표제지
국문초록
목차
Ⅰ. 서론 14
1. 연구의 필요성 14
2. 연구 목적 18
3. 용어 정의 19
1) 간호사인력의 지역별 분포 19
2) 간호사인력의 지역불균형 20
Ⅱ. 문헌고찰 22
1. 간호사인력의 지역별 분포 22
2. 의료인력의 지역불균형 측정 25
1) 소득 관련 불평등 지표를 활용한 지역불균형 측정 25
2) 회귀모형을 활용한 지역불균형 측정 28
3. 의료인력 분포의 영향요인 30
4. 의료인력 관련 개념모형 34
1) 의료인력 불균형의 개념모형 34
2) 의료인력 개념모형 35
Ⅲ. 연구방법 38
1. 연구의 개념적 틀 38
2. 연구대상과 연구자료 40
1) 간호사인력의 지역별 분포 변화 40
2) 집중지수에 의한 간호사인력의 지역불균형 수준 44
3) 정비지수에 의한 간호사인력의 지역불균형 수준 46
4) 간호사 지역불균형 관련요인 49
3. 분석방법 53
1) 간호사인력의 지역별 분포 변화 53
2) 집중지수에 의한 간호사인력의 지역불균형 수준 55
3) 정비지수에 의한 간호사인력의 지역불균형 수준 57
4) 간호사 지역불균형 관련요인 59
Ⅳ. 연구결과 60
1. 간호사인력의 지역별 분포 변화 60
1) 간호학과 졸업생의 지역별 분포 변화 60
2) 임상간호사의 지역별 분포 변화 66
2. 집중지수에 의한 간호사인력의 지역불균형 수준 91
1) 인구대비 간호학과 졸업생의 집중지수 변화 91
2) 인구대비 임상간호사의 집중지수 변화 92
3) 병상대비 임상간호사의 집중지수 변화 93
4) 조정입원환자대비 임상간호사의 집중지수 변화 94
3. 정비지수에 의한 간호사인력의 지역불균형 수준 98
1) 연구변수의 기술통계량 98
2) 지역별 임상간호사 정비지수 산출 100
3) 정비지수에 의한 임상간호사 불균형 지역 107
4. 간호사 지역불균형 관련요인 112
1) 연구변수의 기술통계량 112
2) 연구변수 간의 상관관계 115
3) 지역별 임상간호사 분포의 관련요인 118
4) 임상간호사가 불균형한 지역의 관련요인 123
Ⅴ. 논의 126
1. 간호사인력의 지역별 분포 변화 126
2. 집중지수에 의한 간호사인력의 지역불균형 수준 128
3. 정비지수에 의한 간호사인력의 지역불균형 수준 130
4. 간호사 지역불균형 관련요인 133
1) 간호사 수요요인 133
2) 간호사 공급요인 137
5. 간호사 지역불균형 완화를 위한 정책방향 138
6. 연구의 의의 143
1) 간호연구 측면 143
2) 간호정책 측면 144
3) 간호실무 측면 144
7. 연구의 제한점 145
Ⅵ. 결론 및 제언 147
참고 문헌 150
부록 160
Abstract 164
Table 1. Data Integrated or Excluded for Analyzing Changes in the Geographic Distribution of Nurses 43
Table 2. Variables Used in Calculating the Excess Supply Index for Practicing Nurses 48
Table 3. Variables Used in Analyzing Associated Factors of Geographic Inequalities in the Distribution of Nurses 52
Table 4. Indicators and Formulas for Analyzing Changes in the Geographic Distribution of Nurses 54
Table 5. Number of Nursing Graduates by Cities and Provinces (2011~2020) 61
Table 6. Number of Nursing Graduates per 100,000 Population by Cities and Provinces (2011~2020) 64
Table 7. Number of Practicing Nurses by Cities and Provinces (2011~2020) 67
Table 8. Top 10 and Bottom 10 Regions for the Number of Practicing Nurses by Cities, Counties, and Districts (2011, 2020) 70
Table 9. Number of Practicing Nurses per 1,000 Population by Cities and Provinces (2011~2020) 73
Table 10. Top 10 and Bottom 10 Regions for the Number of Practicing Nurses per 1,000 Population by Cities, Counties, and Districts (2011, 2020) 77
Table 11. Number of Practicing Nurses per 100 Beds by Cities and Provinces (2011~2020) 80
Table 12. Top 10 and Bottom 10 Regions for the Number of Practicing Nurses per 100 Beds by Cities, Counties, and Districts (2011, 2020) 83
Table 13. Number of Practicing Nurses per 100 Adjusted Inpatients by Cities and Provinces (2011~2020) 86
Table 14. Top 10 and Bottom 10 Regions for the Number of Practicing Nurses per 100 Adjusted Inpatients by Cities, Counties, and Districts (2011, 2020) 89
Table 15. Changes in the Concentration Index for the Distribution of Nurses (2011~2020) 95
Table 16. Descriptive Statistics of Variables Used in Calculating the Excess Supply Index for Practicing Nurses 99
Table 17. Regression Analysis to Estimate the Appropriate Number of Practicing Nurses by Cities, Counties, and Districts 102
Table 18. Excess Supply Index for Practicing Nurses by Cities, Counties, and Districts (2020) 103
Table 19. Descriptive Statistics of the Excess Supply Index for Practicing Nurses by Cities, Counties, and Districts 107
Table 20. Regions with a Shortage of Practicing Nurses based on the Excess Supply Index (2020) 108
Table 21. Regions with a Surplus of Practicing Nurses based on the Excess Supply Index (2020) 109
Table 22. Analysis of the Excess Supply Index for Practicing Nurses by Regions 111
Table 23. Descriptive Statistics of Variables Used in Analyzing Associated Factors of Geographic Inequalities in the Distribution of Nurses 114
