孝感市院前急救医疗服务空间可及性研究

Study of the spatial accessibility of pre-hospital Emergency care in Xiaogan City

目的 探究孝感市院前急救医疗服务的可及性特征,为优化有限急救医疗资源配置提供依据。方法 以孝感市内2020年所有提供院前急救医疗服务的急救站为供方,孝感市内所有人口为需方。采用最短路径分析计算所有供方急救医疗服务设施点到达需方的最短到达时间。结果 孝感市院前急救医疗服务平均最短到达时间为46.32 min,覆盖人口为80%的平均最短到达时间为66.08 min,98.53%人口可在2 h内获得院前急救医疗服务。在各辖区中,孝南区院前急救平均最短到达时间最短为6.48 min,大悟县最长为85.38 min。结论 孝感市的院前急救医疗服务的空间可及性较差,内部各辖区可及性存在较大差异。相较于其他各县(市),医疗资源丰富、人口密集的孝南区院前急救医疗服务可及性较好。对院前急救资源空间可及性较为薄弱的区域,实施合理布局增设院前急救医疗服务机构、增强交通网络等综合策略,可改善院前急救医疗服务可及性。

Objective To investigate the accessibility of pre-hospital emergency care in Xiaogan City and make some recommendations for allocating limited emergency care resources.Methods All emergency centers providing pre-hospital emergency care in Xiaogan City in 2020 were considered as suppliers,and the entire population of Xiaogan City was considered as demanders.The nearest neighbor method was used to calculate the shortest arrival time from the suppliers to the demanders.Results In Xiaogan City,the average shortest arrival time for pre-hospital emergency care was 46.32 minutes,and 66.08 minutes when covering 80%of the population.98.53%of the population could receive emergency care within 2 hours.Among Xiaogan’s districts,the average shortest arrival time for pre-hospital emergency care in Xiaonan District was 6.48 minutes,while the longest was 85.38 minutes in Dawu District.Conclusion The spatial accessibility of pre-hospital emergency care in Xiaogan City is poor,and there are significant differences among different districts.In comparison to other districts,Xiaonan District,which has rich medical resources and a dense population,has better accessibility to pre-hospital emergency care.It is critical to implement comprehensive strategies such as rational layout of emergency centers and enhancing the transportation network in areas with weak spatial accessibility of pre-hospital emergency medical resources.