摘要
当前医疗可达性研究以宏观的潜在可达性为主,忽视了疾病群体与一般群体的不同,研究结果可能会掩盖综合医疗资源分配合理而特定疾病资源分配不合理的问题。针对此问题,使用基于高斯衰减函数的两步移动搜索法结合高德路径规划API,从医疗可达性量化到空间公平性量化再到医疗公平差距量化3个方面层层递进展开,以武汉市结核病为例,对其综合医疗与结核病医疗进行对比研究。结果显示:1)武汉市综合医疗潜在可达性和公平性较好,无明显空间分异;而结核病医疗实际可达性存在明显空间分异,长江东岸可达性明显差于西岸,基尼系数公平性突破国际“警戒线”,公平性较差。2)由两种可达性基尼系数计算武汉市结核病医疗资源公平倾斜率为-29.4%,表明两者公平性存在显著差异,综合医疗资源向结核病医疗方向细化分配可能出现不均、不合理现象。该研究结果可为相关部门制定针对性决策提供依据。
The current research on healthcare accessibility primarily focuses on macro-level potential accessibility,disregarding the difference between specific disease groups and the general groups.As a result,this may mask the issues of disproportionate allocation of comprehensive healthcare resources and specific disease healthcare resource.To address this problem,the 2-Step Floating Catchment Area based on Gaussian decay function in combination with Gaode Path Planning API is used to conduct a comparative study on comprehensive healthcare and tuberculosis healthcare in Wuhan,taking tuberculosis in Wuhan as an example,that has a progressive process from quantifying medical accessibility to quantifying spatial fairness and further to quantifying healthcare disparity.The results indicate that comprehensive potential accessibility and fairness in healthcare services in Wuhan are relatively good with no significant spatial differentiation.However,the actual accessibility for tuberculosis treatment exhibits significant spatial variation,with poorer access on the eastern bank of the Yangtze River than on the western bank.The Gini coefficient for fairness exceeds the international“warning line”,indicating poor fairness.The tuberculosis Medical Resource Fairness Inclination Rate(MRFIR)from the Gini coefficients of the two types of accessibility is-29.4%,highlighting a significant disparity in fairness.The allocation of comprehensive healthcare resources towards tuberculosis treatment may exhibit uneven and illogical distribution.The results of this study can provide a basis for relevant departments to make targeted decisions.
作者
芦鹏飞
李响
王丽娜
袁好训
尹秀腾
LU Pengfei;LI Xiang;WANG Lina;YUAN Haoxun;YIN Xiuteng(Infomnation EngineeringCollege of Computer Seience and Technology,2hengzhou[niersity of light Industry,Zhenghou 450002,China)
出处
《测绘科学技术学报》
2024年第4期418-424,共7页
Journal of Geomatics Science and Technology
基金
国家自然科学基金项目(42201490)。
关键词
可达性
公平性
两步移动法
结核病
医疗资源分配
accessibility
fairness
2-Step Floating Catchment Area
tuberculosis
medical resouree allocation
