超越距离:将经济负担纳入大规模的初级医疗保健可访问性分析中
Bin Zhu1, Liutong Chen1,2, Yifei He1
1School of Public Health and Emergency Management, Southern University of Science and Technology, Shenzhen, 518055, China.
大多数中国人可以在一小时内获得初级医疗保健 (PHC),但存在显著的区域差异. 该研究量化了前往医疗保健服务的经济负担,突出了医疗保健获取方面的不平等.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 地理信息系统 (GIS) 是指地理信息系统.
- 卫生经济学 卫生经济学
背景情况:
- 获得初级医疗保健 (PHC) 对人口健康和卫生系统绩效至关重要.
- 目前评估医疗保健可及性和经济负担的方法有限,特别是在发展中国家.
研究的目的:
- 开发和应用一套综合方法,对PHC可访问性和相关的旅行费用进行大规模评估.
- 评估在不同地理环境中获得医疗保健服务的经济负担.
主要方法:
- 综合评估方法结合了高分辨率的摩擦表面映射,PHC设施空间数据和最低成本路径算法.
- 批处理用于高效的,高分辨率的可访问性空间分析.
- 计算用于PHC访问的旅行费用和经济负担.
主要成果:
- 88.70%的中国人口可以在一个小时内访问PHC,这表明通用性一般很好.
- 研究发现,在可访问性和经济负担方面存在显著的区域差异,农村/偏远地区面临更大的挑战.
- 据估计,前往PHC的年度经济负担为38.29亿元人民币,西北地区的成本不成比例.
结论:
- 开发的方法使得大规模,高分辨率的可访问性分析能够指导干预.
- 经验发现显示,在中国,医疗保健的接入差异很大,并量化了它们的巨大经济成本.
- 该研究支持解决医疗保健差异和改善健康公平的努力.
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