自然科学版
陕西师范大学学报(自然科学版)
资源与环境科学
基于服务半径的医疗设施空间可达性研究
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于江霞*, 张雪琦
(西安电子科技大学 经济与管理学院, 陕西 西安 710126)
于江霞,女,副教授,博士。E-mail: yujiangxia@126.com
摘要:
结合医院等级确定了医院服务的人口数量,运用动态叠加半径的方法,求得各个医院的搜索半径;引入距离衰减函数体现可达性随距离衰减的特性。运用两步移动搜寻法和改进后的两步移动搜寻法对西安3个主城区的医疗设施空间可达性进行分析,结果表明:西安主城区的医疗资源分布不均,中西部优于东部,医疗设施的空间可达性从主城区的西北部向东南部地区逐渐减小。可达性与医院周围的街道人口密集度有关,相同情况下,资源竞争激烈的街道,可达性低。可达性与医院等级规模有关,资源竞争情况相似的情况下,附近医院等级高且交通便利的街道,可达性高。改进两步移动搜寻法在可达性的描述上能更加细致、客观地反映同一级医院因所处地域不同而呈现的服务范围差异,能够更准确地描述资源的配置情况。
关键词:
医疗资源; 服务半径; 可达性分析; 两步移动搜寻法
收稿日期:
2017-02-26
中图分类号:
K901;R197.3
文献标识码:
A
文章编号:
1672-4291(2017)05-0078-07
基金项目:
国家自然科学基金(71103137)
Doi:
The spatial accessibility to health care facilities based on service radius: a case study of the main areas in Xi′an city
YU Jiangxia*, ZHANG Xueqi
(School of Economics and Management, Xidian University, Xi′an 710126, Shaanxi, China)
Abstract:
To reflect the hospital scale and capacity of service more accurately, hospital scale is determined by size of residents, and the search radius is determined dynamically. The spatial accessibility of the main areas in Xi′an city is analyzed by using the original and the enhanced method. The results show the accessibility of main areas of Xi′an city is unequal, midwest is superior to the east, and the spatial accessibility of facilities decreases gradually from the northwest to the southeast. Accessibility is related to the density of street population around the hospital.With the similar hospital, the streets which have fiercer competition of the resource get low accessibility. Accessibility is also related to the hospital scale, under the similar resource competition, the streets with high level hospitals and convenient transportation get high accessibility. The enhanced method can present a more reasonable evaluation of the accessibility so that the differences of same level hospital could be judged efficiently.
KeyWords:
medical resources; service radius;accessibility analysis; two-step floating catchment area method