• Title/Summary/Keyword: Medical accessibility

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Emergency Room access by Population Density and distance of Daegu Metropolitan city (대구광역시의 인구밀집과 거리에 따른 응급실 접근성)

  • Kim, Myung-Gwan;Han, Seung-Woo;Kim, Ki-Hyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.7
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    • pp.218-223
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    • 2020
  • This study examined the accessibility of emergency rooms according to the population density and distance in Daegu Metropolitan City to help improve the quality and emergency medical accessibility problems in Daegu Metropolitan City. To observe the geographical requirements, the number of population in eup, myeon, dong, available emergency, and available emergency compared to the population were mapped through the S-GIS of Statistics Korea to visualize the data based on the 3km radius. To determine the difference in accessibility to emergency rooms for each district in Daegu Metropolitan City, the data were analyzed by ANOVA and Scheffe. According to the average number of emergencies available in Daegu Metropolitan City within a 3-kilometer radius were 5.7 in Jung-gu, 5.0 in Nam-gu, 1.6 in Buk-gu, 0.4 in Dong-gu, 2.4 in Seo-gu, 0.9 in Suseong-gu, 3.5 in Dalseo-gu, and 0.1 in Dalseong-gun; there was a statistically significant difference (p<.001). The available emergency within a 3km radius and available emergency per 1,000 people were concentrated in the center. Therefore, it may be necessary to institute an urban emergency medical network by establishing a point that serves as an intermediate hub to provide emergency medical care to citizens far from the center.

THE APPLICATION OF GIS FOR EFFECTIVE DISTRIBUTION OF THE EMERGENCY MEDICAL SERVICE AREA

  • Yang Byung-Yun;Hwang Chul-Sue
    • Proceedings of the KSRS Conference
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    • 2005.10a
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    • pp.61-64
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    • 2005
  • The purpose of this paper is to take a closer look at an area having shorted emergence facilities and to determine optional candidate sites instead of vulnerable area by using GIS spatial analysis. Newly determined new candidate is performed by concerning spatial efficiency and spatial equity for a public service. It was determined through using the analyzing of the physical accessibility measure, the Location-Allocation, sort of classic model in spatial statistics and general network analysis. The area of this research has been used in administrative boundary of Young-Dong in Gangneung including 13 emergency, medical hospitals, 46 fire-stations and sub-fire stations. In general terms, what all this show is that the way we are approached for geographical view from using GIS spatial analyzing technique of determined location and allocation problem by the social, economical, political factor and simple administrative discrimination at the meantime. At the same time, with problem occurred in the space it is possible to make an Effective proposal or means, policy, decision for new candidate location-allocation suggesting optimum model.

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The Effects of International Medical Tourism Service Quality on Perceived Value (국제의료관광 서비스 품질이 지각된 가치에 미치는 영향에 관한 연구)

  • Lee, Chang-Nam;Kim, Hyun-Ju;Hwang, Il-Young
    • International Commerce and Information Review
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    • v.15 no.4
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    • pp.3-25
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    • 2013
  • With the ever-changing medical tourist environment, the study has delved into issues ranging from judged value on medical tourist service quality and its effect on the service level and recurring rate of return visit through the quantitative analysis with the survey for a group of tourists from Japan, China, USA and the interview survey on medical specialist on tourists. Verifying the Hypothesis 1 reveals the assertion that quality of medical service for tourists has effected upon the functional value has proven to be true except the cases on responsiveness and accessibility. And the assumption that the quality of medical service for tourists has effected upon the emotional value has proven to be true except the case on accessibility. The paper has its limitation in that it is confined to medical tourists of small numbers of target countries, relatively short survey period. The study shall be followed by the further analysis on the factors for medical tourists' personal and societal effect

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Quality Analysis of Smart Application Contents for the Convenience of Care and Hospital Access (진료의 편의성과 병원 접근성 증진을 위한 스마트 어플리케이션 콘텐츠의 질적 분석)

  • Lee, Jae Bin;Kim, Ji Hye;Bok, Jeong Hee;Woo, Hyekyung
    • Korea Journal of Hospital Management
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    • v.25 no.1
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    • pp.1-12
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    • 2020
  • Purposes: The aim of this study is to evaluate whether the contents of hospital reservation and reception applications(apps) are qualitatively useful in meeting the needs of medical consumers and improving hospital accessibility and convenience. Methodology: (1) identify consumer needs through social data web mining, (2) describe the status of key contents of mobile apps to improve accessibility and convenience of care, and (3) verify the quality of apps through validated tools Finding: The contents of 'mobile reservation function' and 'waiting time information provision' that can contribute to reduction of delay time of care and efficiency of desk work were supported, but the level of utilization was insufficient. The quality level of the app, including the level of consumers' needs, has shown a wide gap between the apps. Implications: The recent development of mobile apps for hospital accessibility and consumer needs has shown a wide gap in the quality of apps, including information and aesthetic. Therefore, it is necessary to develop apps based on user interface(UI), user experience(UX) based designs that can promote the usefulness and convenience of apps while monitoring needs of consumers continuously.

