Spatial Access to Medical Services in the Underdeveloped Region of Northwestern China: A Case Study in Lanzhou City
Spatial Access to Medical Services in the Underdeveloped Region of Northwestern China: A Case Study in Lanzhou City
复制标题
西北欠发达地区医疗服务空间可及性：以兰州市为例
DOI：
10.3390/su11236786
复制
发表时间：
2019-11
期刊：
影响因子：
3.9
通讯作者：
Hui Wang
中科院分区：
文献类型：
--
作者：
Wantong Xu;Fuguang Zhang;Biao Zeng;Taibao Yang;Hui Wang
医疗服务空间可及性研究是近年来的热点问题。研究区域选择了西北欠发达地区具有代表性的省会城市兰州。采用两步浮动集水区法和ArcGIS网络分析法，对兰州市医疗服务地理空间可达性及城乡差异进行分析。结果表明：1.兰州市可达性一般及以下的地区占了大部分。因此，兰州市整体的空间可达性比较不理想。可达性总体上呈现出北部地区劣于南部地区的趋势，主要行政区的部分地区、HG的部分地区和其他少数民族地区可达性等级较高，其他大部分地区可达性等级较低，尤其是周边山区。2.可达性城乡差异明显，主要体现在城区居民和区域基本上都分布在大、好等级，而大、好等级分布的人口和区域几乎占75%，在农村地区，仍有近25%的居民和65%的地区处于不满意的可达性等级。根据调查结果，研究者提出了相应的改善建议，大致如下：加强农村地区医院和基层卫生服务的建设，尤其是乡镇卫生院和卫生站的建设。红古区、永登县、榆中县、皋兰县需要高水平的医院，同时提高现有医院的医疗能力和设施等级，以满足当地居民的需求。should.be同时，农村地区要加强公路网建设。
Research on the spatial access to medical services has become a hot topic in recent years. The representative provincial capital in the underdeveloped region of northwestern China, Lanzhou, was selected for the research area. In this paper, methods such as the two-step floating catchment area and ArcGIS network analysis are used to analyze the geographic spatial accessibility of medical services and differences of spatial access between urban and rural areas in Lanzhou city. The results show that 1. Areas in General and below grade of accessibility account for most of Lanzhou city. Therefore, the spatial accessibility of whole Lanzhou city is comparatively unsatisfactory. It shows a tendency of the north region to be worse than south region, and areas in parts of the main districts, parts of HG, and other tiny minority show Great grade of accessibility, and most of other areas distribute in poorer grade of accessibility, especially the urrounding mountainous region. 2. There are obvious differences in accessibility between urban and rural regions, mainly reflected in that residents and areas are basically districted in the Great and Good grade in the urban region, while almost 75% of the population and 35% of the areas are distributed in the Great and Good grade, and nearly 25% of the residents and 65% of the areas are still in the unsatisfactory accessibility grade in the rural region. According to the results, the researchers put forward corresponding suggestions to improve the current situation, which are roughly as follows: The construction of hospitals and primary health care should be strengthened in the rural region, especially the construction of township health centers and health stations. High-class hospitals are needed in Honggu district, Yongdeng county, Yuzhong county, and Gaolan county, while the medical capacity and facility grade of existing hospitals should.be improved to satisfy the demand of local residents. Meanwhile, rural areas should strengthen the construction of road networks.
登录
查看更多内容
中国北京住宅护理设施选址的空间优化：可达性最大化
影响因子：
4.9
作者：
Tao Z;Cheng Y;Dai T;Rosenberg MW
通讯作者：
Rosenberg MW
影响因子：
4.9
作者：
Hare, Timothy S.;Barcus, Holly R.
通讯作者：
Barcus, Holly R.
影响因子：
4.8
作者：
Delamater, Paul L.
通讯作者：
Delamater, Paul L.
WorldPop，空间人口统计学的开放数据。
影响因子：
9.8
作者：
Tatem AJ
通讯作者：
Tatem AJ
DOI：
--
发表时间：
2010
期刊：
Progress in geography
影响因子：
--
作者：
Zhang Lei
通讯作者：
Zhang Lei