摘要
目的探索定量分析社会成员获取公共医疗卫生服务公平性,为解决社会成员得到公平有效的卫生服务提供科学依据。方法采用2000年人口普查数据和医疗技术人员数据,首先把人口按照年龄构成随机分布在各街区的住宅区域内,然后按照一定的概率选择就诊医院。利用医院技术人员与就医患者的比值来表示患者获取公共医疗卫生服务的公平性指标,采用克里金插值方法获得整个研究区域内公共卫生服务的公平性空间分布。结果得到了广州市海珠区各街区居民享有公共卫生服务公平性的空间分布。结论社会成员是否获得公平的医疗的卫生服务不仅与人口数量、构成、医院的规模、地理位置有关,还与人口的分布以及患者在选择就诊医院的不确定性有关。
Objective The study was conducted to quantitatively analyze the fairness of residents＇ access to public health service, and thus to provide the scientific basis for the achievement of fair and effective health service. Methods Based on the census of 2002 and the data recorded by primary hospital physicians, the residents were distributed randomly at the residential quarters of individual blocks and each person was allocated his visiting hospital in specific probability. The physician-to-patient ratio was then introduced to evaluate the fairness of patients＇ access to the health service. The spatial distribution of the fairness in the studied public area was implemented with Kriging method in ArcGIS 9.0 environment. Results The variation of spatial accessibility to primary hospitals in the Haizhu District of Guangzhou was achieved. Conclusion The fairness of residents＇ access to health service is related not only with the number and proportion of residents and the scale and position of hospitals, but also with the distribution of population and the uncertainty of patients＇ choice at the visiting hospital.
出处
《疾病监测》
CAS
2007年第6期408-411,共4页
Disease Surveillance
基金
国家杰出青年科学基金"资源环境信息系统"项目(No.40525002)
"985工程"GIS与遥感的地学应用科技创新平台(No.105203200400006)。
关键词
公共医疗卫生服务
可达性
空间分布
地理信息系统
public health service, accessibility, spatial distribution, geographic information system.
