• 보건행정학회지
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• 제30권1호
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• pp.100-111
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• 2020

Background: Few studies have examined the performance of the public long-term care insurance (LTCI) from the perspective of geographic equity. This study investigated regional variations and associated factors in the supply and utilization of nursing home care within and also between Japan and Korea. Methods: A comparative dataset was developed by extracting data from 2013-2015 LTCI statistics yearbooks and Organization for Economic Cooperation and Development regional statistics, as well as other comparable data in Japan and Korea. The unit of analysis was the prefecture in Japan and the province in Korea. We computed variation indices and conducted regression analyses for regional variations within each country and decomposition analyses to examine the variations between the countries. Results: The overall regional supply and use of nursing home care were higher in Japan, but the regional variations in Korea were larger than in Japan. In both countries, the nursing home supply was negatively associated with the proportion of older people with independent living. Nursing home use was also negatively associated with the supply of hospital beds and home care agencies in Korea; the relationship was the opposite in Japan, however. The country-based differences were more likely to be explained by differences in the distributions of the variables included in the analytical model than country-specific characteristics. Conclusion: Regional-level nursing home supply and use were unequal in both countries, and the contributing factors were not the same. Policy efforts are needed to advance regional equality in long-term care (LTC) and collaboration between health and LTC institutions for frail older people, especially in Korea.

• 한국임상약학회지
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• 제28권4호
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• pp.308-319
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• 2018

Background: Some mental illnesses such as depression are known to be one of the risk factors of suicide and proper antidepressant therapy can reduce suicidal behavior. Objectives: This study aimed to analyze regional variations in antidepressant consumption and adherence, suicide rate, prevalence of suicide related mental disorders, and access to relevant healthcare services. Methods: Cross-sectional analyses were conducted using National Patients Sample data compiled by the Health Insurance Review and Assessment Service between 2014 and 2016. We included patients who had a diagnosis record of suicide related mental disorders during the study period. Cause of death statistics and National health and medical statistics were used to identify suicide rate and distribution of healthcare service. We conducted visual analyses, chi-squared tests, independent t-tests and correlation analyses to demonstrate regional variations. Results: Between 2014 and 2016, the average prevalence of suicide related mental disorders was 5.4 per cent. Suicide rate and prevalence of suicide related mental disorders were higher in Gangwon, Chungcheong, and Jeolla (p < 0.001), and lower in Seoul (p < 0.001) than the national average. Unexpectedly, regional variations in antidepressant consumption were seen in the limited area including Daejeon, Chungnam and Gyeongnam (p < 0.05). The number of mild patient-centered clinics was associated positively with antidepressant consumption (p < 0.01) and associated negatively with suicide rate (p < 0.01). Conclusion: There were some regional variations in prevalence of suicide related mental disorders, antidepressant adherence and suicide rate. The higher level of antidepressant therapy and the lower level of suicide rates were seen in regions with easy access to mild patient-centered clinics.

• 한국지리정보학회지
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• 제14권3호
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• pp.223-235
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• 2011

OLS 회귀분석은 환경적 형평성과 도시 삶의 질의 공간적 관계를 밝히기 위하여 사용되어 질수 있지만, 이러한 전역적 방법은 그 공간적 관계에 있어서 국지적 변이를 설명할 수 없다. 이들 지리적 변이를 밝혀 내기 위해서는 반드시 국지적 방법을 사용해야 한다. 이러한 맥락에서, 본 논문은 국지적 방법인 지리적 가중회귀분석(GWR)을 이용하여 애틀란타 대도시권에서 환경적 형평성과 도시 삶의 질간의 공간적 변이관계를 탐색하고자 한다. 환경적 형평성과 도시 삶의 질은 GIS와 원격탐사의 통합적 방법에 의하여 측정되었다. 연구결과에 따르면, 애틀란타 대도시권에서 환경적 형평성과 도시 삶의 질의 공간적 관계는 일반적으로 유의적인 부의 관계가 있었다. 또한, 환경적 형평성과 도시 삶의 질의 관계는 공간상에서 상당히 변이하고, 전역적 OLS 모델 보다 GWR 모델이 이러한 공간적 변이관계를 더 잘 설명할 수 있는 것으로 나타났다.

• 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.

• 보건행정학회지
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• 제4권1호
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• pp.49-76
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• 1994

