• Journal of Preventive Medicine and Public Health
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• 제54권3호
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• pp.208-217
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• 2021

Objectives: In spite of the importance of green space for reducing obesity-related problems, there has been little exploration of whether access to green space (e.g., parks and recreational facilities) influences the obesity rate of adults in the United States. The purpose of the study was to investigate the relationships among accessibility of green space, obesity rates, and socioeconomic and demographic variables among adults living in the State of Indiana, United States. Methods: We conducted a secondary data analysis to investigate the relationships among accessibility to green space, obesity rates, and socio-demographic variables with employing Geographic Information System in order to measure the accessibility of green space. Results: This study found that accessibility of green space served as a strong predictor of reduced obesity rates among adults (β=-2.478; p<0.10). In addition, adults with higher education levels, as well as better access to green space, were found to have even lower obesity rates (β=-0.188; p<0.05). Other control variables such as unemployment rates, food security, and physical inactivity are additional factors that influence obesity rates among adults. Conclusions: Accessibility of green space may play an important role in facilitating physical activity participation and reducing obesity rates.

• Journal of Preventive Medicine and Public Health
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• 제29권2호
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• pp.215-225
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• 1996

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.

• 대한소아치과학회지
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• 제49권4호
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• pp.453-467
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• 2022

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.

• 한국병원경영학회지
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• 제23권2호
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• pp.28-41
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• 2018

Purpose: This study purposed to analyze the spatial accessibility of mental health institutions in Ganwon-Do using Geographic Information System and to suggest policy implications. Methodology: Network analysis was applied to assess the spatial accessibility of mental health institutions in Gangwon-Do. To perform the network analysis, network data set was built using administrative district map, road network, address of mental health institutions in Gangwon-Do. After building network data set, Two network analysis methods, 1) Service area analysis, 2) Origin Destination cost matrix were applied. Service area analysis calculated accessive areas that were within specified time. And using Origin Destination cost matrix, travel time and road travel distance were calculated between centroids of Eup, Myeon, Dong and the nearest mental health institutions. Result: After the service area analysis, it is estimated that 19.63% of the total areas in Gangwon-Do takes more than 60 minutes to get to clinic institutions. For hospital institutions, 23.08% of the total areas takes more than 60 minutes to get there. And 59.96% of Gangwon-do takes more than 30 minutes to get to general hospitals. The result of Origin-Destination cost matrix showed that most Eup Myeon Dong in Gangwon-Do was connected to the institutions in Wonju-si, Chuncheon-si, Gangneung-si. And it showed that there were large regional variation in time and distance to reach the institutions. Implication: Results showed that there were regional variations of spatial accessibility to the mental health institutions in Gangwon-Do. To solve this problem, Several policy interventions could be applied such as mental health resources allocation plan, telemedicine, providing more closely coordinated services between mental health institutions and community mental health centers to enhance the accessibility.

• 보건행정학회지
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• 제27권4호
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• pp.315-323
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• 2017

Background: This study was purposed to analyze the effect of spatial accessibility to the psychiatry department in general hospital on the outpatient visit of mental patients. Methods: Data was provided from the Statistics Korea and Statistical Geographic Information Service, National Health Insurance Service, Health Insurance Review and Assessment Service, and Korea Transport Institute in 2015. The study regions were 103 administrative regions such as Si and Gu. The 103 regions had at least one general hospitals with a psychiatry department. The number of outpatient visit of mental patients in regions was used as the dependent variable. Spatial accessibility to mental general hospital was used as the independent variable. Control variables included such as demographic, economic, and health medical factors. This study used network analysis and multi-variate regression analysis. Network analysis by ArcGIS ver. 10.0 (ESRI, Redlands, CA, USA) was used to evaluate the average travel time and travel distance in Korea. Multi-variate regression analysis was conducted by SAS ver. 9.4 (SAS Institute Inc., Cary, NC, USA). Results: Travel distance and time had significant effects on the number of outpatient visits in mental patients in general hospital. Average travel time and travel distance had negative effects on the number of visits. Variables such as (number of total population, percentage of aged population over 65, and number of mental general hospital) had significant effects on the number of visit in mental patients. Conclusion: Health policy makers will need to consider the spatial accessibility to the mental healthcare organization in conducting regional health planning.

• 보건의료산업학회지
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• 제13권1호
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• pp.15-30
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• 2019

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.

