World Regional Studies ›› 2023, Vol. 32 ›› Issue (2): 125-135.DOI: 10.3969/j.issn.1004-9479.2023.02.2021149
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Yong HUANG(), Hang ZHAO(), Guolei CHEN
Received:
2021-03-03
Revised:
2021-07-02
Online:
2023-02-15
Published:
2023-02-24
Contact:
Hang ZHAO
通讯作者:
赵航
作者简介:
黄勇(1996—),男,硕士研究生,研究方向为区域发展与规划研究,E-mail:1653929505@qq.com。
基金资助:
Yong HUANG, Hang ZHAO, Guolei CHEN. The identification and influence mechanism of spatial structure for medical points in mountainous cities:[J]. World Regional Studies, 2023, 32(2): 125-135.
黄勇, 赵航, 陈国磊. 山地城市医疗点空间结构识别与影响机理探究[J]. 世界地理研究, 2023, 32(2): 125-135.
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URL: https://sjdlyj.ecnu.edu.cn/EN/10.3969/j.issn.1004-9479.2023.02.2021149
要素 | 国外 | 国内 | ||
---|---|---|---|---|
研究内容 | 空间结构和优化与区位选择及影响因素 | 空间可达性与资源空间配置及影响因素 | 空间结构和优化与区位选择及影响因素 | 空间可达性与资源空间配置及影响因素 |
研究区域 | 韩国[ | 印度[ | 天津[ | 北京[ |
研究方法 | 核密度分析、地理探测器、标准差椭圆、LSCM(长短期记忆网络)、MCLP(最大覆盖问题)、OLS(最小二乘法)等 | 2SFCA(两步移动搜索法)、3SFCA(三步移动搜索法)、泰尔指数、基尼系数、集中指数等 | 核密度分析、Ripley’s K 函数、最邻近点指数法、P-重心模型、改进的LSCM、SLM、SEM等 | 改进的2SFCA、胡弗模型、洛伦兹曲线、潜能模型、泰森多边形等 |
影响指标 | 城市建设、人口统计特征、经济水平、自然因数等 | 种族、社会阶层、收入、自然、交通、医疗水平等 | 人口、经济、城市建设、自然环境、交通布局等 | 人口、医疗服务能力、经济、交通布局等 |
Tab.1 Comparison of domestic and foreign research
要素 | 国外 | 国内 | ||
---|---|---|---|---|
研究内容 | 空间结构和优化与区位选择及影响因素 | 空间可达性与资源空间配置及影响因素 | 空间结构和优化与区位选择及影响因素 | 空间可达性与资源空间配置及影响因素 |
研究区域 | 韩国[ | 印度[ | 天津[ | 北京[ |
研究方法 | 核密度分析、地理探测器、标准差椭圆、LSCM(长短期记忆网络)、MCLP(最大覆盖问题)、OLS(最小二乘法)等 | 2SFCA(两步移动搜索法)、3SFCA(三步移动搜索法)、泰尔指数、基尼系数、集中指数等 | 核密度分析、Ripley’s K 函数、最邻近点指数法、P-重心模型、改进的LSCM、SLM、SEM等 | 改进的2SFCA、胡弗模型、洛伦兹曲线、潜能模型、泰森多边形等 |
影响指标 | 城市建设、人口统计特征、经济水平、自然因数等 | 种族、社会阶层、收入、自然、交通、医疗水平等 | 人口、经济、城市建设、自然环境、交通布局等 | 人口、医疗服务能力、经济、交通布局等 |
总数 | R | Z | P | ||
---|---|---|---|---|---|
862 | 213.08m | 583.08m | 0.37 | -35.62 | 0.00 |
Tab.2 Nearest neighbor index of medical point
总数 | R | Z | P | ||
---|---|---|---|---|---|
862 | 213.08m | 583.08m | 0.37 | -35.62 | 0.00 |
Moran’s I | 预期指数 | 方差 | Z值 | P值 |
---|---|---|---|---|
0.685 | -0.013 | 0.001 | 19.994 | 0.000 |
Tab.3 Medical point global Moran's I
Moran’s I | 预期指数 | 方差 | Z值 | P值 |
---|---|---|---|---|
0.685 | -0.013 | 0.001 | 19.994 | 0.000 |
K | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
---|---|---|---|---|---|---|---|---|---|
N(r) | 4 | 7 | 10 | 15 | 19 | 26 | 27 | 31 | 37 |
I(r) | 1.341 2 | 0.974 6 | 1.654 4 | 1.592 9 | 2.065 5 | 2.142 1 | 2.397 1 | 2.465 3 | 2.701 2 |
ln(K) | 0.693 1 | 1.098 6 | 1.386 3 | 1.609 4 | 1.791 8 | 1.945 9 | 2.079 4 | 2.197 2 | 2.302 6 |
ln(N(r)) | 1.386 3 | 1.945 9 | 2.302 6 | 2.708 1 | 2.944 4 | 3.258 1 | 3.295 8 | 3.434 0 | 3.610 9 |
ln(I(r)) | 0.293 6 | -0.025 7 | 0.503 5 | 0.465 5 | 0.725 4 | 0.761 8 | 0.874 2 | 0.902 3 | 0.993 7 |