The Chromatin Accessibility Landscape of Nonalcoholic Fatty Liver Disease Progression

  • Kang, Byeonggeun;Kang, Byunghee;Roh, Tae-Young;Seong, Rho Hyun;Kim, Won
    • Molecules and Cells
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    • v.45 no.5
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    • pp.343-352
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    • 2022
  • The advent of the assay for transposase-accessible chromatin using sequencing (ATAC-seq) has shown great potential as a leading method for analyzing the genome-wide profiling of chromatin accessibility. A comprehensive reference to the ATAC-seq dataset for disease progression is important for understanding the regulatory specificity caused by genetic or epigenetic changes. In this study, we present a genome-wide chromatin accessibility profile of 44 liver samples spanning the full histological spectrum of nonalcoholic fatty liver disease (NAFLD). We analyzed the ATAC-seq signal enrichment, fragment size distribution, and correlation coefficients according to the histological severity of NAFLD (healthy control vs steatosis vs fibrotic nonalcoholic steatohepatitis), demonstrating the high quality of the dataset. Consequently, 112,303 merged regions (genomic regions containing one or multiple overlapping peak regions) were identified. Additionally, we found differentially accessible regions (DARs) and performed transcription factor binding motif enrichment analysis and de novo motif analysis to determine new biomarker candidates. These data revealed the gene-regulatory interactions and noncoding factors that can affect NAFLD progression. In summary, our study provides a valuable resource for the human epigenome by applying an advanced approach to facilitate diagnosis and treatment by understanding the non-coding genome of NAFLD.

Medical Accessibility Analysis by Optical Store and Ophthalmic Clinic Distribution (Centering on Special and Metropolitan Cities) (안경원과 안과의원 분포에 따른 의료접근도 분석 (특별시와 광역시 중심으로))

  • Ye, Ki-Hun;Lee, Wan-Seok
    • Journal of Korean Ophthalmic Optics Society
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    • v.21 no.3
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    • pp.159-171
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    • 2016
  • Purpose: This study investigated medical accessibility on optical stores and ophthalmic clinics of Seoul Special City and six other metropolitan cities. Methods: By using a number of households, population, optician stores, ophthalmic hospitals, and real estate (apartments) standard market price of Seoul Special City and six other metropolitan cities provided by the Commercial District Information System (2016.6) of Small Enterprise & Market Authority, we analyzed the level of healthcare accessibility and business area zones, Statistical analyses were performed with SPSS 18.0. Results: Inchon (household 2,227/population 5,723) had the highest household and population rate per optical store, and Gwangju (1,146/2,979) had the lowest. Gwangju (24,612/63,987) had the highest household and population rate per optical store, and Seoul (10,021/24,432) had the lowest. From the consumer and patient's point of view, lower household rate per optical store is a city with good accessibility to healthcare, but from an optical store and ophthalmic clinic's view, it will have great difficulty due to issues of competition. Conclusions: Consumers and patients should be the center of healthcare. A healthcare system that can provide smooth service anywhere anytime should be constructed. However, most metropolitan cities, including Seoul, have optical stores and ophthalmic clinics densely populated where profitability and liquidity are ensured and causing unbalanced distribution of healthcare. To solve such problems, we need proper distribution of optician stores according to the population proportion and industrial-educational research to find balance point of local healthcare.

A study on utilization behavior for hospital injury inpatient in Gyeongsangnam-do (경남지역 입원손상환자의 의료이용에 관한 연구)

  • Nam, Mun-Hee;Kun, Yeong-Chae
    • Journal of Digital Convergence
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    • v.10 no.5
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    • pp.289-299
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    • 2012
  • The study was carried out to provide basic data of improving the accessibility of medical service through identifying the factors that make hospital injury inpatient in non-residential area not in their residential area in Gyeongsangnam-do. This study analyzed not only 8,225 cases of discharged patients with damages from 2008, provided by the Korea Centers for Disease Control and Prevention, but also using a census and a research data on the actual condition from health care system. This study conducted a frequency test, a chi-square test and a logistic regression In result, first, the centralization of medical utilization of patients with damages is apparent centrally the city area. Second, medical utilization of injury patients in non-residential areas were significantly higher local area compared to City area. To improve this, a policy that can not only provide medical centers and sickbed, but also improve the quality of local medical treatments for the localization of medical treatments, for the accessibility of medical services, government is demanded policy for patients with damages in local area.