Small area variations in health care utilization have long been studied as an important issue related to boto cost containment and quality assurance. This study was conducted to investigate if variations in hospital services across small geographic areas in Korea existed. The claims data of the fiscal year 1992 obtained from the regional health insurance societies were used for the study. Main findings of the research can be summarized as follows : 1. Extremal Quotients(EQ) of hospital expenditure per capita and hospital days per capita varied among diagnosis types. The EQ ranged from 2.05(cataract) to 41.67(pneumonia) in hospital expenditure per capita and from 1.86(cataract) to 45.89(pneumonia) in hospital days per capita. The diagnosis groups which showed high variation were pneumonia, cephalo-pelvic disproportion, gastritis and duodenitis, fracture of rib, and acute bronchitis. Those which showed low variation were acute appendicitis and cataract. 2. The EQ level of admission rate was different in terms of diagnosis types, ranging from 2.57(catarct) to 44.45(pneumonia). The variations were high in medical disorders such as pneumonia, oephalo-pelvic disproportion, gastritis and duodenitis and acute bronchitis, while relatively low in surgical conditions such as acute appendicitis and cataract. 3. As an indicator of service intensity, the EQ of expenditure per admission ranged from 1.67(acute appendicitis) to 31.27(essential hypertension). The diagnoses which had high variation were essential hypertension, gastric ulcer, whereas those which had low variation were cephalopelvic disproportion and acute appendicitis. With regard to hospital days per admission, the EQ ranged from 1.55(acute appendicitis) to 28.13(gastric ulcer) by diagnosis types. The diagnosis groups with showed high variation were gastric ulcer, essential hypertension, and acute bronchitis, whereas those with low variation were cephalo-pelvic disproportion, intervertebral disc disorders, and acute appendicitis. Both the expenditure and hospital days per admission showed lewwer variations than the expenditure per capita, hospital days per capita and admission rate. 4. Comparing patterns of variation in utilization indices, diagnoses such as essential hypertension, gastric ulcer, fracture of rib showed higher variations in expenditure per admission than in admission rates, whereas diagnoses such as pneumonia, cephalo-pelvic disproportion and gastric ulcer showed higher variations in admission rate than expenditure per admission. These findings suggest that wide variations existed in several diagnoses groups across small areas in Korea. Further research should be performed to investigate factors related to small area variations including provider behavior.

• 한국발생생물학회지:발생과생식
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• 제16권4호
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• pp.315-320
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• 2012

The gDNA isolated from Cyclina sinensis from Gochang (GOCHANG), Incheon (INCHEON) and a Chinese site (CHINESE), were amplified by PCR. Here, the seven oligonucleotide decamer primers (BION-66, BION-68, BION-72, BION-73, BION-74, BION-76, and BION-80) were used to generate the unique shared loci to each population and shared loci by the three cyclina clam populations. As regards multiple comparisons of average bandsharing value results, cyclina clam population from Chinese (0.763) exhibited higher bandsharing values than did clam from Incheon (0.681). In this study, the dendrogram obtained by the seven decamer primers indicates three genetic clusters: cluster 1 (GOCHANG 01~GOCHANG 07), cluster 2 (INCHEON 08~INCHEON 14), cluster 3 (CHINESE 15~CHINESE 21). The shortest genetic distance that displayed significant molecular differences was between individuals 15 and 17 from the Chinese cyclina clam (0.049), while the longest genetic distance among the twenty-one cyclina clams that displayed significant molecular differences was between individuals GOCHANG no. 03 and INCHEON no. 12 (0.575). Individuals of Incheon cyclina clam population was somewhat closely related to that of Chinese cyclina clam population. In conclusion, our PCR analysis revealed a significant genetic distance among the three cyclina clam populations.

• 한국발생생물학회지:발생과생식
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• 제18권3호
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• pp.167-172
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• 2014

In the present study, muscle tissues were obtained separately from individuals from Atlantic hairtail population (AHP), Gunsan hairtail population (GHP) and Chinese hairtail population (CHP), respectively. The seven decamer primers were used to generate the shared loci, specific, unique shared loci to each population and shared loci by the three hairtail populations. Here, averagely, a decamer primer generated 64.7 amplified products per primer in the AHP population, 55.7 in GHP population and 56.4 in CHP population. The number of unique shared loci to each population and number of shared loci by the three populations generated by genetic analysis using 7 decamer primers in AHP, GHP and CHP population. 119 unique shared loci to each population, with an average of 17 per primer, were observed in the AHP population, and 28 loci, with an average of 4 per primer, were observed in the CHP population. The hierarchical dendrogram point out three main branches: cluster 1 (ATLANTIC 01 ~ ATLANTIC 07), cluster 2 (GUNSAN 08 ~ GUNSAN 14) and cluster 3 (CHINESE 15 ~ CHINESE 21). The shortest genetic distance displaying significant molecular difference was between individuals' CHINESE no. 16 and CHINESE no. 18 (0.045). In the long run, individual no. 01 of the AHP population was most distantly related to CHINESE no. 19 (genetic distance = 0.430). Consequently, PCR analysis generated on the genetic data displayed that the geographic AHP population was widely separated from CHP population, while individuals of CHP population were fairly closely related to those of GHP population.

