地球信息科学学报 ›› 2015, Vol. 17 ›› Issue (3): 317-328.doi: 10.3724/SP.J.1047.2015.00317

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医疗设施布局的GIS优化评价——以翔安区医疗设施为例

谢小华(), 王瑞璋, 文东宏, 张智勇   

  1. 福建省制图院,福州 350003
  • 收稿日期:2014-04-09 修回日期:2014-06-18 出版日期:2015-03-10 发布日期:2015-03-10
  • 作者简介:

    作者简介:谢小华(1987-),女,硕士,助理工程师,主要从事三维数字建模、GIS应用、地理国情普查统计分析等研究。E-mail:fzxiexh@126.com

  • 基金资助:
    福建省测绘地理信息局科技项目(201312)

Evaluating the Medical Facilities Layout Based on GIS: An Application of Xiang'an District

XIE Xiaohua*(), WANG Ruizhang, WEN Donghong, ZHANG Zhiyong   

  1. Fujian mapping institute, Fuzhou 350003, China
  • Received:2014-04-09 Revised:2014-06-18 Online:2015-03-10 Published:2015-03-10
  • Contact: XIE Xiaohua E-mail:fzxiexh@126.com
  • About author:

    *The author: SHEN Jingwei, E-mail:jingweigis@163.com

摘要:

开展现有医疗设施布局的分析与评价,对解决公众医疗需求与医疗服务供给的矛盾,以及政府部门决策具有重要意义。本文在厦门市第一次全国地理国情普查试点的背景下,以翔安区医疗设施为研究对象,在地理国情普查数据结果的基础上,结合卫生等专业部门的统计数据,从医疗设施的现状、服务水平和空间布局优化3个角度,构建了医疗设施布局的评价指标体系。从医疗卫生角度分析医疗资源现状特征;基于GIS网络分析开展医疗设施服务水平的分析与评价;利用GIS“位置分配模型”对医疗设施空间布局进行优化。最后,本文对医疗设施布局提出改善建议和措施。研究结果表明:(1)翔安区医疗资源总量不足,分布不均衡;(2)城乡医疗设施差异明显,医疗服务水平不高;(3)翔安区需新增4家医院,5家卫生院才能满足居民就医需求。本研究可以为今后翔安区医疗设施布局决策提供借鉴和参考,为医疗设施布局评价提供一个可行的方法。

关键词: 医疗设施, 布局评价, 地理国情普查, 综合统计分析, GIS

Abstract:

It is of great significance to analyze and evaluate the medical facilities layout. It can not only solve the contradiction between the public health demand and the medical service supplies, but also help government make rational decisions. Xiamen was selected as a pilot area in the first national census of geographic conditions. On this background, this paper takes Xiang'an District as an example and gives a comprehensive study on its medical facilities layout. Based on two kinds of data source: the data of the first national geographic conditions census and the statistical data from the department of health and other departments, an evaluation index system of medical facilities layout was constructed from three aspects: the current situation, the service level and the spatial layout optimization. The current situation of medical resources was analyzed from the view of medical and health care. The evaluation of the service level of medical facilities was performed on the basis of GIS network analysis. The spatial layout of the medical facilities was optimized by the usage of the GIS “Location Allocation Model”. Finally, this paper presented improvement suggestions and measures for medical facilities layout. The study results show: (1) the medical resources are insufficient and distribute unevenly. (2) The medical facilities vary widely between urban and rural area. Meanwhile, the medical service is in a low level. (3) Four hospitals and five health centers should be added to meet the public’s health demand. In a word, this study will be helpful for government to make decision regarding Xiang'an District’s medical facilities layout in future. In addition, it provides a feasible method to evaluate the medical facilities layout reasonableness.

Key words: medical facility, layout evaluation, national geographic conditions census, comprehensive statistical analysis, GIS