医疗设施的未来

世纪之交,世界各国的医疗保健服务体系面临着包括提高效率、改进公平性、提高方便可及性等问题。相关学术机构对医疗保健设施的规划与建设进行了多方探讨,设计如何满足功能、创造环境安全可靠、节能降耗、环境友好、控制投资等成为核心议题,医疗保健设施作为医疗服务体系的重要环节将在未来发展中发挥更大的作用。加强协作、加深研究有助于我们应对将来的挑战。

基于POI数据的湖南省养老设施的空间分布特征及分异成因

文章采用网络爬虫技术获取了2021年湖南省14个市(州)养老设施的POI样本点数据,并基于ArcGIS进行坐标和投影转换,实现数据的可视化表达。进一步运用最邻近分析和核密度分析,探讨湖南省养老设施的空间分布特征,并依据一致性系数计算公式,探究湖南省14个市(州)养老资源的集聚程度,最后运用地理探测器方法探测湖南省各市(州)养老设施的空间分异成因。研究发现:①湖南省养老设施整体最邻近指数约为0.613,呈现显著集聚的分布状态,分布密度总体上“东密西疏、北密南疏”。②湖南省各市(州)的养老资源一致性在地域上分异明显,养老资源投入与老年人口分布表现出弱协调性。③地理探测器的因子探测结果显示,老年人口数量、经济发展水平、医疗保健设施数是影响各市(州)养老设施数量分布的主要因素,其中老年人口数是最直接的原因,直接决定着养老设施的建设问题。④地理探测器的交互探测结果表明,养老设施的分布受多个因子的共同作用,老年人口数量与其他因子叠加后能够对养老设施的空间分异产生更强的解释力。

MR Request Procedures from Chinese Medical Facility vs That from US Medical Facility

A comparison of how MR released to the insurance company Assist Card from a Chinese medical facility Hengyang HP vs from a US facility Stutter Health was roughly displayed. The former MR was for Mafia, a Colombian Assist Card cardholder, worked and got hospitalized in China, the later MR for Kong Lijun, a Chinese StarrChina cardholder, visited and got medical treatments in USA, they shared Assist Card international traveling and insurance assistance. In both cases, Assist Card got MR for the patient from the facilities that gave them treatments. As a third party, Assist Card went through different procedures to claim MR from Hengyang HP vs from Stutter Health. It managed to have got three MRs and three FTF and was pushing a fourth MR from Hengyang HP in about ten days, while it got only one MR from Stutter Health in ten days after twists and turns. The over cooperative or obedient tendency toward Assist Card＇s requests made Hengyang HP vulnerable and controllable, while the strict MR release procedures in Stutter Health made Assist Card passive and helpless.