• Journal of Preventive Medicine and Public Health
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• 제29권2호
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• pp.311-329
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• 1996

This study was designed to compare the level of medical utilization between the urban and rural areas of Korea and to explain the differences between the two regions. Data from the National Health Interview Survey performed by the Korean Institute of Health & Social Affairs in 1992 were used for this study utilizing a sample size of 21,841 people. The level of medical utilization such as the number of physician visits and the number of hospital admissions was compared between the regions with ANOVA. Various determinants for medical use were also compared by univariate analysis. Statistical models which included enabling factors, predisposing factors, need factors and region were constructed for bivariate analysis in order to further elucidate the level of medical utilization. The results were as follows: 1. There was greater medical use, both in terms of physician visits and inpatient care in the rural areas in spite of insufficient health resources. The particular reasons for higher medical utilization in rural areas were attributed to a higher number of initial physician visits as well as a longer the length of stay per hospital admission. Therefore, indicators representing the degree of met need (utilization/need) showed no significant difference between rural and urban areas in spite of the fact that the medical need is larger in rural areas. 2. Use of public health facilities received a significant portion of physician visits in the rural area. The government's effort to enhance primary health care through health centers, health subcenters and the nurse practitioner's post in rural areas has contributed to the increase of access to medical care in the rural areas. 3. There were some differences in the socio-demographic characteristics between two regions ; There were more elderly people over the age of 65: unstable marital status, less education and lower incomes also characterized the rural areas. Therefore, among rural people, there were more predisposing factors for medical use. Additionaly, need factors such as poor self-reported health status and high morbidity level were also high in the rural area. 4. In contrast it was learned that, the supply of health resources was mostly concentrated in the urban areas except for public health facilities. Therefore, geographical access to medical care was lower in the rural area both in terms travel time and travel cost. 5. The coefficient of the region variable was insignificant in the regression model which controlled the supply factor only. However, utilization was significantly higher in urban areas if the model included predisposing factors and need factors in addition to the supply factor. The results were interpreted as rural people have greater medical needs.

• 한국환경보건학회지
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• 제33권1호
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• pp.30-35
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• 2007

Waste policies with waste metering system and recycling in 1995 have contributed to the reduction of solid waste generation. Now rural areas as well as urban areas produce less amount of solid wastes in terms of per capita. However most policies in relation to waste issue have been concentrated in urban areas. Large portion of agricultural waste in rural region are being illegally treated such as open incineration or burned out on the road. In this study, we assessed the atmospheric air quality and health risk by illegal open incineration in rural region. In case of benzene level, worst concentration during illegal open incineration was 0.23 ppm and cancer risk by exposure was estimated to $2.29{\times}10^{-3}$.

• 농촌의학ㆍ지역보건
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• 제28권1호
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• pp.15-27
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• 2003

Objectives: This study was conducted to compare the medical care patterns of hypertensive patients between rural and urban areas. Methods: We selected one rural county(Region A where there were 19 public health centers; one health center, 8 health sub-centers and 10 community health posts) and two urban districts(Region B and C where there was no health sub-center and community health post) in Daegu city. Region B had similar socioeconomic characteristics with rural county A while region C had different characteristics. The medical insurance records of 14,422 incident patients (2,501 in region A, 4,873 in region B and 7,048 in region C) with diagnostic code of hypertension from September 1998 to August 1999 were reviewed. Incident patient was defined as a patient who had no record of medical fee claim for hypertension to the national health insurance corporation in past 6 months and visited a medical facility for hypertension for the first time. The data for annual visit days, annual prescription days and annual total medical expenses were abstracted. The medical care pattern was categorized by the number of annual visit days and prescription days. The most proper care group was defined as the patient who visited 6-15 days with 240 prescription days or more in a year. Results: The type of medical facilities for the most visit was clinics, 373.% and it was followed by general hospitals, 28.2%; public health centers, 24.7%; and hospitals, 9.8% in region A(p<0.05). In region B, it was clinics, 63.1% and followed by general hospitals, 27.6%; health center, 5.2%; and hospitals, 4.1%(p<0.05). In region C, it was clinics, 53.8% and followed by general hospitals, 35.0%; health center, 6.3%; and hospitals, 4.9%(p<0.05). Annual mean total medical expenses per patient was highest in region C(won195,993) and followed by region A(won191,683) and region B(won178,713). The proportion of the most proper care group was 7.7% in region A, 5.2% in region B and 6.7% in region C(p<0.05). According to the type of medical facilities for the first visit, the proportion of the most proper care group was highest(14.7%) in the patients of public health centers, and it was followed by general hospitals, 8.8%; clinics, 3.6%; and hospitals, 2.0% in region A(p<0.05). In region B, it was highest in general hospitals, 9.7% and followed by hospitals, 4.0%; health center, 3.6%; and clinics, 3.4%(p<0.05). In region C, it was highest in general hospitals, 10.1% and followed by clinics, 5.2%; hospitals, 4.1%; and health center, 3.1%(p<0.05). Conclusions: The proportion of proper care for hypertension was higher in rural area and it was attributed to the care of health center, sub-centers and community health posts which appeared to follow patients better than hospitals and clinics.