Tab.4 Calculation data of grid dimension of medical points
K | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
---|---|---|---|---|---|---|---|---|---|
N(r) | 4 | 7 | 10 | 15 | 19 | 26 | 27 | 31 | 37 |
I(r) | 1.341 2 | 0.974 6 | 1.654 4 | 1.592 9 | 2.065 5 | 2.142 1 | 2.397 1 | 2.465 3 | 2.701 2 |
ln(K) | 0.693 1 | 1.098 6 | 1.386 3 | 1.609 4 | 1.791 8 | 1.945 9 | 2.079 4 | 2.197 2 | 2.302 6 |
ln(N(r)) | 1.386 3 | 1.945 9 | 2.302 6 | 2.708 1 | 2.944 4 | 3.258 1 | 3.295 8 | 3.434 0 | 3.610 9 |
ln(I(r)) | 0.293 6 | -0.025 7 | 0.503 5 | 0.465 5 | 0.725 4 | 0.761 8 | 0.874 2 | 0.902 3 | 0.993 7 |
可达性得分等级 | 医疗点数量/个 | 占比/% |
---|---|---|
低可达(0.017~0.681) | 47 | 5.45 |
较低可达(0.682~4.970) | 118 | 13.69 |
中可达(4.971~9.398) | 296 | 34.34 |
较高可达(9.399~15.047) | 169 | 18.31 |
高可达(15.048~21.584) | 232 | 27.91 |
Tab.5 The number of medical points under the score of bus accessibility
可达性得分等级 | 医疗点数量/个 | 占比/% |
---|---|---|
低可达(0.017~0.681) | 47 | 5.45 |
较低可达(0.682~4.970) | 118 | 13.69 |
中可达(4.971~9.398) | 296 | 34.34 |
较高可达(9.399~15.047) | 169 | 18.31 |
高可达(15.048~21.584) | 232 | 27.91 |
地形 | 等级 | 医疗点数量/个 | 占比/% |
---|---|---|---|
海拔/m | <1 100 | 453 | 52.55 |
1 100~1 200 | 233 | 27.03 | |
1 201~1 300 | 164 | 19.03 | |
>1 300 | 12 | 1.39 | |
坡度/º | 0~5 | 514 | 59.63 |
6~10 | 158 | 18.33 | |
11~15 | 83 | 9.63 | |
16~20 | 54 | 6.26 | |
>20 | 53 | 6.15 |
Tab.6 Number of medical points of different elevation and slope grades
地形 | 等级 | 医疗点数量/个 | 占比/% |
---|---|---|---|
海拔/m | <1 100 | 453 | 52.55 |
1 100~1 200 | 233 | 27.03 | |
1 201~1 300 | 164 | 19.03 | |
>1 300 | 12 | 1.39 | |
坡度/º | 0~5 | 514 | 59.63 |
6~10 | 158 | 18.33 | |
11~15 | 83 | 9.63 | |
16~20 | 54 | 6.26 | |
>20 | 53 | 6.15 |
1 | 金淑婷,李博,杨永春. 经济发展是否缩小区域间基本医疗卫生资源供给差距?——基于287个城市面板数据计量检验.世界地理研究,2021,30(1):192-203. |
JIN S, LI B, YANG Y.Does economic development narrow the supply gap of basic medical and health resources among regions?——Metrological test based on 287 urban panel data.World Regional Studies,2021,30(1):192-203. | |
2 | 田玲玲,张晋,王法辉,等. 公平与效率导向下农村公共医疗资源的空间优化研究——以湖北省仙桃市为例. 地理科学,2019,39(9):1455-1463. |
TIAN L, ZHANG J, WANG F,et al. Rural public medical resources allocation spatial optimization towards equity and efficiency access:A case study on Xiantao City,Hubei Province. Scientia Geographica Sinica,2019,39(9):1455-1463. | |
3 | RASTAGHI M, BARZINPOUR F, PISHVAEE M. A Multi-objective Hierarchical Location-allocation Model for the healthcare network design considering a referral system. International Journal of Engineering,2018,31(2):365-373. |
4 | JONES A. Emergency medical service accessibility and outcome from road traffic accidents. Public Health,1995,109(3):169-177. |
5 | 韩昊英,陈宇,张小东,等. 新冠疫情下城市应急医疗设施空间配置评价研究——以武汉市为例. 世界地理研究,2023,32(1):162-173. |
