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基于多源数据的医疗资源空间配置合理性分析:以中国太原为例

Spatial Allocation Rationality Analysis of Medical Resources Based on Multi-Source Data: Case Study of Taiyuan, China.

作者信息

Hu Lujin, Cai Shengqi

机构信息

School of Geomatics and Urban Spatial Informatics, Beijing University of Civil Engineering and Architecture, Beijing 102616, China.

出版信息

Healthcare (Basel). 2024 Aug 21;12(16):1669. doi: 10.3390/healthcare12161669.

Abstract

Reasonably allocating medical resources can effsectively optimize the utilization efficiency of such resources. This paper took Taiyuan City as an example and established a model to evaluate the rationality of medical resource spatial allocation, incorporating two key dimensions: the spatial layout and the supply and demand of medical resources. In terms of the spatial layout, three indexes were included: Firstly, the service coverage rates of different levels of medical institutions, based on residents' medical orientations, were calculated using network analysis methods. Secondly, the Huff-2SFCA method was improved to calculate the accessibility of medical resources for four different modes of transportation. Then, the Health Resource Agglomeration Degree (HRAD) and Population Agglomeration Degree (PAD) were used to quantify the equity of medical resources. In terms of the supply and demand of medical resources, one index was included: the supply-demand ratio of medical resources during sudden public health events, which was calculated using the number of beds per thousand people as an indicator. These four indexes were weighted using the entropy weight method to obtain the rationality grade of medical resource spatial allocation in Taiyuan City. The study found that the rationality evaluation level of medical resource allocation in the central urban area of Taiyuan City followed a "concentrically decreasing" pattern. The rating ranged from "very reasonable" to "less reasonable", with the area of each level expanding gradually. The areas rated within the top two categories only accounted for 19.92% of the study area, while the area rated as "less reasonable" occupied 38.73% of the total area. These results indicate that the model accounted for residents' travel for various medical orientations and the availability of resources during public health emergencies. It considered both the spatial layout and supply and demand of medical resources, offering recommendations for the precise allocation of urban medical resources.

摘要

合理配置医疗资源能够有效优化此类资源的利用效率。本文以太原市为例,建立了一个评估医疗资源空间配置合理性的模型,该模型纳入了两个关键维度:医疗资源的空间布局以及供需情况。在空间布局方面,包含三个指标:其一,基于居民就医倾向,运用网络分析方法计算不同级别医疗机构的服务覆盖率。其二,改进Huff-2SFCA方法,计算四种不同交通方式下医疗资源的可达性。然后,利用卫生资源集聚度(HRAD)和人口集聚度(PAD)来量化医疗资源的公平性。在医疗资源供需方面,包含一个指标:突发公共卫生事件期间医疗资源的供需比,以千人床位数为指标进行计算。运用熵权法对这四个指标进行加权,得到太原市医疗资源空间配置的合理性等级。研究发现,太原市中心城区医疗资源配置合理性评价水平呈“同心圆递减”模式。评级从“非常合理”到“较不合理”,各级别区域面积逐渐扩大。评级在前两类的区域仅占研究区域的19.92%,而被评为“较不合理”的区域占总面积的38.73%。这些结果表明,该模型考虑了居民因不同就医倾向的出行情况以及公共卫生突发事件期间资源的可获取性。它兼顾了医疗资源的空间布局和供需情况,为城市医疗资源的精准配置提供了建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3771/11353343/cbbecfc56a23/healthcare-12-01669-g001.jpg

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