• 제목/요약/키워드: Visit Facilities

검색결과 223건 처리시간 0.028초

충남에서 발생한 중증응급환자의 응급의료기관 일차 방문, 전원 및 재전원 현황 (Primary visit, transfer, and re-transfer to emergency department in patients with severe emergency diseases in Chungnam)

  • 최일국;최한주;이혜정
    • 대한응급의학회지
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    • 제29권5호
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    • pp.399-407
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    • 2018
  • Objective: Regionalization is one of the principal subjects for the advancement of rural emergency medical service systems in South Korea. This study shows the characteristics of interhospital transfer and status of the incidence of three major emergency disorders (acute myocardial infarction [AMI], acute stroke, and severe trauma) in one local province. Methods: A retrospective study was conducted for patients with three major emergency disorders who visited emergency medical facilities in one local province from January 2013 to December 2015, on the basis of the National Emergency Department Information System (NEDIS) data. Results: The incidence of three major emergency disorders had increased annually. Patients with each of these disorders tended to choose distinguishing methods of visiting emergency medical facilities. AMI patients tended to visited emergency medical facilities using private cars or on foot, while severe trauma patients usually visited by 119 ambulance, and acute stroke patients used 119 ambulance and private car in similar amounts. Overall, 65% of AMI patients were treated in intraregional medical facilities, but about 70% of acute stoke and severe trauma patients were transferred outside of the region. Conclusion: Because each of these disorders has an individual characteristic, it is difficult to expect a solution for the problems associated with emergency disorders just by assuring the availability of medical resources. Based on regionalization, a policy to provide the optimal treatment for those emergency disorders should be developed by planning public medical service systems based on the individual characteristics of emergency disorders, the standardized transfer plans of emergency patients and the assurance for mobilization and sharing of confined medical resources.

국립공원 기초통계자료분석을 기반으로 한 해상·해안형 국립공원 관리운영개선에 대한 기초 연구 (A Basic Study on How to Improve the Management and Operation of Maritime or Coastal National Parks as Based on the Analysis of the Basic Statistical Data on National Parks)

  • 이희원;염성진
    • 한국환경과학회지
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    • 제28권9호
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    • pp.751-763
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    • 2019
  • National parks, which are preserved areas of $6,726.298km^2$($3,972.589km^2$ on land and $2,753.709km^2$, at sea), take up 6.71% of the national territory, and they are classified by type into 17 mountain parks, 4 maritime or coastal parks, and 1 historical site park. Of them all, the maritime or coastal national parks, which are preserved areas covering wide tracts of maritime, lately attract increasing numbers of visitors. In this light, this study identifies the issues with the maritime or coastal national parks such as the changes in the number of visitors and the unbalance involved in the budget execution, based on the visitors to the national parks and the specifics of budget executed for them. On this basis, the study has conducted the research with a view to suggesting improvements for more useful management and operation of the maritime or coastal national parks. As a result, the study has reached the following conclusions. First, to accommodate those who want to visit the maritime or coastal national parks, the tour infrastructure needs to be expanded to guide the visitors' use of the facilities by focusing on their touring behavior and characteristics. Second, budget should be acquired through diversifying revenue structure to eliminate hugely unbalanced budget. Third, visitors nowadays come to national parks for recreational experience or to tour nature, but the maritime or coastal national parks focus on cultural facilities. To accommodate the visitors' needs, the parks should get diversified visitor facilities that reflect the regional characteristics.

자연공원의 서비스스케이프가 탐방객의 지각된 가치, 만족, 행동의도에 미치는 영향 - 팔공산도립공원을 중심으로 - (The Impact of Natural Parks' Servicescapes on Perceived Value, Satisfaction, and Behavior Intention - Focus on Palgong Provincial Park -)

  • 김보미;이주희
    • 한국산림휴양학회지
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    • 제22권4호
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    • pp.83-94
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    • 2018
  • 본 연구는 자연공원분야에 서비스스케이프의 개념을 적용하여 서비스스케이프가 탐방객의 지각된 가치, 전반적 만족 그리고 행동의도에 미치는 영향을 살펴보고자 하였다. 연구결과, 자연공원의 서비스스케이프는 주차장, 화장실, 휴식공간, 부대시설 등 공원 내의 시설을 중심으로, 공원까지의 접근성과 시설이용의 편리성 및 쾌적성의 3개 요인으로 측정할 수 있었다. 또한 탐방객들이 공원 내의 시설 즉, 서비스스케이프를 호의적으로 인지하면 무형적인 경험의 가치도 호의적으로 인식하게 되어 결과적으로 전반적인 만족과 행동의도에 긍정적으로 작용하는 것으로 확인되었다. 특히 탐방객들은 탐방경험을 통한 시간가치를 중요하게 인식하였으며, 이에는 서비스스케이프 요인 중 쾌적성이 영향을 미치는 것으로 나타나 자연공원의 관리적 측면에서 청결하고 쾌적한 환경조성을 위한 지속적인 노력의 중요성을 시사하였다. 본 연구는 자연공원에 서비스스케이프의 개념을 적용한 첫 번째 사례라는 점에서 의의를 지니며, 후속연구를 통해 연구결과의 일반화와 신뢰성의 향상이 요구된다.

