广州市长期护理保险定点服务机构空间分布特征及可达性研究

Study on the Spatial Distribution Characteristics and Accessibility of Long-term Care Insurance Designated Institutions in Guangzhou

目的:研究广州市长护险定点服务机构的空间分布特征及其可达性水平。方法:运用最近邻指数、核密度分析、Ripley's K函数分析和网络分析法进行分析。结果:①广州市长护险定点服务机构为集聚式空间分布,总体上呈现“主-次”核心集聚分布,密度分布南重北轻、西密东疏。②不同服务类型定点服务机构的空间分异较为明显,机构护理和居家护理定点服务机构的空间集聚程度高,“机构+居家护理”和设备服务定点服务机构分布较为离散。③多距离尺度空间视角下,广州市长护险定点服务机构集聚效应显著。④广州市长护险定点服务机构大部分位于20分钟交通可达性的圈层内,定点服务机构的可达性与交通道路网联系紧密。结论:针对广州市长护险定点服务机构空间异质性现状和可达性水平,政府应进一步优化长护定点服务机构的空间分布、推动定点服务机构的建设、完善次干路交通网,为广州市长护险事业发展提供帮助。

Objective:The paper studies the spatial distribution characteristics and accessibility level of the designated institutions for long-term care insurance in Guangzhou.Methods:Analysis was conducted with nearest neighbor index,kernel density analysis,Ripley's K-function analysis,and network analysis methods.Results:①Guangzhou long-term care insurance designated institutions are clustered spatial distribution,generally showing a"primary-secondary"core clustering distribution,with density distribution heavy in the south and light in the north,dense in the west and sparse in the east.②The spatial distribution of different service types of designated institutions is obvious,with a high degree of spatial clustering of institutional care and home care designated institutions,and a more discrete distribution of“institutional plus home care”and equipment service designated institutions.③In the spatial perspective of multi-distance scale,the clustering effect of Guangzhou long-term care insurance designated institutions is significant.④The majority of Guangzhou's long-term care insurance facilities are located within the 20-minute traffic accessibility circle,and the accessibility of the long-term care insurance facilities is closely linked to the traffic network.Conclusion:In view of the current situation of spatial heterogeneity and accessibility level of designated service providers for long-term care insurance in Guangzhou,the government should further optimize the spatial distribution of designated service providers for long-term care,promote the construction of designated service providers,and improve the traffic network of secondary roads to help the development of the long-term care insurance in Guangzhou.