本文關(guān)鍵詞：深圳市綜合醫(yī)院空間公平性測度及評價(jià)研究　出處：《深圳大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 綜合醫(yī)院 空間公平性 空間分布 可達(dá)性 區(qū)位熵 空間疊置 潛能模型

【摘要】：在我國高速城鎮(zhèn)化進(jìn)程中,如何高效、公平的利用有限的城市公共服務(wù)設(shè)施已成為國家和地方政府關(guān)注的重要民生問題。醫(yī)療衛(wèi)生服務(wù)設(shè)施作為城市公共服務(wù)設(shè)施的重要載體之一,長期以來存在資源有限性和需求無限性的矛盾。深圳市醫(yī)療衛(wèi)生事業(yè)自“十一五”以來快速發(fā)展,但依舊面臨著資源總量不足、資源配置不均衡等諸多問題。為了有效促進(jìn)醫(yī)療衛(wèi)生事業(yè)的均衡發(fā)展,以滿足市民對醫(yī)療服務(wù)的基本需求,深圳市提出了以公平為首要目標(biāo)的醫(yī)療服務(wù)設(shè)施的區(qū)域衛(wèi)生規(guī)劃,在進(jìn)行醫(yī)療服務(wù)設(shè)施的配建中,要以人為本,根據(jù)實(shí)際需求進(jìn)行規(guī)劃和調(diào)整。公共服務(wù)設(shè)施在城市中是稀缺資源,通常分布并不均衡。如何評定公共資源的公平性,通過何種指標(biāo)來對其進(jìn)行評價(jià),一直以來是國內(nèi)外學(xué)者研究重點(diǎn)之一。本文基于深圳市醫(yī)療發(fā)展現(xiàn)狀,選取87家綜合醫(yī)院為研究對象,以空間公平性為視角,結(jié)合實(shí)地調(diào)研和GIS等多種技術(shù)手段,采用“區(qū)位熵”、“空間疊置”和“潛能改型模型”等多種測度方法,對深圳市綜合醫(yī)院的醫(yī)療資源空間供給、空間需求、空間可達(dá)性三方面做出較為系統(tǒng)的測度和評價(jià),分析綜合醫(yī)院的規(guī)劃和建設(shè)問題,為醫(yī)療衛(wèi)生設(shè)施相關(guān)規(guī)劃和建設(shè)提出意見和建議。研究發(fā)現(xiàn),深圳市綜合醫(yī)院空間公平性問題較為突出。首先,醫(yī)療資源空間供給上呈現(xiàn)出數(shù)量、質(zhì)量、規(guī)模的不均衡現(xiàn)象,中心組團(tuán)綜合醫(yī)院數(shù)量高、東部生態(tài)組團(tuán)、東部工業(yè)組團(tuán)低,千人床位數(shù)和千人執(zhí)業(yè)醫(yī)師數(shù)量則為中心組團(tuán)和龍崗中心組團(tuán)數(shù)值最高,而東、西部工業(yè)組團(tuán)的對應(yīng)數(shù)值偏低,中心組團(tuán)綜合醫(yī)院醫(yī)療資源集聚程度高于全市平均值接近一倍,而東、西工業(yè)組團(tuán)則低于全市平均值近乎一半。其次,空間需求上,綜合醫(yī)院與人口密度分布耦合度尚可,但在經(jīng)濟(jì)發(fā)展相對較慢、地理位置較為邊緣的區(qū)域耦合度較差�？臻g布局的結(jié)構(gòu)公平性差異化較大,機(jī)構(gòu)數(shù)量、機(jī)構(gòu)規(guī)模、服務(wù)質(zhì)量、辦醫(yī)形式等呈現(xiàn)中部區(qū)域富集、周邊區(qū)域匱乏的現(xiàn)象。第三,空間可達(dá)性上,深圳市綜合醫(yī)院可達(dá)性水平整體偏低,區(qū)域間可達(dá)性水平差異較大,空間可達(dá)性在綜合醫(yī)院較為密集、層級結(jié)構(gòu)較為完善的中心組團(tuán)區(qū)域水平較高,但由于醫(yī)院分布過于密集,其服務(wù)輻射的范圍有限。中部綜合組團(tuán)盡管綜合醫(yī)院數(shù)量和質(zhì)量遠(yuǎn)不及中心組團(tuán),但由于醫(yī)院空間分布較為均衡,其可達(dá)性輻射范圍比中心組團(tuán)廣泛。基于上述研究發(fā)現(xiàn),本文建議應(yīng)當(dāng)進(jìn)一步加大醫(yī)療衛(wèi)生資源的投入,并優(yōu)先考慮向資源較為匱乏的區(qū)域傾斜。建設(shè)高效的區(qū)域醫(yī)療中心,完善部分區(qū)域內(nèi)醫(yī)院等級體系、優(yōu)化醫(yī)院空間布局。充分利用現(xiàn)有醫(yī)院資源,提高醫(yī)療資源的使用效率,對于醫(yī)療資源較為集中,或者醫(yī)院位置不合理的區(qū)域,則可以考慮通過調(diào)整醫(yī)院的位置來提升醫(yī)院的服務(wù)效率,增加醫(yī)院醫(yī)療服務(wù)的覆蓋范圍。對于區(qū)域醫(yī)療資源分布不均衡的現(xiàn)象,則可以通過調(diào)整醫(yī)院等級,將已有資源重新分配的方式進(jìn)行區(qū)域間的協(xié)調(diào)。對于地廣人稀的區(qū)域,應(yīng)當(dāng)加強(qiáng)基層醫(yī)療服務(wù)體系的建設(shè),提升基層醫(yī)療服務(wù)水平和服務(wù)質(zhì)量,以彌補(bǔ)高層級綜合醫(yī)院空間可達(dá)性上的不足。
[Abstract]:How efficient in the high-speed urbanization process in China, the city public service facilities Co., the fair has become an important problem of people's livelihood concern of state and local government. Medical and health services as an important carrier of city public service facilities, has long been the contradiction of the limited resources and unlimited demand of health care in Shenzhen. Since the cause of the "11th Five-Year" since the rapid development, but still facing resource shortage, uneven allocation of resources and many other issues. In order to effectively promote the balanced development of medical and health services, to meet the basic needs of the public health service, Shenzhen city put forward the regional health planning with justice as the primary goal of medical service facilities, in medical service facilities with the construction, should be people-oriented, planning and adjustment according to the actual needs. Public service facilities are scarce resources in the city The source, usually distribution is not balanced. How to evaluate the fairness of public resources, through which indicators to evaluate, always is one of the important researches of scholars at home and abroad. This paper based on the current situation of Shenzhen City medical development, selected 87 general hospitals as the research object, with fair space perspective, combined with field investigation and GIS etc. a variety of techniques, using the "location entropy", "spatial overlay method" and "potential modification model" and other measures, the space requirement of medical resources supply, general hospital in Shenzhen City, to measure and evaluate systematically three aspects of spatial accessibility, problems of planning and construction of general hospital, comments and suggestions for the planning and construction of health care facilities. The study found that Shenzhen city space general hospital fairness problem is more prominent. First, the medical resources supply showed a number of space, The quality of uneven size, central group general hospital number is high, the eastern ecological group, industrial group in east low, thousands of beds and thousands of practitioners for number of central group and Longgang center group the highest value, and the corresponding numerical low East, western industrial groups, the central group general hospital medical resources agglomeration higher than the average value of nearly doubled, while the East and West Industrial Group is lower than the average value of nearly half. Secondly, space requirements, general hospital and population density distribution of the coupling degree is acceptable, but in the economic development phase of slow, location is the edge of the regional coupling structure is poor. The spatial layout of fairness a large number of agencies, institutions, scale, quality of service, do medicine form of the central region is enriched, surrounding area deficient phenomenon. Third, accessibility, up to general hospitals in Shenzhen City The overall low level of accessibility level of inter regional differences in large space accessibility in general hospitals is more intensive, the hierarchical structure of perfect regional center city level is high, but because the hospital distribution is too dense, the service range of radiation is limited. Although the quantity and quality of the central comprehensive group general hospital, far less than the central area, but due to the hospital the spatial distribution is more balanced, the accessibility of the radiation range than the central group. Based on the above findings, this paper suggests that we should further increase health investment, and to give priority to the resources scarce areas tilt. The regional medical center, the perfect part of the regional hospital grading system, optimize the hospital make full use of space layout. The existing hospital resources, improve the efficiency of the use of medical resources, medical resources are concentrated in the hospital, or positions are not reasonable Area can be considered by adjusting the position of the hospital to improve the efficiency of hospital services, increase the coverage of hospital medical service. The unbalanced distribution of regional medical resources, can be adjusted by the hospital level, the re allocation of existing resources for coordination between regions. For the area with much land and few people shall strengthen the construction of grass-roots level. The medical service system, improve the medical service level and service quality, to make up for lack of high level comprehensive hospitals on spatial accessibility.

