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[动物保健的空间可达性——基于地理信息系统的分析]

[Spatial accessibility to animal health care - a GIS based analysis].

作者信息

Lenz N, Caduff U, Jörg R, Beglinger C, Rieder S

机构信息

geo7 AG, Bern.

Schweizerisches Gesundheitsobservatorium (OBSAN), Neuchâtel.

出版信息

Schweiz Arch Tierheilkd. 2020 Jun;162(6):377-386. doi: 10.17236/sat00263.

Abstract

Various studies from the past years examine the changing conditions and challenges in the veterinary sector. Secured access to public and private care services is a prerequisite for a holistically oriented health care system ("One Health"). In the present study, a multidimensional concept of accessibility to care services was used for the first time to determine and visualize the density of the animal health care system in Switzerland. Traditional indicators used to describe care structures focus either on availability or accessibility. In order to overcome the limitations of traditional indicators, the family of methods known as Floating-Catchment-Area-Methods (FCA) has been developed in care geographical research. The strength of FCA methods lies in the fact that they output accessibility independent of administrative boundaries and at the same time consider the spatial distance and available capacities. The study provides insight into the density of animal health care services using FCA methods and geographical information systems (GIS). Data on providers of veterinary services in the companion animal sector and, on the demand side, data on dogs and cats kept in Switzerland served as illustrative example. The result was interactive maps of the density of health care and the structure of spatial accessibility to veterinary providers and consumers. As expected, high spatial accessibility is found in the urban centers and the agglomerations of the Central Plateau. In contrast, spatial accessibility to medical services for dogs and cats is often lower in peripheral areas. Due to hitherto unavailable data, various analyses had to be postponed for the time being. For example, the model could of course be extended to all animal species and all types of medical services. In addition, it would also be possible to forecast the future density of health care, or to optimize the care system. Together with the relevant industry stakeholders, these gaps could be closed, and the model and the resulting findings could be further differentiated. The results should serve private actors in the concerned value chains, but also decision-makers in the public veterinary service, governmental authorities, agricultural bodies, universities, etc. as a basis for strategic decisions regarding the issue of medical supply density and care services in the animal sector.

摘要

过去几年的多项研究探讨了兽医领域不断变化的状况和挑战。确保获得公共和私人护理服务是一个以整体为导向的医疗保健系统(“同一健康”)的先决条件。在本研究中,首次使用了护理服务可及性的多维概念来确定和可视化瑞士动物保健系统的密度。用于描述护理结构的传统指标要么侧重于可及性,要么侧重于可用性。为了克服传统指标的局限性,护理地理研究中开发了一种称为浮动集水区方法(FCA)的方法族。FCA方法的优势在于,它们输出的可及性独立于行政边界,同时考虑了空间距离和可用容量。该研究使用FCA方法和地理信息系统(GIS)深入了解了动物保健服务的密度。以伴侣动物领域兽医服务提供者的数据以及需求方瑞士饲养的狗和猫的数据为例。结果是医疗保健密度以及兽医提供者与消费者之间空间可及性结构的交互式地图。正如预期的那样,在城市中心和中央高原的城市群中发现了较高的空间可及性。相比之下,周边地区狗和猫的医疗服务空间可及性通常较低。由于目前尚无可用数据,各种分析不得不暂时推迟。例如,该模型当然可以扩展到所有动物物种和所有类型的医疗服务。此外,还可以预测未来的医疗保健密度,或优化护理系统。与相关行业利益相关者一起,可以填补这些空白,并进一步区分模型和所得结果。这些结果应为相关价值链中的私营企业提供参考,同时也为公共兽医服务、政府当局、农业机构、大学等的决策者提供有关动物领域医疗供应密度和护理服务问题的战略决策依据。

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