南京市医疗服务设施可达性的空间格局及其形成机制  

Spatial Pattern of Access to Health Care Facilities and Its Formation Mechanism in Nanjing

作　　者：曾文[1] 向梨丽 李红波[3] 张小林[3] 张红日[1] 

机构地区：[1]山东科技大学测绘学院,山东青岛266590 [2]利兹大学地理学院 [3]南京师范大学地理科学学院,中国江苏南京210023

出　　处：《经济地理》2017年第6期136-143,共8页Economic Geography

基　　金：国家自然科学基金项目(41501187);江苏省高校哲学社会科学研究项目(2015SJD150);山东科技大学人才引进科研启动基金项目(2016RCJJ003);青岛市哲学社会科学规划项目(QDSKL1601120)

摘　　要：以南京市为案例,利用GIS空间分析方法在居住用地地块尺度对南京市医疗服务设施可达性的空间格局及其成因进行研究。结果表明,南京市医疗服务设施可达性在空间上呈现出显著的空间分异和空间集聚特征,无论是分不同等级的医疗服务设施可达性还是医疗服务设施可达性的综合水平,均呈现出由城市中心区向外围衰减的特征,同时,可达性水平高的居住用地集聚分布于老城区,而可达性水平低的地方大量集中于新城和主城区边缘地带。南京市医疗服务设施可达性的空间格局是在历史因素、市场经济因素、政府因素和医疗体制因素等多重因素下共同作用形成的。研究成果可以为地方政府优化医疗资源空间布局提供相关科学依据。Taking Nanjing as the empirical case, this study analyzes the spatial pattern of access to HCFs at the scale of residential parcel using the methods of GIS spatial analysis, and then research the formation mechanism of it. The results show that： there are significant spatial differentiations and spatial agglomeration characteristics in the spatial pattem of access to HCFs in Nanjing. Both spatial access to different types of HCFs and spatial access to multi-type HCFs demonstrate that the accessibility grade declines from the urban center to the peripheral area. The accessibility grade of old city area is very good, and accessibility grade of new town and periphery of main urban area is very bad. Meanwhile, the regions with high accessibility grade distribute intensively in old city area, and the regions with low accessibility grade locate intensively in new town and periphery of main urban area. The formation of spatial pattern of access to HCFs in Nanjing is influenced by multiple factors such as historical factor, market economy factor, government factor and health care system factor. The results of this research can provide local governments with related scientific evidence to optimize medical resources＇ spatial distribution.

关 键 词：基础设施 医疗服务设施 公共服务均等化 可达性 空间格局 南京 

分 类 号：TU984.14[建筑科学—城市规划与设计]