基于多源大数据的深圳市医疗设施可达性与公平性测算  

Measuring Accessibility and Equity of Medical Resources in Shenzhen Based on Multi-source Big Data

作　　者：胡舒云 陆玉麒[1,2,3,4] 胡国建 孙婧雯 HU Shuyun;LU Yuqi;HU Guojian;SUN Jingwen(College of Geography Science,Nanjing Normal University,Nanjing 210023,Jiangsu,China;College of Rural Vitalization,Nanjing Normal University,Nanjing 210023,Jiangsu,China;Key Laboratory of Virtual Geographic Environment,Ministry of Education,Nanjing formal University,Nanjing 210023,Jiangsu,China;Jiangsu Center for Collaborative Innovation in Geographical Information Resource Development and Application,Nanjing 210023,Jiangsu,China)

机构地区：[1]南京师范大学地理科学学院,中国江苏南京210023 [2]南京师范大学乡村振兴研究院,中国江苏南京210023 [3]南京师范大学虚拟地理环境教育部重点实验室,中国江苏南京210023 [4]江苏省地理信息资源开发与利用协同创新中心,中国江苏南京210023

出　　处：《经济地理》2021年第11期87-96,共10页Economic Geography

基　　金：国家自然科学基金重点项目(41430635);教育部人文社会科学研究规划基金项目(19YJAZH023);江苏高校哲学社会科学基金项目(2020SJA0247)。

摘　　要：基于空间视角利用改进潜力模型计算深圳市医疗设施可达性,并从社会视角出发,分别采用根据实际道路网络与出行时速的网络分析和Mann-Whitney U检验测度不同出行方式和居住条件下的医疗可达性差异,关注由居住空间分异引致的空间剥夺现象。结果显示:(1)深圳市医疗可达性总体呈现以核心区医院群为中心向外围至边缘区递减的空间格局,核心区存在优质医疗设施重复分布的资源浪费现象。(2)社康中心可达性优于综合性医院,公共交通的就医可达性远低于私家车,依赖公共交通出行的中低收入群体在就医方面处于更不利的地位。(3)医疗可达性高值社区总体居住环境更差,居住空间分异现象与核心区空间稀缺性、城中村分布有关。(4)由于资源和机会的非均衡配置及流动性障碍,深圳市边缘区低收入人口存在空间剥夺现象。This article uses the improved potential model to calculate the spatial accessibility of medical resources in Shenzhen,and measures their differences under different modes of travel and living conditions based on the actual road network analysis and the Mann-Whitney U test.It also focuses on the spatial deprivation phenomenon caused by the spatial differentiation of living.The results show that:1)From the perspective of space,the accessibility of medical resources generally shows decreasing characteristic from hospital clusters in the core areas to the periphery,the accessibility of community health centers is better than the accessibility of general hospitals.2)It has the phenomenon of uneven distribution in better medical resources.3)The accessibility of medical resources by the mean of public transport is much lower than that by the mean of private vehicles,low-and middle-income groups who rely on public transport are at a greater disadvantage in terms of access to healthcare services.4)The overall living environment is worse in communities with high value for medical accessibility,and the phenomenon of spatial disparity in living is related to spatial scarcity in core areas and the distribution of urban villages.5)It exists the spatial deprivation to the low-income groups living in the periphery of Shenzhen,which is caused by the unequal distribution of resources and opportunities and mobility barriers.

关 键 词：医疗可达性 改进潜力模型 社会公平 空间剥夺 医疗设施 中低收入群体 

分 类 号：F299.24[经济管理—国民经济]