도시와 농촌지역 고혈압 환자의 의료기관 이용 형태 비교 (Comparison of Medical Care Patterns of Hypertensive Patients between Rural and Urban Areas)

  • 임부돌;천병렬;박정한;임정수
    • 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.

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일부 농촌지역주민의 보건의식과 일차의료 이용 실태에 관한 조사 (A Study on the Awareness of Health and the Utilization of Primary Health Care in Rural Areas)

  • 위자형;곽정옥
    • 농촌의학ㆍ지역보건
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    • 제20권1호
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    • pp.51-60
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    • 1995
  • This study was to examine the awareness of health and the utilization of primary health care in rural areas. The data were obtained from self-administered questionnaire conducted 450 parents of Mi Gum md Su Dong middle school students in Nam yang Ju city, Kyung Gi-Do, Korea, from December 15 to 20 in 1993. The results were as follows : 1) Among the causes of disease, 'insufficient health care' was the highest(39.1%), and 'bad environment'(28.9%), 'complexity of life style'(17.8%) in next order. 2) In the priority between 'daily farm work' and 'primary health care', only 45.6% of respondents answered that primary health care is more important than the daily farm work. The 29.8% of respondents answered 'daily farm work', and the 23.1% answered 'the equal of the both'. 3) The 63.6% of the respondents recognized correctly, the meaning of primary health care. And the rate of information source in primary health care were 'TV and Radio'(42.2%), 'medical facilities'(23.3%), and 'newspaper and magazine'(11.3%) in order. 4) In the choice rate of medical facilities for primary health care, 'drug store' was the highest(34.9%), and 'local private clinic'(34.7%), 'health (sub)center'(15.8%), 'hospital'(10.2%) in next order. 5) The 53.5% of the respondents had experienced to visit the health (sub)center more than once. And the disfavorite reasons of health (sub)center were 'insufficient equipment'(36.7%), 'inavailable time to visit'(26.9%), and 'poor treatment'(9.1%). 6) Among the preference of the physicians for primary health care, 'specialist' was the highest rate of the respondents(54.2%), and 'general practitioner'(32.4%), and 'family doctor'(9.8%) in next order. The major obstacles in utilizing the medical facilities for primary health care were 'daily farm work'(41.6%), 'distance'(21.1%) and 'medical cost'(10.4%) in order. 7) The weakened reasons in health (sub)center function were 'insufficient medical equipment'(44.4%), 'the lack of resident's understanding for health (sub)center'(21.8%), and 'short thought of duty in health (sub)center personnel'(16.9%) in order.

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The Urban Parks and Rivers Contribute to the Citizen Satisfaction and Utilization in Uijeongbu City

  • Kim, Yoo-Ill
    • 한국조경학회지
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    • 제38권5_2호
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    • pp.151-162
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    • 2010
  • This research aimed at measuring Park and Green Satisfaction (PGS) using subjective indicators of 'surface, line and spot' green evaluated by citizens. Also frequency of visits to park and green measured using objective indicators (number of visits) to find the relationship with PGS. A conceptual model of PGS was developed to relate evaluation to satisfaction and finally to utilization of open spaces. A sample of 500 questionnaire survey was employed for Uijeongbu City in Korea. A Structual Equation Modeling (AMOS) techniques was used to test the hypothesized relationship among factors (construct). As a result, first, PGS was explained by three latent factors of 'urban park' (${\gamma}=0.54$), 'linear facilities' (${\gamma}=0.25$), and 'surface green' (${\gamma}=0.15$) respectively. These three exogenous construct was found very useful classification system for open spaces of cities. Second, PGS (${\gamma}=0.34$) was found as a mediating variable to utilization of open spaces and also PGS was closely related to citizens Environmental Quality Satisfaction (EQS), such concept as, 'livability' and 'aesthetic quality'. The more satisfied with park and green the more people use the space. The PGS was an important QOL indicator together with the subjective indicator of 'livability'. Third, jogging and walking trails and bike ways along the river corridor was the most important green facilities contribute to the PGS and EQS. The near the distance (within 500m) the more number of visit to river corridor (green way). The river corridor promote accessibility to nature and other parks.

