服务老年群体的社区医院可达性分析——以合肥市包河区为例

Analysis of the accessibility of community hospitals for the older adults:a case study in the Baohe District of Hefei City

针对服务老年群体的社区医院可达性的研究成果较少且研究方法比较单一等问题,提出问卷调研与地理信息系统结合的方法,以夜光遥感数据估算包河区老年人口并运用Ga2SFCA计算可达性值,分析社区医院对老年人的可达状况.结果表明:包河区各街道社区医院的空间分布不均衡,可达性存在较大差异;可达性与地理位置、人口密度及医疗机构等级相关,老年人口密集会导致可达性降低,医疗机构等级高会提升可达性;增大供需比是提高社区医院可达性的有效途径.

This article is aimed to investigate the accessibility of community hospitals for enhancing the health of older adults by using mixed methods including questionnaire survey and GIS analysis.In the study,the luminous remote sensing data was used to estimate older adults’population in Baohe District and Ga2SFCA was used to evaluate the accessibility of the community hospital to older adults was analyzed.The results were indicated that spatial distribution of community hospitals in Baohe District is uneven and the accessibility is quite different.Accessibility is related to geographic location,population density,and medical institution level.The dense population of older adults will lead to reduced accessibility,and higher medical institution level will improve accessibility.Increasing the supply-demand ratio is an effective way to improve the accessibility of community hospitals.