【學(xué)位授予單位】：深圳大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：TU246.181

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 卿豐華;;綜合醫(yī)院設(shè)計(jì)的幾點(diǎn)體會——以廈門市第三醫(yī)院設(shè)計(jì)方案為例[J];科技創(chuàng)新與應(yīng)用;2012年22期

2 沈文瑛 ,李啟元;300～500床綜合醫(yī)院設(shè)計(jì)中幾個問題的探討[J];建筑學(xué)報(bào);1964年10期

3 陳勵先;;現(xiàn)階段我國綜合醫(yī)院的設(shè)計(jì)與前景[J];南京工學(xué)院學(xué)報(bào);1978年03期

4 陶師魯;竇以德;;國外綜合醫(yī)院的設(shè)計(jì)和營運(yùn)[J];世界建筑;1988年04期

5 聶玉安;任立全;;綜合醫(yī)院呼應(yīng)信號系統(tǒng)的設(shè)計(jì)應(yīng)用[J];電氣應(yīng)用;2009年19期

6 陶師魯;;《綜合醫(yī)院建筑設(shè)計(jì)規(guī)范》簡介[J];小城鎮(zhèn)建設(shè);1989年02期

7 余娜;;新型綜合醫(yī)院智能化系統(tǒng)設(shè)計(jì)方案[J];中國科技信息;2014年10期

8 徐春來;;現(xiàn)代綜合醫(yī)院設(shè)計(jì) 以深圳市寶荷醫(yī)院為例[J];建材發(fā)展導(dǎo)向;2010年04期

9 ，

本文編號：1396026