摘要
由于病人自由就医出现区域内病人流出、区域外病人流入的交叉流动情况,致使根据常住人口不能直接计算医疗资源需求。本研究通过收集整理行政区划、医疗机构地址数据库、病人地址数据库,以及病人就诊机构等相关信息,将基础数据库转化为地理信息系统软件可以识别和分析的地理数据库,测算各区县流入病人占比、流出病人占比、负荷占比三项指标,分析病人跨区域流动情况,研制病人跨区域流向分析方法。本文提出的方法定量反映区域间医院病人就医的交错分布情况,清晰揭示各地区之间病人流动情况的差异性,上海市实证结果证实该方法具有可行性和科学性,为完善区域卫生规划提供思路方法和政策建议。
The healthcare requirements were calculated by the resident population of certain area in regional health planning. However,as patients are always free to decide where to get health resources or health services,i. e.within and outer the area of patient flow,inflow and cross-flow,this makes it impossible to directly calculate health resources according to the needs of the resident population by spatial distribution. This paper aims to develop a methodology to empirically research on the phenomenon about cross-region behaviors of patients for health service or health products. Firstly,the research collected data including district administrative limits,addresses of medical institutions,address of patients and their treatment agencies,as well as other relevant information. Secondly,format data by transforming original database into geographical database using Arc GIS Software. Thirdly,perform index calculation by calculating the index proportions of inflow and outflow patients,and the ratio of net load in each area respectively. These three indexes are used to analyze patients＇ cross-region behaviors when seeking health services. From the proposed method to analyze cross-region behavior of patients with staggered distribution,clearly reveal the patient flow among various regions. Empirical results of Shanghai confirmed that the above methodology is demonstrated to be practicable and scientific,and is a supplement to the recently used methods in health planning through analyzing cross-regional behaviors of patients,which helps support the improvement of regional health planning and provide ideas,methods and policy recommendations for medical institution programs.
出处
《中国卫生政策研究》
CSCD
北大核心
2016年第3期64-68,共5页
Chinese Journal of Health Policy
基金
教育部哲学社会科学研究重大课题攻关项目(15JZD029)
上海市政府发展研究中心资助项目(2014-Z-M02)
关键词
跨区域
区域卫生规划
病人
空间分布
地理信息系统
Cross-regional
Regional health planning
Patients
Spatial distribution
Geographic information system（GIS）
