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养老机构可持续发展与空间环境因素的递进关系:基于城市地区超市、医疗可达性及公园影响的研究

Progressive Relationship Between Sustainable Development of Elderly Care Institutions and Spatial Environmental Factors: A Study Based on the Influence of Supermarkets, Medical Accessibility, and Parks in Urban Areas.

作者信息

Jiang Hua, Guo Zhiyang, Zhang Yuqian, Zhang Hangkong

机构信息

School of Labor Economics, Capital University of Economics and Business (CUEB), Beijing, People's Republic of China.

Institute of Gerontology, Renmin University of China (RUC), Beijing, People's Republic of China.

出版信息

Risk Manag Healthc Policy. 2023 Oct 2;16:2037-2049. doi: 10.2147/RMHP.S408532. eCollection 2023.

Abstract

PURPOSE

To study the relationship between three variables, namely, the number of supermarkets around, the average distance to medical institutions designated to be covered by basic medical insurance, and the presence of parks around, and the sustainable development of elderly care institutions.

PATIENTS AND METHODS

This paper is based on the census database of elderly care institutions in Beijing. We ran a self-developed Python program to mine the database after adding three variables, namely, the number of supermarkets around, the average distance to medical institutions designated to be covered by basic medical insurance (hereinafter referred to as "designated medical institutions"), and the presence of parks around, and then used the least squares method in regression analysis.

RESULTS

The number of years of depreciation for fixed assets had some degree of influence on the occupancy rate of an elderly care institution under sustained operation. The occupancy rate of above 80% was efficient for an elderly care institution. There was a progressive relationship between the external spatial factors and the internal resources of an elderly care institution in terms of influencing the occupancy rate of the institution. Optimizing the spatial distribution of elderly care institutions should first optimize the choice of location.

CONCLUSION

The occupancy rate of an elderly care institution was closely related to the convenience of living conditions and that site selection was crucial for such a facility. We arrived at two recommendations for the future development of elderly care institutions, 1. Reducing the number of the institutions in areas with unfavorable geographic positions and serving senior care needs within an appropriate close distance, so as to better optimize the spatial distribution of senior care facilities, improve the efficiency of resource allocation. 2. Strike a balance between the economic benefits of operating entities and the social benefits associated with older people.

摘要

目的

研究周边超市数量、到基本医疗保险定点医疗机构的平均距离、周边公园情况这三个变量与养老机构可持续发展之间的关系。

患者与方法

本文基于北京市养老机构普查数据库。在添加周边超市数量、到基本医疗保险定点医疗机构(以下简称“定点医疗机构”)的平均距离、周边公园情况这三个变量后,运行自行开发的Python程序挖掘该数据库,然后在回归分析中使用最小二乘法。

结果

固定资产折旧年限对持续运营的养老机构入住率有一定程度影响。养老机构入住率达到80%以上为高效。在影响养老机构入住率方面,外部空间因素与养老机构内部资源之间存在递进关系。优化养老机构空间布局应首先优化选址。

结论

养老机构入住率与生活条件便利性密切相关,选址对这类设施至关重要。我们对养老机构未来发展提出两条建议,1. 减少地理位置不佳地区的养老机构数量,在适当近距离内满足养老需求,从而更好地优化养老设施空间布局,提高资源配置效率。2. 在运营实体的经济效益与老年人相关社会效益之间取得平衡。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4313/10558022/392cde71ef4d/RMHP-16-2037-g0001.jpg

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