通过移动和囊诊所增强医疗保健中心可访问性的策略:中国的空间位置分配研究
Haopeng Liu1,2, Chengyu Ma3, Yanbin Yang1
1School of Public Health, Capital Medical University, Beijing, 100069, China.
BMC health services research
|July 23, 2025
概括
结合村医生,移动和囊诊所的多策略方法显著改善了偏远地区的初级医疗保健和公平的获得,优于单一策略方法.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 医疗保健管理的管理
背景情况:
- 初级医疗保健 (PHC) 的劳动力短缺,特别是在偏远地区,阻碍了全民医疗覆盖.
- 传统的乡村医生招聘策略往往不足以应对区域性挑战.
- 医疗保健获得和公平的空间不平衡需要创新的分配策略.
研究的目的:
- 开发和评估一个多策略 PHC 劳动力位置分配模型.
- 为了比较多策略方法与单一策略模型对PHC劳动力分配的有效性.
- 解决空间不平衡问题,改善偏远地区的医疗保健可及性和公平性.
主要方法:
- 开发了一个整合村医生招聘,移动诊所和囊诊所的模型.
- 将单一策略 (仅限村庄医生) 模型与北京郊区的多策略模型进行了比较.
- 评估模型使用患者阻抗,成本,可访问性和吉尼系数等指标.
主要成果:
- 与相同预算的单一策略模式相比,多策略模式显示出更好的覆盖范围,更低的阻碍,更好的可访问性和公平性.
- 随着预算增加了10%,多策略模式覆盖了19.23%的偏远村庄,并改善了跨越不同地形的可访问性.
- 随着政府投资的增加,观察到边际收益率的下降,以减少阻碍.
结论:
- 将村庄医生与移动和囊诊所集成,为服务不足地区的PHC人力资源短缺提供了灵活有效的解决方案.
- 这一全面战略提高了医疗保健的可访问性,公平性和财务效率.
- 政府应该采用这种多策略的方法,特别是在资源有限的地区,以实现普惠PHC服务覆盖范围.
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