摘要
目的探讨浙江省预防接种门诊服务量及其空间分布格局,为优化资源配置提供依据。方法利用空间点格局方法分析浙江省预防接种门诊的全局空间分布特性;利用空间斜决策树模型探讨各预防接种门诊每半日接种疫苗剂次数及每半日每人疫苗接种剂次数的局部空间关系。结果浙江省平均每50 km^2内预防接种门诊数为0.79个,每万0~6岁人口数拥有15.51个门诊;平均每个门诊工作183半日,平均每个门诊每半日接种疫苗52.43剂次,平均每半日每名工作人员接种疫苗10.17剂次。当阈值距离从11.12 km到222.24 km时,预防接种门诊每半日接种疫苗剂次数和每半日每人接种疫苗剂次数的^km值分别由0.34和0.23下降到0.07和0.00。空间斜决策树模型显示,每半日接种疫苗剂次数的热点区域主要集中在义乌、温州和杭州;每半日每人接种疫苗剂次数的热点区域较分散。结论浙江省预防接种门诊服务量在空间层面呈现显著聚集,增加接种门诊服务频次和/或工作人员数是降低预防接种门诊日工作量和人均日工作量的有效途径。
Objective This study was to discuss current service volumes and the spatial distribution of immunization clinics in Zhejiang province for optimizing allocation of resources.Methods Spatial pattern methods were used to analyze the characteristics of immunization clinics in Zhejiang.Spatial oblique decision models were used to determine local characteristics including the number of immunization doses per half day（NIDHD） in each clinic and the number of immunization doses per half day per staff（NIDHDS）.Results The number of immunization clinics per 50km^2,the number of clinics per 10000 children aged 0-6 years,the immunization time in half day per clinic,the NIDHD and the NIDHDS were0.79,15.51,183,52.43 and 10.17,respectively.When the threshold distance was increased from11.12 km to 222.24 k_m,kmdropped from 0.34 to 0.07 for NIDHD and from 0.23 to 0.00 for NIDHDS,respectively.The hot spots of NIDHD were concentrated in Yiwu,Hangzhou and Wenzhou; NIDHDS＇s hot spots were more varied.Conclusions The service volume of immunization clinics in Zhejiang province was significantly clustered.Increasing the immunization service frequencies and / or number of staff are the effective ways to reduce NIDHD and NIDHDS.
出处
《中国疫苗和免疫》
北大核心
2016年第1期41-45,51,共6页
Chinese Journal of Vaccines and Immunization
关键词
空间统计
预防接种门诊
空间斜决策树
Spatial Statistics
Immunization Clinics
Spatial Oblique Decision Model
