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测量网络约束型城市系统中医疗设施的空间分布模式及其与高血压住院患者的关系。

Measuring Spatial Patterns of Health Care Facilities and Their Relationships with Hypertension Inpatients in a Network-Constrained Urban System.

机构信息

Key Laboratory of Urban Land Resources Monitoring and Simulation, Ministry of Land and Resources of China, Shenzhen 518034, China.

Key Laboratory for Geo-Environmental Monitoring of Coastal Zone of the Ministry of Natural Resources & Guangdong Key Laboratory of Urban Informatics & Shenzhen Key Laboratory of Spatial Smart Sensing and Services, Shenzhen University, Shenzhen 518060, China.

出版信息

Int J Environ Res Public Health. 2019 Sep 2;16(17):3204. doi: 10.3390/ijerph16173204.

DOI:10.3390/ijerph16173204
PMID:31480759
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6747080/
Abstract

There is evidence of a strong correlation between inequality in health care access and disparities in chronic health conditions. Equal access to health care is an important indicator for overall population health, and the urban road network has a significant influence on the spatial distribution of urban service facilities. In this study, the network kernel density estimation was applied to detect the hot spots of health care service along the road network of Shenzhen, and we further explored the influences of population and road density on the aggregate intensity distributions at the community level, using spatial stratified heterogeneity analyses. Then, we measured the spatial clustering patterns of health care facilities in each of the ten districts of Shenzhen using the network K-function, and the interrelationships between health care facilities and hypertension patients. The results can be used to examine the reasonability of the existing health care system, which would be valuable for developing more effective prevention, control, and treatment of chronic health conditions. Further research should consider the influence of nonspatial factors on health care service access.

摘要

有证据表明,医疗保健机会不平等与慢性病状况差异之间存在很强的相关性。平等获得医疗保健是整体人口健康的一个重要指标,城市道路网络对城市服务设施的空间分布有重大影响。在这项研究中,应用网络核密度估计来检测深圳道路网络沿线医疗服务的热点,并进一步使用空间分层异质性分析,探讨人口和道路密度对社区层面综合强度分布的影响。然后,使用网络 K 函数测量深圳十个区的医疗设施的空间聚类模式,以及医疗设施与高血压患者之间的相互关系。研究结果可用于检验现有医疗保健系统的合理性,这对于制定更有效的慢性病预防、控制和治疗策略具有重要意义。进一步的研究应考虑非空间因素对医疗保健服务获取的影响。

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本文引用的文献

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Geographic assessment of access to health care in patients with cardiovascular disease in South Africa.南非心血管疾病患者获得医疗保健服务的地理评估。
BMC Health Serv Res. 2018 Mar 22;18(1):197. doi: 10.1186/s12913-018-3006-0.
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The primary health-care system in China.中国的基层医疗保健系统。
Lancet. 2017 Dec 9;390(10112):2584-2594. doi: 10.1016/S0140-6736(17)33109-4. Epub 2017 Dec 8.
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Evaluation of the three-in-one team-based care model on hierarchical diagnosis and treatment patterns among patients with diabetes: a retrospective cohort study using Xiamen's regional electronic health records.
基于团队的三位一体糖尿病照护模式对分级诊疗模式影响的评估:一项利用厦门地区电子健康档案的回顾性队列研究
BMC Health Serv Res. 2017 Nov 28;17(1):779. doi: 10.1186/s12913-017-2705-2.
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Prevalence, awareness, treatment, and control of hypertension in China: data from 1·7 million adults in a population-based screening study (China PEACE Million Persons Project).中国高血压的患病率、知晓率、治疗率和控制率:一项基于人群筛查研究的 170 万成年人数据(中国高血压调查)。
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An Exploratory Analysis of the Geographical Distribution of Trauma Incidents in Shenzhen, China.中国深圳创伤事件地理分布的探索性分析
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Health Care in China.中国的医疗保健
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Spatial Distribution Characteristics of Healthcare Facilities in Nanjing: Network Point Pattern Analysis and Correlation Analysis.南京医疗设施的空间分布特征:网络点模式分析与相关性分析
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Public Health. 2016 Feb;131:82-91. doi: 10.1016/j.puhe.2015.10.020. Epub 2015 Dec 20.
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Spatial inequity in access to healthcare facilities at a county level in a developing country: a case study of Deqing County, Zhejiang, China.发展中国家县级医疗保健设施可及性的空间不平等:以中国浙江省德清县为例
Int J Equity Health. 2015 Aug 19;14:67. doi: 10.1186/s12939-015-0195-6.