Table 24. Correlations of Variables Used in Analyzing Associated Factors of Geographic Inequalities in the Distribution of Nurses 117
Table 25. Associated Factors of Practicing Nurses per 1,000 Population by Regions 121
Table 26. Associated Factors of Practicing Nurses per 1,000 Population by Regions(continued) 122
Table 27. Descriptive Statistics of Practicing Nurses per 1,000 Population by Cities, Counties, and Districts 123
Table 28. Associated Factors of Regions with the Inappropriate Number of Practicing Nurses per 1,000 Population 125
Figure 1. Framework for Imbalance of Human Resource for Health 35
Figure 2. Health Human Resources Conceptual Framework 37
Figure 3. Research Procedure 38
Figure 4. Conceptual Framework 39
Figure 5. Lorenz Curve Describing the Concentration Index for the Distribution of Practicing Nurses 55
Figure 6. Number of Nursing Graduates by Cities and Provinces (2011~2020) 62
Figure 7. Changes in the Distribution of Nursing Graduates by Cities and Provinces (2011, 2020) 62
Figure 8. Number of Nursing Graduates per 100,000 Population by Cities and Provinces (2011~2020) 65
Figure 9. Changes in the Distribution of Nursing Graduates per 100,000 Population by Cities and Provinces (2011, 2020) 65
Figure 10. Number of Practicing Nurses by Cities and Provinces (2011~2020) 68
Figure 11. Changes in the Distribution of Practicing Nurses by Cities and Provinces (2011, 2020) 68
Figure 12. Changes in the Distribution of Practicing Nurses by Cities, Counties, and Districts (2011, 2020) 71
Figure 13. Number of Practicing Nurses per 1,000 Population by Cities and Provinces (2011~2020) 74
Figure 14. Changes in the Distribution of Practicing Nurses per 1,000 Population by Cities and Provinces (2011, 2020) 74
Figure 15. Changes in the Distribution of Practicing Nurses per 1,000 Population by Cities, Counties, and Districts (2011, 2020) 78
Figure 16. Number of Practicing Nurses per 100 Beds by Cities and Provinces (2011~2020) 81
Figure 17. Changes in the Distribution of Practicing Nurses per 100 Beds by Cities and Provinces (2011, 2020) 81
Figure 18. Changes in the Distribution of Practicing Nurses per 100 Beds by Cities, Counties, and Districts (2011, 2020) 84
Figure 19. Number of Practicing Nurses per 100 Adjusted Inpatients by Cities and Provinces (2011~2020) 87
Figure 20. Changes in the Distribution of Practicing Nurses per 100 Adjusted Inpatients by Cities and Provinces (2011, 2020) 87
Figure 21. Changes in the Distribution of Practicing Nurses per 100 Adjusted Inpatients by Cities, Counties, and Districts (2011, 2020) 90
Figure 22. Lorenz Curve for the Distribution of Nursing Graduates based on Population (2011, 2020) 91
Figure 23. Lorenz Curve for the Distribution of Practicing Nurses based on Population (2011, 2020) 92
Figure 24. Lorenz Curve for the Distribution of Practicing Nurses based on Beds (2011, 2020) 93
Figure 25. Lorenz Curve for the Distribution of Practicing Nurses based on Adjusted Inpatients (2011, 2020) 94
Figure 26. Trends in the Concentration Index for the Distribution of Nurses by Cities and Provinces (2011~2020) 96
Figure 27. Trends in the Concentration Index for the Distribution of Nurses by Cities, Counties, and Districts (2011~2020) 97
Figure 28. Histogram and Normal P-P Plot of Residuals in the Original Model 101
Figure 29. Histogram and Normal P-P Plot of Residuals in the Log-Transformed Model 101
Figure 30. Box Plot and Histogram of the Excess Supply Index for Practicing Nurses by Cities, Counties, and Districts 107
Figure 31. Geographic Inequalities in the Distribution of Practicing Nurses based on the Excess Supply Index (2020) 109
Figure 32. Histogram of Practicing Nurses per 1,000 Population and Histogram of ln(Practicing Nurses per 1,000 Population) 116