• 한국지구과학회지
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• 제27권4호
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• pp.433-449
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• 2006

최근 30년($1976{\sim}2005$년)간 기상청 60개 관측 지점의 자료를 이용하여 강수 현상의 시 공간 변동 특성에 대해 분석하였다. 남한 전체 연 평균 강수량은 약 1310 mm이고 남부지역과 경기/강원 지역에서 많고(약 1300 mm 이상) 경북내륙지역에서는 적으며(1100 mm 이하), 강수 일수는 주로 소백산맥 주변지역에서 약 100일 이상인 반면 경북 내륙지역에서는 90일 이하로 공간차가 크다. 강수현상의 경년 변동은 주로 강수량 및 강수일수가 많고 강수강도가 강한 남부지방과 영동지역, 소백산맥과 그 서쪽 지역 그리고 남부와 중부지역에서 각각 크다. 강수량의 경우 남해안 지역에서는 과우해와 다우해의 연 강수량 차이가 최대 800 mm에 이를 정도로 경년 변동이 크다. 강수 현상의 계절 변동(여름집중도)은 경년 변동에 비해 지리적 환경(해발고도, 해안/내륙, 태백산맥의 동쪽/서쪽)에 더 밀접하게 연관되어 발생하고있다. 남해안(동해안) 지역에서는 봄, 여름과 가을의 강수비율이 각각 20(16)%, 53(53)% 및 20(24)%로 강수의 여름집중도가 약한 반면, 경기 내륙 지역에서는 봄, 여름과 가을의 강수비율이 각각 18%, 60%, 18%로 여름 집중도가 강하다. 또한 남한 전체 평균 여름 강수량 비율이 약 55%로 허창회와 강인식(1988)의 연구 결과 보다 약 5% 정도 높게 나타나 최근 강수의 여름 집중도가 심화되고 있음을 제시한다. 집중 호우 및 연강수량에 대한 집중 호우의 비율과 연강수량과의 상관계수가 각각 0.92와 0.75로 나타나 집중 호우의 발생 빈도가 연강수량에 비례해서 높아짐을 제시한다. 강수량은 해발 고도와 밀접하게 관련되어 있으며 강수량에 대한 지형의 영향은 강수량에 비례하게 증가된다.

• Animal Systematics, Evolution and Diversity
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• 제27권1호
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• pp.1-17
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• 2011

Thais Roding, 1798, commonly known as rock-shell, is among the most frequently found gastropod genera worldwide on intertidal rocky shores including those of Japan, China, Taiwan and Korea. This group contains important species in many marine environmental studies but species-level taxonomy of the group is quite complicated due to the morphological variations in shell characters. This study examined the genetic variations and relationships among three Korean Thais species based on the partial nucleotide sequences of mitochondrial cox1 gene fragments. Phylogenetic trees from different analytic methods (maximum parsimony, neighbor-joining, and maximum likelihood) showed that T. bronni and T. luteostoma are closely related, indicating the most recent common ancestry. The low sequence divergence found between T. luteostoma and T. bronni, ranging from 1.53% to 3.19%, also corroborates this idea. Further molecular survey using different molecular marker is required to fully understand a detailed picture of the origin for their low level of interspecific sequence divergence. Sequence comparisons among conspecific individuals revealed extensive sequence variations within the three species with maximum values of 2.43% in T. clavigera and 1.37% in both T. bronni and T. luteostoma. In addition, there is an unexpectedly high level of mitochondrial genotypic diversity within each of the three Korean Thais species. The high genetic diversity revealed in Korean Thais species is likely to reflect genetic diversity introduced from potential source populations with diverse geographic origins, such as Taiwan, Hong Kong, and a variety of different coastal regions in South China and Japan. Additional sequence analysis with comprehensive taxon sampling from unstudied potential source populations will be also needed to address the origin and key factors for the high level of genetic diversity discovered within the three Korean Thais species studied.

• 한국지리정보학회지
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• 제11권2호
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• pp.1-12
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• 2008

버스와 지하철 등 대중교통수단은 승용차가 없는 시민들에게는 유일한 이동수단으로써 생활필수 서비스에 속한다. 또한 스마트성장을 비롯한 바람직한 도시성장유형들은 예외없이 대중교통수단 위주의 개발 (transit-oriented development)을 권장하고 있다. 그러므로 대중교통서비스는 모든 시민들에게 가용한 기본서비스가 되어야 함과 동시에 도시정책의 주요수단이 된다. 본 연구는 대중교통서비스 취약지역을 파악하고 그 분포특성을 분석함으로써 도시 대중교통정책 수립에 기여함을 목적으로 한다. 이를 위해 대구광역시를 사례지역으로 하여 통계청의 기초단위구 자료와 위성영상을 이용하여 분석단위를 세분화하고 이를 기준으로 버스 및 지하철 정류장과의 거리를 계산하였다. 그리고 정류장으로부터 300m이상 격리된 지역을 대중교통서비스 취약지역으로 간주하였다. 이 기준에 따라 대중교통서비스 취약지역의 특성을 면적, 인구, 주택유형 등의 측면에서 파악하였다. 분석결과 대중교통서비스는 지역별로 큰 차이가 나는 가운데 특히 교외지역과 농촌지역에서 취약계층이 많음이 입증되었다. 특히 본 연구는 이동성이 낮은 노인인구중 대중교통서비스를 이용하기 쉽지 않는 계층을 파악하고 공간적 분포를 제시하였다.