Faculty of Urban Studies (FUS), University of Social Sciences and Humanities, Vietnam National University Ho Chi Minh City (VNU-HCM), Room A309, 10 - 12 Dinh Tien Hoang Street, Ben Nghe Ward, District 1, Ho Chi Minh City, Vietnam.
HCMC Institute for Development Studies, 28 Le Quy Don Street, Vo Thi Sau Ward, District 3, Ho Chi Minh City, Vietnam.
BMC Health Serv Res. 2022 Nov 19;22(1):1374. doi: 10.1186/s12913-022-08758-w.
Effective delivery of health services requires adequate quality in healthcare facilities and easy accessibility to health services physically or virtually. The purpose of this study was to reveal how the quality of healthcare facilities varies across the different parts of Ho Chi Minh City and how well residents (N = 9 million) can reach healthcare facilities. By demarcating the deficiently served areas of low accessibility, the study shows where urban planning and digital healthcare could improve accessibility to health services and the quality of services efficiently.
The analysis utilised geocoded information on hospitals, clinics, roads and population and the data of the quality scores of healthcare facilities. Quality scores were analysed by hot spot analysis and inverse distance weighting. Accessibility and formation of travel time-based service areas by travel time distances were calculated using road network, driving speed and population data.
The results unveiled a centripetal spatial pattern of healthcare facilities and a similar pattern in their quality. Outside the travel time of 30 min for hospitals and 15 min for clinics, the deficiently served areas have a population of 1.1 to 1.2 million. Based on the results and the evidence of digital healthcare, this paper highlights how to develop and plan spatially effective service provision. Especially, it gives grounds to discuss how cost-effective digital healthcare could be applied to improve the accessibility and quality of health services in an urban structure of extensively varying accessibility to health services.
The results bring up the need and the means for improving the quality of health services and their cost-efficient availability by location optimisation, road improvements and implementing digital healthcare provided by hospitals and clinics in the city. At the same, this study provides a multidisciplinary approach for planning more equal and efficient health service provision geographically.
有效的医疗服务需要医疗设施具备足够的质量，同时需要在物理或虚拟上实现医疗服务的便捷可及性。本研究旨在揭示胡志明市不同地区医疗设施的质量差异，以及居民（900 万）能够到达医疗设施的程度。通过划定低可达性的服务不足地区，本研究展示了城市规划和数字医疗如何能够有效提高医疗服务的可及性和服务质量。
分析利用了医院、诊所、道路和人口的地理编码信息以及医疗设施质量评分数据。质量评分通过热点分析和反向距离加权进行分析。使用道路网络、行车速度和人口数据计算了基于出行时间的服务区域的可达性和出行时间服务区域的形成。
结果揭示了医疗设施的向心空间模式及其质量的相似模式。在医院 30 分钟和诊所 15 分钟的出行时间之外，服务不足地区的人口为 110 万至 120 万。基于研究结果和数字医疗的证据，本文强调了如何以空间有效的方式发展和规划服务。特别是，它为讨论如何通过数字医疗在广泛存在医疗服务可达性差异的城市结构中提高医疗服务的可及性和质量提供了依据。
结果提出了通过位置优化、道路改善和实施医院和诊所提供的数字医疗来提高医疗服务质量和成本效益的必要性和手段。同时，本研究为规划更公平和高效的地理医疗服务提供了多学科方法。
Zotero 插件
