• 제목/요약/키워드: Regional level

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지역 의료불평등 해소를 위한 미충족 의료지표 활용의 비판적 분석 (Critical Analysis of Unmet Healthcare Needs Index for Addressing Regional Healthcare Inequality)

  • 박유경;김진환;김선;김창엽;한주성;김새롬
    • 보건행정학회지
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    • 제30권1호
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    • pp.37-49
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    • 2020
  • Background: Unmet healthcare needs have many advantages for measuring inequalities in healthcare use. However, the existing indicator is difficult to capture the reality of unmet healthcare needs sufficiently and is not quite appropriate in comparing regional inequality. The purpose of this study is to critically analyze the utilization of the unmet healthcare need indicator for regional healthcare inequalities research. Methods: We used the level of healthcare accessibility and healthcare need to categorize the regions that are known to cause differences in healthcare utilization between regions and verified how existing unmet healthcare need indicator is distributed at the regional level. Results: Four types of regions were classified according to the high and low levels of healthcare needs and accessibility. The hypothesis about the regional type expected to have the highest unmet healthcare need was not proved. The hypothesis about the lowest expected regional type was proved, but the difference in the average rate of unmet healthcare needs among regional types was not significant. The standard deviation of the rate of unmet healthcare needs among regions within the same type was also higher than the overall regional variation, which also disproved the whole frame of hypothesis. Conclusion: Failure to prove the hypothesis means the gap between the supposed meaning of the indicator and the reality. In order to understand the current state of healthcare utilization of people in various regions of Korea and to resolve inequality, fundamental research on the in-depth structure and mechanisms of healthcare utilization is needed.

1990년대 중국 사영기업의 성장과 지역발전 (The Growth of Private Enterprises in the 1990s and Regional Development in China)

  • 이원호
    • 한국경제지리학회지
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    • 제8권2호
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    • pp.285-299
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    • 2005
  • 1978년 말 시작된 중국의 경제개혁은 시간이 지남에 따라 그 속도와 깊이가 심화되고 있으며, 특히 최근에 진행되고 있는 사영기업의 성장이 갖는 의미는 경제적으로나 정치적으로 매우 중요하지만, 공간적으로도 그 발전의 차별성으로 인해 특정지역의 발전과 지역불균등 성장패턴에 미치는 영향이 심대하다. 본 연구는 사영기업의 발전경로를 규정해 온 제도적 변화와 함께 사영기업 성장의 지역구조를 이해하고자하였다. 사영기업의 성장 이면에는 경제개혁의 근본접근양식이 시장화전략과 경제개혁이 진행됨에 따라 나타나는 실업의 문제해결이라는 중요한 동기가 자리 잡고 있다. 사영기업 발전의 지역패턴 또한 지속적으로 심화되는 공간적 차별화에 의해 특징 지워진다. 지역통계자료에 기초한 일차적인 분석결과, 사영기업의 발전은 지역경제의 시장화정도와 밀접한 관련성을 보이게 된다. 따라서 향후 경제발전의 지역적 패턴특정은 경제 개혁의 진전과 시장화 수준에 따라 결정될 것으로 생각되며, 이는 향후 지역발전을 위한 전략 수립에서 사영기업 발전전략이 차지하는 중요성을 뚜렷히 보여준다.

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통합대기환경지수와 지역내총생산에 의한 지역개발매력도 분석 - 충청남도 시·군을 대상으로 - (Analysis of Regional Development Attractiveness of Comprehensive Air-quality Index and Gross Domestic Product - Focusing on Cities and Counties in Chungcheongnam-do -)

  • 이병학;정남수
    • 농촌계획
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    • 제29권3호
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    • pp.91-97
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    • 2023
  • The purpose of this research is to apply the regional development attractiveness of the national level determined in the previous study to the city and county level of Chungcheongnam-do. We verified results with the population change of the floating population data. In order to measure regional development attractiveness in 2020, Chungcheongnam-do's integrated air environment index and per capita gross regional product were gathered. Population movement data over the past five years have been used to analyze population changes in the floating population data. Regional development attractiveness depended on the data of GDP per capita, which had a large difference between the maximum and minimum values. The rate of increase or decrease in population change by city and county in Chungcheongnam-do over the past five years has changed significantly since 2021 and characteristics of each group were grouped into four groups. Based on the environment and economic feasibility of the region, it can be the starting point for a new analysis of Korea's regional development projects and the selection of target sites. Policy suggestions can also be made in spatial plans such as short-term comprehensive plans, long-term comprehensive plans, and development plans. It can be a limit of this research that regional development attractiveness was determined by the relatively large per capita gross domestic product. It is necessary to further develop regional development attractiveness by closely investigating the characteristics of the region, social problems, and emissions of environmentally harmful substances.