수산시설의 관광자원화를 위한 법 제도적 개선방안 - 수산종묘 생산시설, 인공어초와 방파제를 대상으로 - (The Legal Improvement to turn a Fishery Facility to Tourism Resources)

  • 이승우
    • 수산경영론집
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    • 제38권3호
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    • pp.25-51
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    • 2007
  • Recently those who visit a fishing village is increasing. So the government's policymaker is interested in a tourism of fishing village. There are a lot of local governments that they turn it to good account to activate the fishing community. So they plan for the tourism facility in the fishing village and invest in it. The fishery facility can playa role in it. Nonetheless it is not playing a role in tourism facility. Though the breakwaters projecting far into the sea are good waterfront, most of them are not reflecting the function of it. And fishery facility producing seed is a good resource of eco-tourism, but it is yet a tourist potential. Although the artificial reef is going far toward promoting a fishery resource, it is seldom used as a tourism resource. The multiple functions of fishery facilities have to be improved to raise the investment effect of them. Especially the tourism function has to be added on their basic function. The multiple functions of fishery facilities is necessary to satisfy tourist's needs. In results, not only their value but also value of fishing village will be raised.

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경주관내 근대 철도역사(鐵道驛舍)의 건축적 특성에 관한 연구 (A Study on the Architectural Characteristics of Modern Railway Station in Gyeongju)

  • 최무현
    • 한국농촌건축학회논문집
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    • 제14권3호
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    • pp.109-119
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    • 2012
  • This study aims to analyze architectural characteristics of railway station facilities which were built with development of railroads from Japanese Colonial Period to 1950's. To achieve this goals, 7 railway stations in Gyeongju area that are worth preserving were set up as research targets. For this study, I analyzed literature of the railway station and drawings which the KORAL Daegu Branch is keeping. Railway stations without a construction drawing investigated a direct visit. After analyzing the railway station facilities, the architectural properties such as plan, elevation and section have been identified. The results are as follows. First, Each modern railway station is usually consisted of waiting room and office, and ancillary spaces have been added. Over the years, however, the space was expanded horizontally. In that case, the structure and finish materials have been changed, like now. Second, Most of the roof shape is 'Matbae'(gable roof), especially Gyeongju station and Bulguksa Station are 'Woojingak roof. The roof structure is truss structure, especially as Pratt and Scissors type, but Gyeongju Station's structure is a reinforced concrete. Third, main doorway of waiting room is located in the center of the front gable. However, small stations like 'Ahwa' and 'Ipsil' station to ensure the passengers' waiting area are placed next to the office area.

도시근린공원의 추구편익에 의한 중요-성취도 분석 - 대전광역시 근린공원을 대상으로 (An Importance-Performance Analysis by Benefit Sought in Neighborhood Park - Focused on the Neighborhood Parks in the City of TaeJon)

  • 이시영;허준
    • 한국조경학회지
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    • 제32권3호
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    • pp.114-125
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    • 2004
  • On the assumption that marketing is a useful technique to activate park use, this study aims to find what benefits people pursue and how much they attain them through a park visit. To achieve this, the survey of a Benefits-Sought for a park was conducted at four major parks in the city of Taejon and an Importance-Performance Analysis(IPA) was conducted. Additionally, a Present Condition survey was performed with the park managers. As a result, first, it was found that major benefits are a comfortable rest, an escape from bustling city life, to see natural scenery and to promote physical health, and so forth. Second, performance was relatively lower than importance in the case of recreation and leisure activities, which means that facilities should be improved and programs for park use should be developed. Third, at GaYang park, importance and performance are good in balance. DongChunDang park and Seattle park have 5 items and 7 items for which immediate improvements are required. Saemmeury park generally shows good proportions and it can be much activated by improving the learning and experiencing activities. The results objectively show conditions of neighborhood parks in the city of Taejon from a view of park users. Therefore, it is expected that the results would be useful in determining priorities when improving park facilities or their programs.

대전시 공원녹지에 대한 주민의식 조사 (A Study on the Residents' Consciousness for Park and Green Space in the City of Daejeon)

  • 이시영;심준영
    • 자연과학논문집
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    • 제18권1호
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    • pp.65-76
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    • 2007
  • The purpose of this study is to examine residents' consciousness for urban parks and green spaces in the city of Daejeon. This work enables us to find new implementation factors to increase resident's satisfaction of urban parks and green spaces. This study surveyed 1005 residents from 80dongs(neighborhoods), of 5 Gu(districts) districts in Daejeon. The survey was conducted with a structurally organized questionnaire and objective materials. The data collected from participants of the survey were summarized as follows. Daejeon residents want more natural parks and neighborhood parks than other urban facilities as recreation facilities. The favorite places in which Daejeon residents visit are Bomun Mountain, Gap River, Geajock Mountain, and Yudeon River, in order. In landscape scenery of Daejeon, residents prefer Daedeck research complex area than others and they felt that urban landscape scenery is more improved than 5 years ago. Also they want to increase the area of park and green space about 4times more than present. The result shows that the importance index of park and green space is 8.7 and the satisfaction index is 5.42. These results suggests that the demand by residents for urban park and green spaces will improve as the urban structure is improved.

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