HAN H, CHEN Y, ZHANG X,et al.Study on spatial allocation evaluation of urban emergency medical facilities: A case study of COVID-19 in Wuhan.World Regional Studies,2023,32(1):162-173. | |
6 | 王建廷,刘雅文. 基于GIS的天津市中心城区综合医院空间布局分析. 地理与地理信息科学, 2018, 34(5):25-30. |
WANG J, LIU Y. Spatial layout analysis of general hospitals in central city districts of Tianjin based on GIS. Geography and Geographic Information Science, 2018, 34(5):25-30. | |
7 | 刘桂奇.近代城市医院的空间布局及演化—以广州市为例.热带地理,2020,30(3):327-332. |
LIU G.Spatial distribution and evolution of modern hospitals in cities of china:A case study of Guangzhou.Tropical Geography,2020,30(3):327-332. | |
8 | 许婵,文天祚,王坤晓. 北京市核心区医疗设施可达性研究. 地域研究与开发,2019, 38(3):60-65. |
XU C, WEN T, WANG K. Research on the medical accessibility in the central area of Beijing. Areal Research and Development,2019,38(3):60-65. | |
9 | REKHA R, WAJID S, RADHAKRISHNAN N,et al. Accessibility analysis of health care facility using geospatial techniques. Transportation Research Procedia, 2017, 27:1163-1170. |
10 | 蒋海兵,韦胜. 城乡交通一体化驱动下江苏农村医疗卫生服务可达性. 长江流域资源与环境,2020,29(9):1922-1929. |
JIANG H, WEI S. Accessibility of Jiangsu rural medical and health services driven by urban-rural transportation integration. Resources and Environment in the Yangtze Basin, 2020, 29(9): 1922-1929. | |
11 | SHINJO D, ARAMAKI T. Geographic distribution of healthcare resources,healthcare service provision,and patient flow in Japan:Across sectional study. Social Science & Medicine, 2012, 75(11): 1954-1963. |
12 | 马志飞,尹上岗,乔文怡,等. 中国医疗卫生资源供给水平的空间均衡状态及其时间演变. 地理科学,2018,38(6):869-876. |
MA Z, YIN S, QIAO W,et al. Spatial equilibrium state and its time evolution of medical health resource supply level in China. Scientia Geographica Sinica, 2018, 38(6): 869-876. | |
13 | 谢引引,周年兴,马欢欢,等. 中国医疗卫生服务水平的空间分布特征及影响因素. 华中师范大学学报(自然科学版),2018,52(5):713-722. |
XIE Y, ZHOU N, MA H,et al. Spatial distribution characteristics and influencing factors of health services in China. Journal of Central China Normal University (Natural Science), 2018, 52(5): 713-722. | |
14 | LAURA B, KATHI W, SCOTT B,et al. Neighbourhoods and potential access to health care:The role of spatial and aspatial factors. Health and Place, 2012, 18(4): 841-853. |
15 | 钟少颖,杨鑫,陈锐. 层级性公共服务设施空间可达性研究——以北京市综合性医疗设施为例. 地理研究,2016,35(4):731-744. |
ZHONG S, YANG X, CHEN R. The accessibility measurement of hierarchy public service facilities based on multi-mode network dataset and the two-step 2SFCA:A case study of Beijing's medical facilities. Geographical Research,2016,35(4):731-744. | |
16 | 谢小华,王瑞璋,文东宏,等. 医疗设施布局的GIS优化评价——以翔安区医疗设施为例. 地球信息科学学报,2015,17(3):317-328. |
XIE X, WANG R, WEN D,et al. Evaluating the medical facilities layout based on GIS: An application of Xiangan district. Journal of Geo-information Science,2015,17(3):317-328. | |
