低发达城市医疗服务的可访问性评估和多场景优化,由多源数据和中国最新政策驱动
Jinhua Hu1,2, Chenchen Peng3, Yazhuo Hu4
1College of Geography and Geomatics, Xuchang University, Xuchang, 461000, China.
Scientific reports
|October 29, 2024
概括
在欠发达城市优化医疗设施和道路网络可以改善医疗保健的获取. 整合地理位置和基础设施规划是公平卫生服务和实现国家卫生目标的关键.
科学领域:
- 公共卫生 公共卫生
- 城市规划 城市规划
- 卫生地理 卫生地理
背景情况:
- 由于人口老龄化和社会正义需求,欠发达的城市面临着对公平,高质量的医疗服务的迫切需求.
- 现有的医疗服务优化往往忽视了道路基础设施和设施位置的综合规划.
- 最新的政策强调医疗服务的时间指标,但在欠发达城市的研究仍然有限.
研究的目的:
- 系统地调查和优化欠发达城市的多层次医疗服务.
- 开发和应用使用地理信息系统 (GIS) 技术的多场景优化框架.
- 将医疗服务的改进与"健康中国2030"和农村振兴等国家政策保持一致.
主要方法:
- 使用网络分析对高质量的医院和初级卫生中心进行多层次评估.
- 多场景优化,包括新的医疗设施和道路基础设施.
- 用于设施选择的位置分配分析和用于道路网络设计的空间语法.
主要成果:
- 道路基础设施和设施位置的综合优化显著提高了医疗服务的可访问性.
- 该研究发现,有限数量的新道路和设施可以是最佳的,平衡改善与当地经济和规划限制.
- 医疗服务可访问性的改善显示,随着候选设施数量的增加,回报率正在下降.
结论:
- 开发的框架为加强欠发达地区的城市卫生发展提供了有价值的支持.
- 医疗设施和运输基础设施的综合规划对于公平的医疗保健服务至关重要.
- 研究结果为决策者提供了切实可行的见解,帮助他们解决城乡健康不平等问题,并实施国家健康战略.
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