本文選題：醫(yī)療衛(wèi)生設(shè)施 + 設(shè)施區(qū)位�。� 參考：《內(nèi)蒙古師范大學(xué)》2016年碩士論文

【摘要】：醫(yī)療衛(wèi)生事業(yè)一直是關(guān)乎國計(jì)民生的基礎(chǔ)社會(huì)保障事業(yè)之一,是關(guān)系到公民生活與生存的大事�，F(xiàn)階段城市擴(kuò)張加劇,人口向城市遷移,城市醫(yī)療衛(wèi)生服務(wù)成為基礎(chǔ)設(shè)施空間布局的重中之重。城市內(nèi)部人口分布不均衡、道路分布不均衡,使得醫(yī)療衛(wèi)生設(shè)施空間布局與居民需求產(chǎn)生分異,鑒別資源薄弱的區(qū)位進(jìn)行優(yōu)化研究是本文的研究重點(diǎn)。本文以呼和浩特市二環(huán)以內(nèi)的區(qū)域作為研究區(qū)域,利用呼和浩特市人口統(tǒng)計(jì)數(shù)據(jù)、醫(yī)療衛(wèi)生設(shè)施數(shù)據(jù)和實(shí)地調(diào)研數(shù)據(jù),以空間相互作用理論為基礎(chǔ),對(duì)區(qū)域內(nèi)164個(gè)社區(qū)內(nèi)的113萬社區(qū)居民的就醫(yī)空間可達(dá)性進(jìn)行評(píng)價(jià)。首先,基于GIS對(duì)最近就醫(yī)模型、潛能模型和改進(jìn)的潛能模型的實(shí)現(xiàn),獲得抵達(dá)三級(jí)綜合醫(yī)院和社區(qū)衛(wèi)生服務(wù)中心的空間可達(dá)性指標(biāo)以及空間分布情況。然后,在此基礎(chǔ)上結(jié)合兩類等級(jí)醫(yī)療衛(wèi)生設(shè)施的空間布局分析居民就醫(yī)可達(dá)性在空間分布上的特點(diǎn),設(shè)施空間于居民需求空間上產(chǎn)生的分異。最后基于公共設(shè)施布局規(guī)劃原則、設(shè)施現(xiàn)有水平和改進(jìn)的潛能模型三個(gè)方面進(jìn)行優(yōu)化并提出相對(duì)措施,為醫(yī)療衛(wèi)生服務(wù)設(shè)施的規(guī)劃提供輔助支持。經(jīng)過研究分析,本文得到以下結(jié)論：(1)研究區(qū)內(nèi)三級(jí)綜合醫(yī)院空間分布集中,覆蓋度不高,居民就醫(yī)空間可達(dá)性差異大,城市中心極化嚴(yán)重,呈現(xiàn)從中心城區(qū)向外圍遞減的趨勢(shì),分異現(xiàn)象明顯；(2)社區(qū)衛(wèi)生服務(wù)中心分布松散,覆蓋度較高,居民就醫(yī)空間可達(dá)性較為均等,呈現(xiàn)東西分異,西部成為資源缺失區(qū)；(3)總體上醫(yī)療資源分布不均衡,存在整體空間差異明顯、局部設(shè)施缺失和重復(fù)建設(shè)的問題；(4)以局部調(diào)整的方法對(duì)醫(yī)療衛(wèi)生服務(wù)設(shè)施空間布局的進(jìn)行優(yōu)化,資源過剩區(qū),適量減少公共衛(wèi)生服務(wù)設(shè)施；資源缺失區(qū),應(yīng)在增加設(shè)施,同時(shí)提高設(shè)施水平和優(yōu)化道路網(wǎng)。
[Abstract]:Medical and health care is one of the basic social security undertakings related to the national economy and people's livelihood, and a major event related to the life and survival of citizens. At present, urban expansion intensifies, population migrates to city, urban medical and health services become the most important of the spatial layout of infrastructure. The urban population distribution and road distribution are uneven, which makes the spatial distribution of medical and health facilities different from the needs of residents. The research focus of this paper is to identify the location with weak resources. This paper takes the region within the second Ring Road of Hohhot as the research area, using the population statistics, medical and health facilities data and field investigation data of Hohhot City, and based on the theory of spatial interaction. The accessibility of 1.13 million community residents in 164 communities was evaluated. Firstly, based on the realization of recent medical model, potential model and improved potential model by GIS, the spatial reachability index and spatial distribution of reaching tertiary general hospitals and community health service centers are obtained. Then, combining the spatial layout of the two kinds of medical and health facilities, the characteristics of the spatial distribution of the residents' accessibility to medical treatment are analyzed, and the difference of the facility space in the residents' demand space is analyzed. Finally, based on the layout planning principle of public facilities, the existing level of facilities and the improved potential model are optimized and the relative measures are put forward to provide auxiliary support for the planning of medical and health service facilities. Through research and analysis, the following conclusions are obtained: (1) the spatial distribution of the tertiary general hospitals in the study area is concentrated, the coverage is not high, the difference in the accessibility of the residents' medical space is great, and the urban center is polarized seriously. The distribution of community health service center is loose, the coverage is high, the access of residents to medical space is equal, and the western region becomes the lack of resources. (3) on the whole, the distribution of medical resources is not balanced, there are obvious differences in the whole space, the problems of local facilities are missing and repeated construction, (4) the spatial layout of medical and health service facilities is optimized by the method of local adjustment, and the areas with excess resources are optimized. Reduce public health service facilities in moderation, increase facilities, improve facility level and optimize road network at the same time.
【學(xué)位授予單位】：內(nèi)蒙古師范大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R197.1
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本文編號(hào)：2111342