大都会法国的初级保健的空间可访问性:使用所有地区的SCALE空间可访问性指数的结果
Ludivine Launay1,2,3, Fabien Guillot4, Mohand Medjkane4
1Plateforme MapInMed, US PLATON, University of Caen Normandy, 14033 Caen, France.
概括
新的SCALE指数以精细的地理尺度衡量医疗保健的可访问性,同时考虑了医疗服务提供者的接近性和可用性. 该工具揭示了法国各地区在获得医疗保健服务方面的差异,突出了需要改善医疗保健服务的地区.
科学领域:
- 公共卫生 公共卫生
- 地理信息系统 (GIS) 是指地理信息系统.
- 医疗保健管理的管理
背景情况:
- 医疗保健的可访问性是一个关键的公共卫生挑战.
- 现有的评估工具缺乏可扩展性,无法捕捉到可访问性的多维性质.
- 需要一个精确的,可扩展的衡量医疗保健准入的方法.
研究的目的:
- 引入SCALE指数,这是评估医疗保健可访问性的新型综合措施.
- 克服当前可访问性工具中规模和多维度的局限性.
- 在精细的地理层面上绘制和分析医疗保健的可访问性.
主要方法:
- 计算住宅区到最近的护理设施的潜在可访问距离.
- 按理论设施压力加权的距离,以考虑资源可用性.
- 使用权重可访问距离的线性组合开发了SCALE指数.
- 利用GIS来绘制法国各地区和城市的可访问性差异.
主要成果:
- 斯卡尔指数有效地突出了医疗保健可访问性的国家和地区差异.
- 绘制地图显示,在巴黎等主要城市中心,交通便利度很高,交通便利度很低,形成了明显的"Y"形状.
- 该指数显示了细节性,评估了小地理单元的访问.
结论:
- SCALE指数提供了医疗保健可访问性的精确衡量标准,包括接近和提供者的可用性.
- 该工具可用于可视化和分析不同区域内的可访问性模式.
- SCALE指数为公共卫生规划和资源分配提供了一个可扩展的解决方案.
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