17 | NGUI A N, APPARICIO P. Optimizing the two-step floating catchment area method for measuring spatial accessibility to medical clinics in Montreal. BMC Health Services Research,2011,11:1-12. |
18 | 时保国,吴少龙. "看病难"的空间分析:嵌入分层理论视角的中国三甲医院地理分布. 甘肃行政学院学报,2019(5):94-103. |
SHI B, WU S. Spatial analysis of "difficulty in seeing a doctor":The geographical distribution of top three hospitals in China from the perspective of embedded stratification theory. Journal of Gansu Administration University,2019(5):94-103. | |
19 | 李中凯,李金叶. 中国西北五省2006—2017年医疗资源配置公平性分析. 中国循证医学杂志,2020,20(11):1266-1273. |
LI Z, LI J. Analysis on the allocation and equity of medical resources in the five provinces in Northwest China from 2006 to 2017. Chinese Journal of Evidence-Based Medicine,2020,20(11):1266-1273. | |
20 | 杨锃,孙晓彤. 基础医疗资源配置与服务利用的研究——以上海城市空间为例. 甘肃行政学院学报,2016(5):78-90. |
YANG Z, SUN X. The research about the arrangement of basic medical resources and medical service utilization in Shanghai. Journal of Gansu Administration College,2016(5):78-90. | |
21 | BEDOYA-P S, EMYGDIO R, NASCIMENTO J,et al. Intensive care inequity in Rio de Janeiro:The effect of spatial distribution of health services on severe acute respiratory infection.Revista Brasileira de Terapia Intensiva,2020,32(1):72-80. |
22 | 谭勇,皮灿,何东进,等. 广州市城乡公共服务设施空间特征及其成因分析. 热带地理, 2014, 34(2): 241-247. |
TAN Y, PI C, HE D,et al. Spatial characteristics and their causes of the urban and rural public service facilities in Guangzhou. Tropical Geography, 2014, 34(2): 241-247. | |
23 | 李超,王亚娜. 沈阳城区医疗卫生设施空间布局研究. 沈阳建筑大学学报(社会科学版),2020,22(2):129-136. |
LI C, WANG Y. Study on the layout of medical and health facilities in Shenyang. Journal of Shenyang Jianzhu University (Social Science),2020,22(2):129-136. | |
24 | 王勇,吕庆云,苏素,等. 欠发达地区医疗网点布局和资源的合理配置研究——以重庆市为例. 软科学,2019,23(12):57-62. |
WANG Y, LU Q, SU S,et al. Research on layout and resource location method of health care in underdeveloped areas--Taking Chongqing as an example. Soft Science,2019,23(12):57-62. | |
25 | 孟利国,王海燕,姜锡明. 新疆县级公立医院规模及布局建设的调查分析. 中国卫生经济,2015,34(10):43-45. |
MENG L, WANG H, JIANG X. Investigation on scale and layout of county-level public hospitals in Xinjiang. Chinese Health Economics,2015,34(10):43-45. | |
26 | 朱俊民,朱焱,陈燕妮. 贵阳市社区卫生服务机构 GIS 空间布局分析. 中国公共卫生, 2015,32(12):1650-1654. |
ZHU J, ZHU Y, CHEN Y. Spatial distribution of community health service institutions in Guiyang City:An analysis with GIS. Chinese Journal Of Public Health,2015,32(12):1650-1654. | |
27 | 顾梦瑶,李娟,赵晓峰. 基于POI数据的贵阳市服务业空间格局及其影响因素. 西南师范大学学报(自然科学版),2019,44(12):59-69. |
