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2024 Vol.59, Issue 2 Preview Page

Research Article

Vulnerability Assessment for Pediatric Healthcare Services Using Agent-based Modeling: A Case Study of Four Districts in Southwest Seoul

에이전트 기반 모델링을 활용한 소아･청소년 의료 서비스 취약지 분석 - 서울 서남권 4개 자치구를 대상으로 -

Subin Kima
,
Seungyeon Leeb
,
Minjoo Kimc
,
Changkyu Leed
,
Jeon-Young Kange*
김 수빈a
,
이 승연b
,
김 민주c
,
이 창규d
,
강 전영e*
aGraduate Student, Department of Geography, Kyung Hee University
bGraduate Student, Department of Geography, Kyung Hee University
cGraduate Student, Department of Geography, Kyung Hee University
dPh.D. Student, Department of Geography, Kyung Hee University
eAssistant Professor, Department of Geography, Kyung Hee University
a경희대학교 지리학과 석사과정
b경희대학교 지리학과 석사과정
c경희대학교 지리학과 석사과정
d경희대학교 지리학과 박사과정
e경희대학교 지리학과, 조교수
*Corresponding Author
30 April 2024. pp. 196-209
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Abstract

In South Korea we are currently facing with a decline in fertility rates and a significant reduction in pediatric healthcare resources. As a result, there is a shortage of pediatric care, which may be responsible for accelerating the collapse of the healthcare system for pediatric patients. This crisis may undermines an access to healthcare and spatial disparities in the access. Previous studies on healthcare accessibility have not adequately considered spatial accessibility, which is associated with the individual behaviors of patients and their arrival, movements, waiting, and treatment processes. To address this issue, in this study, we used an agent-based modeling to explore vulnerable areas for pediatric healthcare services while incorporating the entire processes of movements and treatment for individual patients in a dynamic environment. We take four districts in Southwest Seoul as a study area. A hot and cold spot analysis was conducted to identify actual vulnerabilities of pediatric healthcare services. The results help to assess the spatial inequalities in medical infrastructure, which in turn, supports decision making processes for stakeholders to newly install additional pediatric healthcare services.

Keywords
Agent-based model
Accessibility
Vulnerable area
Pediatrics
Healthcare service

한국은 출산율 저하와 이로 인한 급격한 소아 의료자원 감소를 겪고 있다. 이로 인해 소아청소년과 진료 대란이 발생하면서 소아 의료 체계 붕괴가 가속화되고 있다. 이러한 위기는 사람들의 의료서비스에 대한 접근성을 약화하고 공간적인 불균형을 심화할 수 있다. 기존의 의료서비스에 관한 접근성 연구들은 환자 개인의 행동 패턴과 환자들의 발병, 이동, 대기, 진료 등 일련의 프로세스를 동적으로 반영한 공간적인 접근성을 반영하지 못한다. 이에 본 연구에서는 에이전트 기반 모델링을 활용하여 동적인 환경에서 환자 개인의 행동 패턴과 진료 과정 전반을 고려해, 소아청소년 의료서비스 취약지를 탐색하였다. 지리적 인접성을 기반으로 하는 실질적인 취약지를 탐색하기 위해 핫스팟, 콜드스팟 분석이 진행되었다. 그 결과, 의료서비스 인프라의 공간적인 불평등을 확인할 수 있었고 환자 개인의 행동 패턴과 진료 과정 전반을 고려해 공공의료 제언을 위한 분석 결과를 도출할 수 있었다.

키워드
에이전트 기반 모델
접근성
취약지
소아청소년과
의료 서비스
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Information
  • Publisher :The Korean Geographical Society
  • Publisher(Ko) :대한지리학회
  • Journal Title :Journal of the Korean Geographical Society
  • Journal Title(Ko) :대한지리학회지
  • Volume : 59
  • No :2
  • Pages :196-209
  • Received Date : 2024-02-21
  • Revised Date : 2024-03-21
  • Accepted Date : 2024-03-25
  • DOI :https://doi.org/10.22776/kgs.2024.59.2.196
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