个体行为视角下中小城市居民就医空间及社会分异研究——兼议与特大城市比较

RESEARCH ON THE MEDICAL SERVICE CONSUMPTION SPACE AND ITS SOCIAL DIFFERENTIATION OF URBAN RESIDENTS IN SMALL AND MIDDLE-SIZED CITIES BASED ON INDIVIDUAL BEHAVIORS: AND DISCUSS THE COMPARISON WITH MEGA CITIES

基于日常医疗消费出行调查数据,剖析了中小城市居民日常就医出行空间社会特征,并与特大城市比较,结果表明:中小城市居民日常就医选择以市域最高等级综合医院为中心,形成"一超多强"多中心结构,出行空间呈"三带四圈层"的核心—外围形态。低收入群体近距离就医特征突出,出行空间小;高收入群体消费选择较为多元,出行时空范围广。中小城市居民日常就医首选私人诊所,出行距离是首要考虑因素,出行空间与收入水平呈正相关;特大城市居民日常就医首选区级医院,更重视医疗机构社会声誉,与中小城市存在显著差异。

Medical services are important in urban resident's daily life,its scientific provision and effective consumption is the guarantee of high-quality urban life.This paper study the daily medical service consumption and social differential in small-middle-sized cities based on the daily medical service consumption data, using standard deviational ellipse and social network analysis method,and then compare that with the megacities.The results show that making the highest level comprehensive hospital as the center,the medical service institution selection of urban residents in small-middle-sized cities form multi-center network structure with the characteristics of "one super and several strong center coexist",and the travel space form the Coreperipheral pattern.The social differentiation characteristics of medical service consumption traveling space of different income groups in small and medium-sized cities will become more and more prominent,and gradually demonstrate the social differentiation trend of the daily life space of residents in small and medium-sized cities.As the whole,the travel space of medical service consumption in small-middle-sized cities increase with resident's educational level,but inverse with residents getting older.