主管单位：中国科学技术协会
主办单位：中国地理学会
承办单位：华东师范大学
World Regional Studies

World Regional Studies ›› 2025, Vol. 34 ›› Issue (6): 108-119.DOI: 10.3969/j.issn.1004-9479.2025.06.20230547

Previous Articles    

Spatial accessibility of medical resilience facilities in Shanghai

Qian BA1,2,3(), Ning DU4, Yong LIU5, Peng GAO6, Dan HE1,2,3()   

  1. 1.School of Geographic Sciences, Shanghai 200241, China
    2.Research Center for China Administrative Division, Shanghai 200241, China
    3.Future City Lab, East China Normal University, Shanghai 200241, China
    4.China Academy of Urban Planning and Design, Shenzhen 518000, China
    5.Shanghai Academy of Fine Arts, Shanghai University, Shanghai 200444, China
    6.Institute for Global Cities, Shanghai Normal University, Shanghai 200234, China
  • Received:2023-08-22 Revised:2024-02-05 Online:2025-06-15 Published:2025-07-11
  • Contact: Dan HE

上海市医疗韧性设施的空间可达性研究

拔芊1,2,3(), 杜宁4, 刘勇5, 高鹏6, 何丹1,2,3()   

  1. 1.华东师范大学，地理科学学院，上海 200241
    2.华东师范大学，中国行政区划研究中心，上海 200241
    3.华东师范大学，未来城市实验室，上海 200241
    4.中国城市规划设计研究院深圳分院，深圳 518000
    5.上海大学上海美术学院建筑系，上海 200444
    6.上海师范大学全球城市研究院，上海 200234
  • 通讯作者: 何丹
  • 作者简介:拔芊（1999—），女，硕士研究生，研究方向为城市规划与城市管理， E-mail：51213902018@stu.ecnu.edu.cn。
  • 基金资助:
    上海市哲学社会科学规划课题(2023BCK005);国家社科基金重大项目(22&ZD067)

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Abstract:

This paper attempts to combine the concept of "resilient city" with facilities such as gymnasiums and large exhibition centers that can be converted into temporary emergency hospitals, proposes the concept of "medical resilience facilities" in response to sudden public health crises, and further explores its spatial accessibility. Based on the existing experience of renovated temporary emergency hospitals, this study estimates the number of emergency medical beds that can be supplied by resilient facilities in Shanghai, and analyzes the accessibility results with kernel-density 2SFCA. The findings of the study show that: ① There are 36 resilient facilities in Shanghai, which can provide 4.5 emergency medical beds for every 1 000 people.② The scale of supply is greatly affected by the type of resilient facilities. The supply capacity of convention and exhibition centers and large sports centers is much higher than that of general gymnasiums. ③ Resilient facilities can cover 70%， 91%， and 97% of the city's demand points within 30 minutes， 45 minutes， and 60 minutes of travel time， respectively.④ The accessibility of resilient facilities has obvious spatial differentiation, showing typical "core-periphery" spatial structure. The accessibility value decreases from the core high-value area to the peripheral low-value area in a circular structure. The core high-value areas of accessibility are the central urban areas other than Yangpu District, the central and northern parts of Minhang District, the eastern part of Qingpu District, the northeastern part of Songjiang District and Chongming District.

Key words: combination of epidemic prevention and control, medical resilience facilities, temporary emergency hospital, kernel density 2-step floating catchment area method

摘要：

基于“韧性”理论，本文提出应对突发性公共卫生事件的“医疗韧性设施”这一概念。本研究聚焦可改建为临时应急医院的体育馆、大型会展中心等“医疗韧性设施”，估算了上海市域范围内医疗韧性设施可供给的应急床位数，并基于核密度型两步移动搜索法对其可达性结果进行分析。研究发现显示：①上海市域36处医疗韧性设施可为每千人提供4.5个应急床位；②供给规模受医疗韧性设施类别影响较大，会展中心和大型体育中心供给能力远高于一般体育馆；③医疗韧性设施在30分钟、45分钟、60分钟出行时间内可分别覆盖全市70%、91%、97%的需求点；④通过敏感性检验发现，医疗韧性设施的可达性具有明显的空间分异性，呈现典型的“核心-边缘”空间结构特征，且可达性值由高值核心区向低值边缘区呈圈层式结构递减。可达性高值核心区为除杨浦区以外的中心城区以及闵行区中北部、青浦区东部和松江区东北部；可达性低值边缘区为奉贤区、金山区、浦东新区的临港片区和崇明区。

关键词: 平疫结合, 医疗韧性设施, 临时应急医院, 核密度型两步移动搜索法