기후변화정책 우선순위 연구 (Study on Priorities of Regional Climate Change Policy)

  • 황은주;최윤혁;김종대
    • 한국환경과학회지
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    • 제25권4호
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    • pp.589-601
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    • 2016
  • This study aims to analyze the priority of regional climate change policy utilizing AHP (analytic hierarchy process) at the area of Metropolitan City of Incheon. It derives four factors at first hierarchical level, at which level the analysis of pair-wise comparison indicates that industrial sector, energy sector, climate change response, and green culture policy are considered important in that order. It also ends up with sixteen factors at second level. The result of comparison analysis between all factors reveals that investment promotion in green technology R&D is considered the most significant factor of all, followed by establishment of green enterprise support system, electricity-efficiency enhancement support project and build-up of green culture policy governance. The result implies that diverse promotional policies have to incorporate business, institutional, and cultural aspects for sustainable climate change policy of regions. The contribution of this study is that it highlights the need to include regional characteristics in deciding priority among policy options for them to be effective.

Regional Financial Development, Firm Heterogeneity and Investment Efficiency

  • Zhang, Ruonan;Yin, Hong
    • The Journal of Asian Finance, Economics and Business
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    • 제5권4호
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    • pp.73-83
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    • 2018
  • The purpose of this paper is to examine the relationship between regional financial development and corporate investment efficiency as well as the relationship between firm-level characteristics and corporate investment efficiency. Using a large sample of A-listed companies in China from CSMAR database between 2003 and 2016, this paper explores corporate investment efficiency and its influencing factors in emerging market on the basis of heterogeneous stochastic frontier model. The results show that: (1) the average investment efficiency of Chinese listed companies is 74.5%, and the investment efficiency of large enterprises, state-owned enterprises and enterprises with relatively high financial development level is significantly higher; (2) compared with average corporate investment efficiency in the year 2003, the investment efficiency of different types of enterprises in 2016 is significantly higher, and the gap is gradually widening; (3) enterprise heterogeneity namely firm size, nature of property right, and institutional environment reflected by the level of regional financial development indirectly affects corporate investment efficiency by influencing the financing constraints and uncertainty. The findings suggest that to improve corporate investment efficiency in emerging market, financial market should be accelerated, regional balance should be restored and the differences among regions, industries and differences between public and private sectors should be eliminated.

Multilevel Analysis on Spatial Distribution and Socio-Environmental Factors of Dental Caries in Korean Children

  • See-in Park;Changmin Im;Gimin Kim;Jaesik Lee
    • 대한소아치과학회지
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    • 제51권1호
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    • pp.40-54
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    • 2024
  • This study aims to identify the regional distribution in the prevalence of dental caries and related multidimensional factors among 12-year-old children in Korea. Data from the 2018 Child Oral Health Survey were used to calculate the average DMFT index of 12-year-old children in metropolitan cities, and a multi-level regression model was applied to explain the regional distribution of dental caries prevalence and related factors. Factors were divided into two levels by administrative structure. This study finds a significant regional difference in the prevalence of dental caries in 12-year-old Korean children across metropolitan cities. Multilevel analysis showed that district-level factors (average number of pit and fissure-sealed permanent teeth, dental treatment demand rate, preventive treatment rate, sex ratio, and number of dentists per 100,000 people) and metropolitan-level factors (intakes of cariogenic beverages and number of pediatric dental hospitals and clinics per 100,000 people) had a significant effect on dental caries prevalence (p < 0.05). Individual characteristics and local socio-environmental factors influence the prevalence of dental caries. Especially considering the strong dependence on preventive treatment and accessibility to dental care services, it is necessary to provide adequate preventive treatment and expand health care resources in high-risk areas of dental caries.

노인 기분장애 영향요인에 관한 실증적 연구: 지역사회 특성의 영향을 중심으로 (An Empirical Study on Factor Associated with Mood Disorders in Elderly: Focusing on the Influence of Community Characteristics)

  • 장미승;심익섭
    • 보건행정학회지
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    • 제27권2호
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    • pp.177-185
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    • 2017
  • Background: The mental problems of the elderly are at issue as a serious social phenomenon. The purpose of this study is to identify risk factors affecting the mood disorders of the elderly. Methods: The subjects were 1,779,236 aged ${\geq}65$ and participated in health screening. Dependent variable was mood disorders. Independent variables were consisted of community level (regional deprivation index and healthcare resources) and individual level (sex, age, insurance type, disability, smoking, alcohol, physical activity, body mass index, and healthcare utilization). Multilevel logistic regression was performed. Results: At the individual level, women, employed insured, severely disabled people, heavy alcohol drinkers, high-intensity physical activity, body mass index, and patients who had chronic disease and severe disease were significantly associated with mood disorders. As the age has increased, it has let increase of mood disorders. At the community level, as the regional deprivation index has increased by 1, mood disorders has been increased by 1.005 times. The intra-class coefficient was 7.04%. Conclusion: We found individual and community level factors are associated with mood disorders. Systematic approach is essential to reduce mood disorders.