• 한국농촌건축학회논문집
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• 제12권2호
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• pp.125-133
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• 2010

The advanced rural village development project started in 2005, and this project of purpose is improvement of housing environment and promotion of region activation. Researcher investigated about the advanced rural village development project of nine complex through field survey. The aim of this study is to be offered data of idyllic housing policy by examination actual conditions of study subject. Based on this study, mainly three results can be drawn as follows ; first, this project makes a great contributed to flow in population from urban to activate rural areas. Second, the project success depends on improvement an institution and planed, timely approach. Third, central government must plan network system with rural development project in political, and must support local government into political frame. The local government must consider a regional housing plan overall and must make an effort itself for the project success.

• 한국농촌건축학회논문집
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• 제22권2호
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• pp.35-42
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• 2020

The new urbanization is one of prestige growth engines to lead the next generation of China economy, it promotes new sustainable urban development models guided by various planning polices to improve urban livability and sustainability in accommodation with economy, social, and environmental consideration. The expanding urban periphery to rural area should leverages existing assets, infrastructure, local context and plans as a showcase of environmental and economic balance in a responsibly high-density, green community designed to human development and ecological settlement. The Beijing Chaoyang District and Tianjin Binhai area are a strategic advancement in the policy of building one of the most powerful economic regions, the Bohai Rim. Recently released 'Jingjinji development plan' supports various urbanization policies and encourages sustainable developments including 2 significant city center projects which are under way in global attention. The study compared on the characters of development policies and the cutting-edge smart design strategies by which they are applied, the master plan of the Beijing Chaoyang District expansion plan and Tianjin Yujiapu CBD project embrace innovative sustainable technologies.

• 지역연구
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• 제31권2호
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• pp.29-45
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• 2015

평균수명의 증가로 은퇴 후 생활에 대한 관심이 높아지면서 쾌적한 자연환경을 찾아 귀촌을 희망하는 가구가 증가하고 있다. 본 연구는 전국 도시가구를 대상으로 은퇴 후 귀촌을 희망하는 가구의 사회경제적 특성을 고찰하고 임의절편 로짓모형을 이용하여 귀촌 희망 요인을 분석하였다. 주거실태조사 자료를 이용한 분석 결과 도시가구의 약 27%는 은퇴 후 귀촌을 희망하고 있으며 중간 소득층, 40~50세, 고등학교 졸업 가구주의 귀촌 희망 비율이 높다. 귀촌 희망 가구는 사회경제적으로 중간계층에 속하는 집단이며, 주택보다는 소음, 대기오염 등 주거환경이 귀촌 희망여부에 유의한 영향을 미치고 있다. 즉 은퇴 후 자신의 경제적 능력으로 쾌적한 자연환경에서 좀 더 여유로운 전원생활을 누리는 것이 귀촌을 희망하는 가장 주된 이유로 볼 수 있다. 또한 고령자 중 귀촌자가 많았던 도시에서 귀촌 희망 비율이 높게 나타나 도시민들이 은퇴 후 귀촌을 희망하고 실행하는 데 귀촌에 대한 정보 제공이 중요한 역할을 할 것으로 보인다.

• 농촌계획
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• 제26권2호
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• pp.83-93
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• 2020

Rural areas have been faced with various problems such as aging and population decline, and in these circumstances, the activation of local communities is suggested as a solution. Agricultural producer organizations are a powerful means of maintaining rural society. The purpose of this study is to understand the characteristics of agricultural community activities by region by comparing the status of organization and activities and analyzing Location Quotient(LQ) based on the regional survey data in the 2015 census of agriculture, forestry, and fisheries. As the results of the analysis, it was found that 38.35% of villages participated in economic organizations and 32.22% of villages were having urban-rural exchange activities. The crop clubs were actively operated in the Gyeongsangbuk province, and other economic organizations were organized in Jeju, Haenam-gun, and Dangjin-si more than other regions. And the urban-rural exchange activities were found in Chungcheongnam province mainly. The results of detailed LQ analysis by organization and activity showed that specialized regions for each community or activity were different. These results could be used for regional planning or the establishment of strategies for community activation.