GU M, LI J, ZHAO X. Spatial pattern of service industries and its influencing factors in Guiyang based on POI data. Journal of Southwest China Normal University (Natural Science Edition),2019,44(12):59-69. | |
28 | BISSONNETTE L, WILSON K, BELL S,et al. Neighbourhoods and potential access to health care:The role of spatial and aspatial factors. Health and Place,2012,18(4):841-853. |
29 | BAUER J, GRONEBERG D. Measuring spatial accessibility of health care providers-introduction of a variable distance decay function within the floating catchment area (FCA) method. Plos One, 2016, 11(7): e0159148. |
30 | 刘静,朱青. 城市公共服务设施布局的均衡性探究——以北京市城六区医疗设施为例. 城市发展研究,2016,23(5):6-11. |
LIU J, ZHU Q. Research of equalizing layout of public service facilities:Take health facilities of central six districts of Beijing for example. Urban Development Studies,2016, 23(5): 6-11. | |
31 | MESTRE A, OLIVEIRA M, BARBOSA-P A. Organizing hospitals into networks:A Hierarchical and Multiservice Model to define location,supply and referrals in planned hospital systems. OR Spectrum,2012,34(2):319-348. |
32 | WANG Z. The convergence of health care expenditure in the US states. Health Economics,2009,18(1):55-70. |
33 | 刘承良,薛帅君. 上海市主城区公共服务设施网点分布的空间异质性. 人文地理, 2019, 34(1):122-130. |
LIU C, XUE S. Spatial heterogeneity of public service facilities in central Shanghai. Human Geography,2019,34(1):122-130. | |
34 | 马淇蔚,李咏华,邓婕. 城市医疗卫生服务设施的空间布局与功能评价——以香港特别行政区为例. 规划师,2016,32(5):104-110. |
MA Q, LI Y, DENG J. Spatial layout and functional evaluation of medical facilities:Hong Kong special administrative region. Planner,2016,32(5):104-110. | |
35 | 龙立美,赵航,黄红良,等. 基于路网结构的贵阳市旅游景点可达性分析. 西南师范大学学报(自然科学版),2020,45(8):67-76. |
LONG L, ZHAO H, HUANG H,et al. Accessibility analysis of scenic spots in Guiyang based on land traffic network. Journal of Southwest China Normal University (Natural Science Edition),2020,45(8):67-76. | |
36 | 陈国磊,罗静,曾菊新,等. 中国少数民族特色村寨空间结构识别及影响机理研究. 地理科学,2018,38(9):1422-1429. |
CHEN G, LUO J, ZENG J,et al. Spatial structure identification and influence mechanism of ethnic villages in China. Scientia Geographica Sinica,2018,38(9):1422-1429. | |
37 | 王法辉. 基于 GIS 的数量方法与应用. 北京:商务印书馆,2011. |
WANG F. Quantitative Method and Application Based on GIS. Beijing:Commercial Press,2011. | |
38 | 刘继生,陈彦光. 城镇体系空间结构的分形维数及其测算方法. 地理研究,1999,18(2):171-177. |
LIU J, CHEN Y. Fractal dimensions of spatial structure of an urban system and the methods of their determination. Geographical Research,1999,18(2):171-177. | |
39 | 谢永琴,魏晓晨. 北京物流企业空间布局演化及影响因素分析. 陕西师范大学学报(自然科学版),2018,47(2):106-115. |
XIE Y, WEI X. The spatial distribution evolution and influence factor of logistics enterprises in Beijing. Journal of Shanxi Normal University(Natural Science Edition), 2018,47(2): 106-115. |
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