[논문]한국 의료서비스의 분포 특징 분석

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한국 의료서비스의 분포 특징 분석
Distribution Characteristics of the Medical Services in Korea 원문보기

대한지리학회지 = Journal of the Korean Geographical Society, v.40 no.2 = no.107, 2005년, pp.242 - 251

초록
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본 연구에서는 우리나라 의료서비스의 공간분포에 나타나는 특징을 분석하였다. 이를 위하여 의료서비스의 공간적 분포 패턴을 조사하고, 의료 서비스에 대한 수요에 대한 공급의 공간적 패턴 분석을 통하여 의료서비스 공급에 나타나는 공간적 격차문제를 지역간과 지역내의 수준에서 분석하였다. 분석 결과 인구수를 고려한 상태에서도 의료 서비스의 공급이 대도시 및 경제적 중심지에 집중 분포하고, 촌락 및 경제적 주변지역은 크게 미흡한 상태여서 공간적 격차가 매우 심하다. 이러한 공간적 격차는 하나의 도시 내에서도 나타나고 있음을 확인하였다. 또한 본 연구에서는 병원시설의 규모별 분포 수의 관계를 분석하였다. 병원시설의 규모와 분포수의 관계는 기존의 병원시설 입지계획 모형들이 일반적으로 가정하는 계층적 구조보다는 자연계 및 사회 현상의 분포에 일반적으로 나타나는 보편적 질서로 밝혀진 법칙과 유사한 분포 함수를 보인다. 즉, 병원 규모에 따른 분포에 격차가 나타나지 않는 것으로 나타나고 있다. 이는 우리나라 의료체계가 3단계로 구분되어 있음에도 불구하고 병원시설의 분포는 규모에 뚜렷한 격차를 나타내지 않는 것을 의미한다. 이러한 병원시설의 규모와 분포 수가 보이는 특징은 의료서비스의 공간적 분포가 보여 주는 특징과 함께 앞으로 바람직한 의료서비스 시설 입지계획을 위한 모형 정립에 유용한 정보로 이용될 수 있다.

Abstract ▼ AI-Helper

This study investigates the distribution characteristics of medical services in Korea. For the purpose this paper examines the spatial discordance between the provisions of the medical services and the need for them, and analyzes the spatial distribution patterns of medical service in both inter- and intra-regional levels. Disclosed is a severe regional disparity problem in the provision of medical facilities at both inter-regional and intra-regional levels. In recent years people's interest gets increased more in the social well-being of the community, and the resulting strong request makes it desirable to restructure the healthcare service system. This study has thus attempted to draw out the distribution function of the medical facilities, based on the examination of the real data. A particular attention has been paid to whether there exists any hierarchical structure in their size distribution. Quite remarkably, no appreciable hierarchical structure has been observed in the scale of the medical facilities in Korea, in sharp contrast to of the three-level hierarchical structure assumed in the three-level referral system adopted widely. Remarkably, it is revealed that medical facilities in Korea are described by scale-invariant distribution functions. Instead, scale-invariant power-law behavior has been found in the size distribution, which is expected to be rather generic and applicable to other countries as well.

주제어

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문제 정의

levels. In particular this study focuses on the comparisons between urban and rural areas in the provision of medical services. Furthermore, this study analyzes the distribution function of medical facilities in Korea, and obtains real distribution functions of the medical facilities in Korea, paying particular attention to whether there exists a hierarchical structure in their distributions.
This study has considered the provision of the medical facilities in Korea, and investigated the disparity problem between the demand for and the provision of medical resources. The spatial distribution pattern of the medical services describes directly the potential opportunity for the residents in a region to receive the services, thus representing the accessibility to the services.

제안 방법

In particular this study focuses on the comparisons between urban and rural areas in the provision of medical services. Furthermore, this study analyzes the distribution function of medical facilities in Korea, and obtains real distribution functions of the medical facilities in Korea, paying particular attention to whether there exists a hierarchical structure in their distributions.
The higherlevel medical services tend to concentrate in the economic core areas, which is consistent with the results of the previous study by Kim and Lee (1998). That study analyzed the major location criteria of the Hospital facilities in Seoul: The daytime population, taken as a measure for the centrality level, was ascertained as the major location factor for general hospitals. In consequence, general hospitals tend to be concentrated at the central business districts (C.
The spatial distribution pattern of the medical services describes directly the potential opportunity for the residents in a region to receive the services, thus representing the accessibility to the services. Therefore this study has analyzed the distribution pattern of medical facilities at first, and then examined the spatial disparity problem in terms of the inter- and intra-regional levels.
This study analyzes the distribution patterns of medical services in Korea, and examines the spatial discordance in the distributions of the supply and demand at both the inter- and intraregional levels. In particular this study focuses on the comparisons between urban and rural areas in the provision of medical services.

후속연구

Findings of this paper provide a preliminary contribution to the planning for desirable healthcare delivery systems to am이iorate the inequality problem in the distribution of healthcare facilities, and eventually to improve the public health. Manifested accordingly are the gap between the optimal distribution of medical facilities and the existing distribution, which needs to be reduced for achieving a desirable healthcare service system.

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