School of Public Policy and Administration, Chongqing University, Chongqing, China.
Front Public Health. 2023 Mar 30;11:1125301. doi: 10.3389/fpubh.2023.1125301. eCollection 2023.
The COVID-19 pandemic highlighted the limitations of urban public health emergency response capabilities. Taking Wuhan as an example, this study used breakpoint regression, kernel density analysis, overlay analysis, and accessibility analysis from Stata and ArcGIS, and divided epidemic prevention facilities into the basic epidemic prevention facilities (hospitals), and the emergency epidemic prevention facilities (mobile cabin hospitals) for further analysis. The results showed that over 70% of the basic epidemic prevention facilities in Wuhan were located in high density population areas. On the contrary, most of the emergency epidemic prevention facilities were located in low density population areas. The local treatment effect of the implementation of the emergency epidemic prevention facility policy is about 1, indicating that there was a significant impact of emergency epidemic prevention facilities on outbreak control, which passed the bandwidth test. What's more, the analysis of the accessibility of residential points revealed that more than 67.3% of people from the residential points could arrive at the epidemic prevention facilities within 15 min, and only 0.1% of them took more than 20 min to arrive. Therefore, the epidemic prevention facilities can effectively curb the spread of the epidemic, and people from residential areas can quickly get there. This study summarized the spatial characteristics of epidemic prevention facilities in Wuhan and analyzed the importance of them, thus providing a new perspective for future research on upgrading the city's comprehensive disaster prevention system.
新冠疫情突出了城市公共卫生应急响应能力的局限性。以武汉为例，本研究使用 Stata 和 ArcGIS 中的断点回归、核密度分析、叠加分析和可达性分析，将防疫设施分为基本防疫设施（医院）和应急防疫设施（方舱医院）进行进一步分析。结果表明，武汉超过 70%的基本防疫设施位于人口密度较高的地区。相反，大多数应急防疫设施位于人口密度较低的地区。实施应急防疫设施政策的当地治疗效果约为 1，表明应急防疫设施对疫情控制有显著影响，通过了带宽测试。更重要的是，对居住点可达性的分析表明，超过 67.3%的居住点居民可以在 15 分钟内到达防疫设施，只有 0.1%的居民需要 20 分钟以上才能到达。因此，防疫设施可以有效遏制疫情的传播，居住点的人们可以快速到达。本研究总结了武汉防疫设施的空间特征，并分析了其重要性，为未来升级城市综合防灾系统的研究提供了新视角。
