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使用索赔数据库和地理信息系统分析家庭医疗保健的地理可用性差异:模拟研究研究
Yasuhiro Morii1, Yasuhiro Nakanishi2, Yuichi Nishioka3
1Center for Outcomes Research and Economic Evaluation for Health, National Institute of Public Health, Wako, Japan.
JMIR aging
|August 6, 2025
概括
在日本纳拉南部农村地区,家庭医疗保健的地理可用性很差. 改善资源配置可以显著减少旅行时间,特别是在人口稀少的地区,提高获得基本卫生服务的机会.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医学地理 医学地理
- 老年学是指老年学的学科.
背景情况:
- 老龄化社会面临着对家庭医疗保健服务的日益增长的需求.
- 医疗保健资源的最佳分配对于满足社区需求至关重要.
- 地理上的可访问性对家庭医疗保健的获取有重大影响,但区域差异的研究不足.
研究的目的:
- 分析日本奈良县家庭医疗保健服务在地理位置上的差异.
- 通过使用全面的医疗索赔数据库,评估资源分配对可访问性的影响.
主要方法:
- 利用Kokuho数据库 (KDB) 在奈良县的医疗索赔数据.
- 采用地理信息系统 (GIS) 分析到达家庭医疗保健服务的旅行距离和时间.
- 对比了39个城市的理想场景 (所有提供商) 和实际场景 (现有提供商).
主要成果:
- 农村南部的市政当局在实际情况中表现出超过16公里的旅行距离和超过30分钟的时间.
- 像Totsukawa和Kawakami这样的人口稀少的南部地区在理想情况下显示出最显著的旅行时间改善.
- 较低的家庭医疗保健使用率在南部农村市镇中被观察到.
结论:
- 在人口稀少的南方市镇,家庭医疗保健的地理可用性明显较低.
- 增加南部地区的医疗保健资源供应是解决可访问性差异的必要.
- 肯德基数据库为地理分析提供了有价值的数据,反映了实际的医疗保健使用模式.
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