Assessing Spatial Accessibility to Primary Health Care Services in Beijing, China.
Assessing Spatial Accessibility to Primary Health Care Services in Beijing, China.
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DOI：
10.3390/ijerph182413182
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发表时间：
2021-12-14
影响因子：
--
通讯作者：
Yang L
中科院分区：
文献类型：
--
作者：
Zhang J;Han P;Sun Y;Zhao J;Yang L
在过去的十年里，初级卫生保健一直被强调为中国本轮卫生改革的支柱。本研究的目的是分析北京市初级卫生保健服务的可及性，并确定卫生人员相对稀缺的地区。研究选取了7个相对欠发达的生态保护区。基尼系数和洛伦茨曲线，以及最短行程时间和修改后的两步浮动集水区（M2SFCA）的方法，被用来量化初级卫生保健资源和空间可及性的不平等。基层医疗服务的基尼系数高达0.705，显示基层医疗服务的差距很大。共有81.22%的社区在15分钟内到达最近的初级保健机构。初级保健服务的平均可及性，以每1000人口的卫生专业人员数量衡量，在7个生态保护区的1715个社区中为2.34。391个社区（22.80%）被确定为相对较低的可达性。应向密云、门头沟和昌平区分配更多的初级卫生专业人员。总体而言，大多数地区的初级卫生保健资源分布不均。研究表明，扩大基层医疗卫生机构、增加卫生专业人员数量、完善道路网络等都是提高北京市基层医疗卫生服务空间可达性、缩小基层医疗卫生服务差距的有效途径。
Primary health care has been emphasized as a pillar of China’s current round of health reforms throughout the previous decade. The purpose of this study is to analyze the accessibility of primary health care services in Beijing and to identify locations with a relative scarcity of health personnel. Seven ecological conservation districts, which are relatively underdeveloped, were selected in the study. The Gini coefficient and Lorenz curve, as well as the shortest trip time and modified two-step floating catchment area (M2SFCA) approach, are used to quantify inequalities in primary health care resources and spatial accessibility. The Gini coefficient of primary medical services was calculated as high as 0.705, showing a significant disparity in primary care services. A total of 81.22% of communities reached the nearest primary care institution within 15 min. The average accessibility of primary healthcare services, as measured by the number of health professionals per 1000 population, was 2.34 in the 1715 communities of seven ecological conservation districts. Three hundred and ninety-one communities (22.80%) were identified with relatively low accessibility. More primary health professionals should be allocated to Miyun, Mentougou, and Changping Districts. Overall, the primary healthcare resources were distributed unevenly in most districts. According to our study, expanding primary healthcare institutions, increasing the number of competent health professionals, and enhancing road networks will all be effective ways to increase spatial accessibility and reduce primary healthcare service disparity in Beijing.
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影响因子：
2.8
作者：
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通讯作者：
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影响因子：
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作者：
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通讯作者：
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