检查韩国在多个地理尺度上的基本初级保健服务的空间差异
Hyun Kim1, Changwha Oh2, Yena Song3
1Department of Geography and Sustainability, University of Tennessee, Knoxville, USA.
Health & place
|February 12, 2026
概括
COVID-19大流行加剧了韩国基本初级保健服务 (EPS) 的空间差异,特别明显在地方层面,而不是国家总量. 定制的公共卫生政策对于解决这些依赖规模的医疗保健准入问题至关重要.
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
- 空间分析 空间分析
背景情况:
- 韩国医疗保健系统在服务提供方面面临着显著的空间差异,特别是基本初级保健服务 (EPS).
- 随着COVID-19的流行,这些现有的不平等现象得到了突出表现,并可能进一步恶化.
- 了解这些差异的时空动态对于有效的公共卫生政策至关重要.
研究的目的:
- 调查COVID-19大流行对EPS提供空间和时间差异的影响.
- 分析这些差异如何在不同的地理尺度上有所不同.
- 为了解决韩国医疗保健不平等问题的空间卫生政策影响.
主要方法:
- 开发和应用差异指数 (DISC) 来衡量EPS的供需不匹配.
- 开发和应用服务压力指数差异 (DISTRES) 来评估服务能力不匹配.
- 综合时间阶段 (大流行前,中期,后) 和地理尺度的分析,以评估大流行对EPS的影响.
主要成果:
- COVID-19对EPS的影响在特定的地理尺度上比在国家总体水平上更为明显.
- 显著的异常值单位显示了以前在韩国或国际研究中未发现的效应.
- 空间差异及其缓解策略因空间单位而异,表明需要规模敏感的政策.
结论:
- 在EPS的时空空间差异特别明显在大都会和非大都会地区之间,以及城市与农村地区之间.
- 公共卫生政策必须适应特定的空间单位,确定存在关键不匹配.
- 开发的框架提供了一种标准化的方法来分析医疗保健服务分布,并为规模敏感的政策响应提供信息.
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