Knaap G J, Blohowiak D
Department of Urban and Regional Planning, University of Illinois, Urbana 61801.
Med Care. 1989 Dec;27(12):1109-16. doi: 10.1097/00005650-198912000-00003.
This article addresses an issue of continuing interest to social scientists: the spatial distribution of physician services. Although there have been many studies of physician distribution across urban areas and states, there have been few studies, none recent, of physician distribution within urban areas. The paper begins with a review of studies that examine the determinants of intraurban physician location. Following the review the paper offers new estimates of the determinants of intraurban physician location using a maximum-likelihood procedure based on the Poisson distribution. Contrary to previous studies, the results imply that market forces do play a significant role in the spatial distribution of physicians.
医师服务的空间分布。尽管已经有许多关于医师在城市地区和各州分布情况的研究,但针对城市内部医师分布的研究却很少,且近期没有此类研究。本文首先回顾了那些研究城市内部医师分布决定因素的文献。在回顾之后,本文使用基于泊松分布的最大似然法,对城市内部医师分布的决定因素给出了新的估计。与之前的研究相反,研究结果表明市场力量在医师的空间分布中确实起着重要作用。