A Diagnostic Study for Health Management on Workers in Small Scale Enterprises from the Perspective of the PRECEDE Model (소규모 사업장 근로자의 건강관리를 위한 진단적 연구 - PRECEDE 모형을 중심으로 -)

  • Kim, Chun-Mi;Choi, Jeong-Myung;Jung, Hye-Sun;Kim, Hee-Girl;Kim, Soon-Lae;Yun, Soon-Nyung
    • Korean Journal of Occupational Health Nursing
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    • v.12 no.2
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    • pp.110-122
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    • 2003
  • Purpose: The purpose of this study is to make a systemic assessment on the level of self-efficacy, social support, and accessibility to medical services, health status, health promoting behaviors, and the quality of life of workers in small scale enterprises. RECEDE model developed by Green and Kreuter for the purpose of a comprehensive assessment research was used. Method: The number of subjects was 199 workers in small scale enterprises at Youngdeungpo-gu and Sungdonggu, Seoul. Data were collected between October and December, 200 through a self-reported questionnaire. And data were analyzed by descriptive statistics, t-test, and F-test. Result: 1. The level of quality of life was 3.08, and general health status was 2.75. There was no significant difference by sex, age, marital status, job, and perceived health status. 2. The level of health promotion life style was 2.09. There was no significant difference by sex, age, marital status, and job. But there was significant difference by perceived health status. 3. The level of self-efficacy, social support and accessibility to medical services were 3.04, 2.85, and 1.45. Conclusion: The results of this study suggest that it is necessary to develop the systematic health promotion programs that can strengthen self-efficacy and health status, and supplement social support and accessibility to medical services, and to encourage health promoting behavior in order to improve quality of life for workers in small scale enterprise.

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The Present Condition of Nursing Home & Accessibility to Health Center and Hospital from Nursing Home in Rural Area by Web GIS Analysis (노인장기요양시설의 현황 및 Web GIS 분석에 의한 농촌지역 요양시설과 보건소·병원간의 접근성)

  • Nam, Yun-Cheol;Park, Kyoung-Ok
    • Journal of the Korean Institute of Rural Architecture
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    • v.12 no.4
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    • pp.29-36
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    • 2010
  • The purpose of this study is to have detailed data of the distribution, locations, and the amount of people in the waiting line of the nursing home. Also, we studied the accessibility to the facilities by using Web GIS to analyze the transit time it takes from the nursing home to health center and hospitals. We can provide the basic data that could contribute when future plans for the nursing homes' locations, health and medical policy are made. The results are as follows. 1. The nursing homes are stiffly concentrated in regions of Seoul and Gyeongi-do where large number of the elderly covered by long-term care insurance and the waiting line was very long for the elderlies to enter the nursing homes. In these cities of Ulsan and Jeju where number of the elderly covered by long-term care insurance is relatively small, there were less facilities. 2. The nursing homes located in urban areas had higher occupancy rate and higher number of people in the waiting line. 3. The average time taken by driving from the nursing homes and health center was 10 minutes and there was not a noticeable difference between the cities. Driving from the nursing homes to hospitals in rural areas took 22 minutes which is 2.5 times of the time taken for urban areas. Daegu-si and Incheon-si had relatively short distance from the nursing homes and the hospitals while Jeju-do had the furthest. For rural areas, it is needed for health center to be equipped with a wider medical coverage, have closely connected with hospitals to minimize the differences they have from ones in rural areas. It is also needed to have ambulances equipped for tele-medical examination and treatment system.

Effect of Healthcare Quality on Recommended Intention in Vietnam A Hospital : Focusing on Customer Satisfaction Mediated Effects (베트남 A 병원의 의료서비스 품질이 추천의도에 미치는 영향 : 고객 만족도 매개효과를 중심으로)

  • Kim, Bo-Ha;Hwang, Mi-Kung;Lee, Won-Jae
    • Journal of radiological science and technology
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    • v.44 no.2
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    • pp.133-140
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    • 2021
  • This study aims to analyze the quality and satisfaction of healthcare perceived by patients using hospitals and to provide basic data necessary for expanding and settling Vietnamese healthcare services by analyzing the impact on recommendation intentions. The research method selected one hospital in Vietnam and collected data from patients using the hospital and used a total of 286 effective samples as data for hypothesis verification. The research model and hypothesis verification were analyzed with the statistical data from SPSS and AMOS. The findings show that, first, tangibility, accessibility, and reliability all have a positive effect on the quality of healthcare. Second, it has been shown that only accessibility among the quality of healthcare has a positive effect on recommendation intentions. Third, customer satisfaction has been shown to have a positive effect on recommendation intentions. Fourth, when looking at the mediating effect, reliability among the quality of healthcare was shown as a full-mediated effect, but accessibility was shown to have a partial mediating effect and tangibility to have no mediating effect. Contact management is important because customer satisfaction is highly regarded when customers feel positive emotions at the interface from the provision of convenience facilities that support medical services to the reduction of waiting time for patients, employees kindness, treatment, medication, and inspection. It is also confirmed that the demand for convenient and rapid use of hospitals is increasing in Vietnam. In addition, if customer satisfaction is increased through friendly medical staff's response, the intention of recommendation will be even greater.