成都市各级医疗机构空间分布自相关研究
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摘要
目的:分析成都市各级医疗机构空间分布的均衡性。方法:采用现有数据收集法及空间自相关分析法。结果:成都市基层医疗机构具有较强的全域自相关性,二、三级医院则自相关性不明显;局域医疗机构空间分布呈现多样性,"高-高"聚集区域均位于一圈层,"高-低"聚集区域的基层医疗机构辐射作用待开发,"低-高"聚集区域内二、三级医院服务能力亟待提升,"低-低"聚集区域内外机构的发展是重点。结论:成都市医疗机构配置空间分布不均衡,不同经济圈层差异明显,应合理规划、加大投入,提升医疗机构配置的公平性,促进区域间均衡发展。
Objective: To analyze the equilibrium of the tiered medical institutions distribution in Chengdu. Methods: Existing data collection and Spatial autocorrelation analysis are conducted. Results: The basic medical institutions in Chengdu are highly autocorrelated and the 2,3-grade hospitals are not obvious. Area distribution of tiered medical institutions appears diversity, the first layer is "high-high" clustered and the radiating role of the basic medical institutions in the "high-low" cluster area awaits being exploistated. The services capabilities of the 2,3 grade hospitals in the "low-high" cluster area should be improved urgently and the development of the medical institutions in "low-low" cluster area is the key point. Conclusion: The distribution of the tiered medical institutions in Chengdu is disequilibrium, and different economic-layer appears significantly different. It needs to be properly planned and increase investment to improve the fairness of medical institutions deploy, and achieve balanced development in different area.
Objective: To analyze the equilibrium of the tiered medical institutions distribution in Chengdu. Methods: Existing data collection and Spatial autocorrelation analysis are conducted. Results: The basic medical institutions in Chengdu are highly autocorrelated and the 2,3-grade hospitals are not obvious. Area distribution of tiered medical institutions appears diversity, the first layer is "high-high" clustered and the radiating role of the basic medical institutions in the "high-low" cluster area awaits being exploistated. The services capabilities of the 2,3 grade hospitals in the "low-high" cluster area should be improved urgently and the development of the medical institutions in "low-low" cluster area is the key point. Conclusion: The distribution of the tiered medical institutions in Chengdu is disequilibrium, and different economic-layer appears significantly different. It needs to be properly planned and increase investment to improve the fairness of medical institutions deploy, and achieve balanced development in different area.
引文
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[2]杨锃,孙晓彤.基础医疗资源配置与服务利用的研究——以上海城市空间为例[J].甘肃行政学院学报,2016(5):78-90.
[3]白鸽,温伟军,金超,等.基于地理信息系统的区域医疗资源布局评价实证研究[J].中国医院管理,2017,37(1):29-31.
[4]罗慧,农艺,唐忠.广西医疗卫生资源配置的空间分布及聚集性分析[J].中国卫生资源,2017,20(3):114-117.
[5]钟少颖,杨鑫,陈锐.层级性公共服务设施空间可达性研究——以北京市综合性医疗设施为例[J].地理研究,2016,35(4):731-744.
[6]徐飞龙.基于GIS空间分析的医院布局研究[D].重庆医科大学,2014.
[7]曹范堃,袭燕,郑文贵.山东省社区卫生服务中心卫生资源配置公平性分析[J].医学与社会,2018,31(1):11-13.
[8]刘玥,黄晓光.2015年无锡市卫生资源配置公平性研究[J].医学与社会,2016,29(11):31-34.
[9]于德华,郭旋,傅喆墩,等.基于分级诊疗的区域卫生三维协同模式探讨[J].中国医院管理,2017,37(5):5-7.
[10]刘少坤.基于GIS的城市医疗资源空间配置合理性评价及预警研究[D].湖南农业大学,2014.
[11]李丽勤,李进,林军.分级诊疗背景下发挥医院区域功能的思考[J].中国医院管理,2016,36(1):8-9.
[12]刘晓君,胡永新,袁兆康,等.江西省医疗服务体系建设现况分析与问题探讨[J].中国卫生经济,2016,35(3):56-59.