도농통합시의 지속가능한 개발을 위한 지역특성 분석 (An Analysis of the Regional Characteristics in Agropolitan Cities for Sustainable Development)

  • 박경훈;정성관;최원명
    • 한국지리정보학회지
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    • 제3권2호
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    • pp.37-47
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    • 2000
  • 도시와 농촌간의 균형 있는 발전을 유도하기 위해서 탄생된 도농통합시는 지역특성을 고려하지 않은 무분별한 개발양상으로 인해 지역적 불균형이 더욱 심화되고 있는 실정이다. 따라서, 본 연구는 경상북도의 도농통합시를 대상으로 지속가능한 공간계획을 수립하기 위한 선행연구로서 지역특성 및 유형화 분석을 수행하고자 하였다. 먼저, 지역특성을 규명하기 위해서 인구규모, 농업구조, 생활환경 등이 반영된 변수들을 중심으로 인자분석을 적용한 결과, 개발지향적 인자, 농업적 인자, 생활환경적 인자, 미작적 인자, 과수적 인자가 추출되었고, 지역유형은 과수농업중심형, 중 소규모 농업형, 과소 침체 농촌형, 도시화 진행형, 도시 농촌 혼재형, 동남부해안 공업형으로 군집화되었으며, 지역유형구분의 신뢰도를 통계적으로 검증하기 위해 판별분석을 적용한 결과, 제II, V, VI유형은 100%이고, 나머지 유형은 90%정도의 신뢰도를 가지는 것으로 나타났다.

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Exchange Nailing for Aseptic Nonunion of the Femoral Shaft after Intramedullary Nailing

  • Ha, Sung-Soo;Oh, Chang-Wug;Jung, Jae-Wook;Kim, Joon-Woo;Park, Kyeong-Hyeon;Kim, Seong-Min
    • Journal of Trauma and Injury
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    • 제33권2호
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    • pp.104-111
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    • 2020
  • Purpose: Although exchange nailing is a standard method of treating femoral shaft nonunion, various rates of healing, ranging from 72% to 100%, have been reported. The purpose of this study was to evaluate the efficacy of exchange nailing in femoral shaft nonunion. Methods: We retrospectively reviewed 30 cases of aseptic femoral shaft nonunion after intramedullary nailing. The mean postsurgical period of nonunion was 66.8 weeks. A nail at least 2 mm larger in diameter was selected to replace the previous nail after reaming. Distal fixation was performed using at least two interlocking screws. The success of the procedure was determined by the finding of union on simple radiographs. Possible reasons for failure were analyzed, including the location of nonunion, the type of nonunion, and the number of screws used for distal fixation. Results: Of the 30 cases, 27 achieved primary healing with the technique of exchange nailing. The average time to achieve union was 23.1 weeks (range, 13.7-36.9 weeks). The three failures involved nonunion at the isthmic level (three of 15 cases), not at the infraisthmic level (zero of 15 cases). Of eight cases of oligotrophic nonunion, two (25%) failed to heal, and of 22 cases of hypertrophic nonunion, one (4.5%) failed to heal. Of 11 cases involving two screws at the distal fixation, two (18.2%) failed to heal, and of 19 cases involving three or more screws, one (5.3%) failed to heal. None of these findings was statistically significant. Conclusions: Exchange nailing may enable successful healing in cases of aseptic nonunion of the femoral shaft. Although nonunion at the isthmic level, oligotrophic nonunion, and weaker distal fixation seemed to be associated with a higher chance of failure, further study is needed to confirm those findings.

정보공간구조의 형성과 물ㆍ인적 자원재편에 관한 고찰 (A Study on the Reorganization of Material and Labour in the Information Space Structure)

  • 원동규
    • 기술혁신학회지
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    • 제6권1호
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    • pp.20-40
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    • 2003
  • Many studies have regarded an information infrastructure as one of the crucial factors for national or regional innovation in the information society, but few studies have empirically tested the role and the effects of it. Also, the information society have been studied to what extent, but information space structure and the reorganization for the resource of the material and the labour have not been considered. Therefore, this study is examining the relation between the linkage structure and the information change in the manufacturing sector. And for the empirical analyses, regional labour data for 16 Metropolitan Areas(Si) and Provinces(Do) in 1991-1996 are used. An analytical model and hypotheses are proposed for empirical testing. The main finding is that if inter-regional wages condition is identical, inter-regional labour flow has positive correlations with regional information level.

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