidation, irrigation, roads and farm roads. Also, it is one of the main factor that subsidies paid to farmers for cotton cultivation. The introduction of irrigation has dramatically changed the direction of seasonal migration of this area. Prior to irrigation, this area had a serious social issue about out-migration for seasonal labor to other areas. However, the introduction of irrigation made this area that changed to in-migration and intramigration for cotton cultivation. Irrigation water is supplied to farmers through the WUAs (Water User Associations) that handed over irrigation water management, operation from DSI (General Directorate of State of Hydraulic Works). However, the WUAs are under the influence of Ashiret, a traditional feudal social structure. Because of this reason, it does not have an efficient management for farmers. Also, it is one of the reasons that this area does not have autonomous farmer organization.

• Journal of agricultural medicine and community health
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• v.37 no.3
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• pp.167-180
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• 2012

Objective: This study was conducted to evaluate an education program for cardiocerebrovascular high-risk patients. Methods: This program was developed according to Tyler's model for curriculum development. To evaluate the effects of this program, we measured clinical outcome change (weight, waist circumference, systolic blood pressure, diastolic blood pressure) and behavior change stages (checking blood pressure, blood sugar levels, doing physical activity, consistent maintenance of food intake, eating low amounts of salt, abstention from tobacco and alcohol) before and 4 weeks after participation in the education program. The group of subjects consisted of High-risk group patients who attended basic program(32 patients), and staged program(37 patients) during KHyDDI meetings from Oct. 2009 to May 2010. Results: The staged educational program was developed three aspects(disease, nutrition and exercise)and three stages(basic, in-depth and individual education). In the staged education program, the evaluations were made by measuring clinical outcome and stage of behavior before and after education. Significant differences were found in waist circumference, systolic blood pressure, diastolic blood pressure, consistent maintenance of food intake(p<0.05), and eating low salt(p<0.001)and their self efficacy. Conclusion: In the practice-oriented staged education program, significant differences were found in the clinical outcomes and stage of behavior before and after education. Possible limitations of the study include the small number of participating subjects and the short follow-up management period, but the results indicate that continued application of this program could contribute to the prevention of cardiocerebrovascular diseases for the elderly patients with long periods of chronic diseases.

• Korean Journal of Agricultural and Forest Meteorology
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• v.6 no.1
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• pp.38-48
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• 2004

Tropospheric ozone data in Korea for 1998-2002 were analyzed to assess the impact on vegetation. SUM06(sum of hourly concentrations at or above 0.06 ppm) and AOT40(accumulated exposure over a threshold of 40 ppb), widely used as ozone indices in the U.S. and Europe, were calculated based on hourly ozone concentration in 612 areas during 1998-2002 in Korea. SUM06 of the highest 30 areas were 5-12 ppm/hr which were almost the same levels of the U.S. average, and a crop loss of 5% would be expected. Ozone pollution in Seoul during 1998-2002 had decreased compared to that for 1990-97 except in the Northern area; however, ozone pollution in Kyunggi during 1998-2002 had been increased twice compare to the previous 5 years. Korea was divided into four regions: Seoul Metropolitan area, Jungbu, Honam, and Youngnam. Ozone pollution in the Seoul Metropolitan area was much higher during 1998-2000 than the other areas, but ozone pollution during 2001-2002 was almost the same in all four regions. Chunnam-Kwangyang na Kyungbuk-Gumi, famous industrial complexes in southern Korea, were significant ozone pollution areas. However, other industrial complexes, such as Incheon, Ulsan, and Kyunggi-Sihwa, were not polluted compared to their neighbors. Comparing all ozone indices, SUM06(yr), SUM06(3mon), AOT40(yr), AOT40(3mon), number of hours exceeding 100 ppb, 95 percentile, 99 percentile, and maximum concentration, it was determined reasonable to use SUM06(3mon), AOT40(3mon) and number of hours exceeding 100 ppb for evaluation of the chronic impact of ozone on vegetation.

• Spatial Information Research
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• v.23 no.1
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• pp.19-31
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• 2015

Due to the global warming and unstable abnormal climate changes, water resources differences between regions and water shortage are occurring. Therefore, the water resources management is becoming more important for the stable securement of future water supply and demand. Researches on Smart Water Grid (SWG), which is considered as a new method, that can stably secure and maintain the water resources, are actively being conducted but it is still in infancy. Thus, this study aimed to design SWG simulator based on GIS in order to provide integrated water information in web environment. The user's requirements were analyzed for system development and important functions such as SWG current situation checking, future prediction, filtration plant situation checking functions were designed and data expression techniques using GIS and HTML5 were applied to enhance the understanding of the users. Also, when the emergency situations occurred, the solving process of the situations are reproduced to check the solution process using scenario reproduction functions. Use-case, class, sequence diagram, which are a design for real system development and defines the system usage contents of users, were written, and the story board was written to check the final development contents. This study designed a SWG simulator in order to support the water maintenance reacting to climate changes. The development of system is expected to help securing information to deal with emergency situations such as water shortage and help the decision maker to make decision through reproduction of scenario. The major functions were designed for the convenience of water resource manager and producer but new contents for consumers must be developed to enable duplex information transmission.

• Journal of the Korean association of regional geographers
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• v.10 no.2
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• pp.447-465
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• 2004

This paper is to analyze citizens' consciousness on urban changes, especially focusing on changes in urban environment, spatial structure, and urban planning, of large cities in S. Korea, that is, Seoul, Daejeon, Daegu, and Kwangju in the 1990s. Some significant points can be described as follows. First. The most important factor influencing on the change of urban spatial structure was the expansion of residential area inner and outside of cities promoted by the traditional construction industry, and not development of high-tech industries and their complex or location of multi-national firms which can be emphasized as major factors of new urbanization process of global cities. Secondly, citizens seem to have experienced improvement and deterioration of urban environment simultaneously, emphasizing regulatory environmental policy on the one hand, and recognize the necessity of sustainable urban development within given environmental capacity and restoration of destructed and polluted environment of cities. Thirdly, the building boom of new apartment complex was a major driving force of changing urban spatial structure, but it could neither alleviate a residential gap between the poor and the rich areas nor a relief of traffic congestion. Finally, the urban policy in general was felt somewhat improved by citizens, but not in sectoral details.