• 농촌계획
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• 제24권1호
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• pp.99-111
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• 2018

This study was conducted for the purpose of deriving implications by observing the changing patterns and characteristics of the farmland reduction area in urban vicinity with Gimhae city, Gyeongsangnam-do as the subject. In order to achieve this goal, we first examined the problems and possibilities of farmland reduction area in urban vicinity through a theoretical review. Additionally, the characteristics of land use and community were examined for Gimhae city, Gyeongsangnam-do. The results of the study are summarized as follows. First, for 35 years from 1981 to 2015, Gimhae decreased $50.52km^2$ of farmland, which is about 17.4 times that of Yoido, and about 69.4% of the decreased farmland area. Second, the decrease in agricultural land has been expanding to the whole of Gimhae City from 1990 to 2010, and has been continuing since 2010 around dong-area. Third, in the farmland reduction area in urban vicinity, the number of settlements increases rapidly, but the aging population also increases. Fourth, the composition of the community is getting complicated with the change of the members. Taken together, it is necessary to manage the area efficiently because rapid change is present in the farmland reduction area in urban vicinity. Based on this, the implications are summarized as follows. First, there is a change in land use due to the reduction of farmland not designated as agricultural development region. Therefore, it is necessary to supplement the farmland-conversion standard. Second, despite the fact that land use management has been carried out, there have been problems such as uncontrolled development due to the development pressure beyond institutional management, and therefore it is necessary to improve the structural defects of the pertinent legal system. Fourth, while the traditional farming activities are decreasing with the decrease of agricultural land area, the increase in farms with secondary jobs and the urban-rural interchanges organization's efforts can lead to increased visits from outsiders that seek rural tourism and experiential learning.

• 대한지리학회지
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• 제50권6호
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• pp.659-675
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• 2015

본 연구는 경상북도의 귀농 귀촌정책의 실태와 특성 그리고 문제점을 분석하고 그 개선방안을 제시하였다. 경상북도는 전국 최초로 관련 조례를 제정하고, 중앙정부 지원 사업 외에 독자적인 사업의 영역을 확대한 결과, 지원 사업에 대한 만족도가 상대적으로 높은 지역이다. 그러나 귀농 귀촌 지원 정책의 문제점으로는 중앙정부 및 산하 기초지자체와의 역할분담과 관련 부서간의 연계성 부족, 지역특성 및 귀농 귀촌인(세대)의 속성을 제대로 반영하지 못하였고, 은퇴자 계층을 중심으로 한 귀촌인의 정책적 수요에 제대로 대처하지 못한점 등을 들 수 있다. 이에 대한 개선방안으로는 기존의 정책 주체 외에 귀농 귀촌인를 포함하는 거버넌스 체계를 구축하고, 이것이 지역에 제대로 뿌리내릴 수 있는 사업을 제도화하여야 한다. 그리고 경제적 물리적 지원중심의 접근방식에서 탈피하여, 적응주기별 차별화된 프로그램과 귀촌인을 위한 '비농업 농촌형 일자리' 및 농촌지역사회에 공헌할 수 있는 전문역량강화 지원 프로그램을 개발하여야 할 것이다.

• 농촌계획
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• 제18권2호
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• pp.81-90
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• 2012

Urban parks are progressing but are in chaos in the twenty-first century. Therefore the purposes of this study are to consider critically and classify the new paradigm of urban parks. Urban parks are one of the space products, and progressing aspects can be divided into three parts; supply, demand and market aspects. In the abstract, urban parks' progress represents process, openness or voidness, general and cultural ecology, productivity, experience program, identity or sense of place, carriers of urban regeneration, urban infrastructure, community space, multi-layered activity, active space, communication with urban space, tool of low carbon strategy and consilience. But urban parks have come under increased criticism about the long period development on trees growth, covering open space, limitation of general and cultural ecology, production, activity programs, identity and community space, visible urban regeneration, economic validity, urban sprawl, not using as the low carbon strategy, and finally negative consilience with contiguous fields. We collected these critical consideration about progressing urban parks, and proposed urban agricultural park as one of the alternative urban parks. This is closely connected with sustainable region development, low-carbon society, local food, well-being, Lohas paradigm and amenity of urban life.