• 한국문헌정보학회지
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• 제34권4호
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• pp.143-160
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• 2000

본 연구는 지리정보 유통정책에 관한 이해관계집단의 인식을 파악하고, 이를 기반으로 지리정보의 이용활성화를 위한 유통정책 방향을 모색하는 데에 그 목적이 있다. 우선 정책담당자들을 대상으로 한 면담을 통해 현재 지리정보 유통정책의 문제와 성격을 밝히고, 정책담당자들간에 공유정도가 높은 문제와 대립정도가 큰 정책문제들을 구분하였으며, 이를 근거로 주요 정책문제를 도출하였다. 면담결과에서 도출된 정책 문제들을 중심으로 이해관계집단에 대해 설문조사를 실시하였으며, 이러한 조사결과를 바탕으로 지리정보의 이용 활성화를 위한 유통정책의 방향을 제시하였다.

• 농촌계획
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• 제10권3호
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• pp.41-51
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• 2004

This study aims to develop a potential evaluation method for urban spatial expansion using remote sensing (RS) and geographic information system (GIS). A multi-criteria evaluation method with several criteria and their weighting values was introduced to evaluate the score and quantification of the potential surface around the existing cities. The six criteria with one geographic factor, slope, and five accessibility factors, time distance from center of the city, national road, interchange of expressway, a big city, and station, were defined for the potential. RS techniques were applied for classification of the actual urban expansion maps between two periods, and GIS functions were used for score of accessibility criteria with a distance decay function from geographic, road and several point maps, which was developed in this study. The new methodology was applied to a test area, Suwon, between 1986 and 1996. In order to optimize the six weighting values, this study made new findings to search the optimal combination of the weighting values from new methodology, weighted scenario method for intensity order (WSM), combined with intensity order and AHP method, including a trial and error method for sensitivity analysis to make the intensity order. The optimal combination of the weighting values by the new method generated the optimal potential surface, considering spatial trend of urban expansion in the test area.

• 한국GIS학회:학술대회논문집
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• 한국GIS학회 2007년도 추계학술대회
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• pp.247-256
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• 2007

접근성은 주로2차원 네트워크를 기반으로 도시나 교통문제 등에 적용되어왔다. 그러나 대규모 복합 건물들이 생겨나면서 접근성과 같은 계량적인 측정이 요구된다. 따라서 본 연구에서는 3차원 공간에서의 접근성을 산출하는 방법을 제안하고 기존의 전통적인 Space Syntax에서의 접근성 산출방법과 이를 3차원 공간 내에 적용하기 위한 새로운 방법을 제안한다. 본래 Space syntax는 거리나 시간과 같은 비용을 고려하지 않은 토폴로지 기반의 이론이지만,본 연구에서는 공간간 거리,층간 이동 등의 부하를 고려함으로써 공간의 깊이를 산출하였다. 개발된 방법은 캠퍼스 건물모델에 적용하여 비교 분석하였다.

• 한국지리정보학회지
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• 제17권4호
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• pp.112-128
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• 2014

본 연구에서는 구미시를 사례로 매개 변수값의 변화에 따른 2SFCA(2 Step Floating Catchment Area) 기반 접근성 변화의 지역 특성을 분석하였다. 2SFCA는 기본인구가 증가하면 접근성이 감소하고, PPR(Provider to Population Ratio)이 증가하면 접근성이 증가하는 일반적인 경향을 보였다. 구미시 내부의 지역 특성을 분석하기 위해서 민감도 분석 과정에서 군집분석을 수행하였다. 지역 특성은 다음과 같다. 첫째, 구미시 읍면 외곽지역처럼 노인복지시설과 멀리 떨어져 있는 지역은 매개 변수값의 변화에 따른 접근성 변화가 미미하였다. 둘째, 기존 노인복지시설 주변 지역은 매개 변수값의 변화에 따라 접근성이 개선되거나 약화되는 다양한 양상을 보였다. 노인인구가 많고 노인복지시설이 밀집해 있는 동 지역에서는 PPR의 변화에 따른 접근성 변화가 크고, 나머지 지역은 기본인구 변화에 따른 접근성 변화가 크게 나타났다. 셋째, 매개 변수값이 커지면 여러 곳의 노인복지시설을 이용할 수 있는 구미시 중앙구역에서 전반적으로 접근성이 양호해지는 양상을 보였다. 향후, 2SFCA 기반의 접근성 분석 과정에서 매개 변수값 선택을 위한 신중한 시나리오 적용이 필요할 것이다.