空间正义视角下分级诊疗实施效应量化评估  

Quantitative Evaluation on the Implementation Effect of Hierarchical Diagnosis and Treatment from the Perspective of Spatial Justice

作　　者：陈伊 蒲向军[1] Chen Yi;Pu Xiangjun

机构地区：[1]武汉大学城市设计学院

出　　处：《城市建筑》2022年第10期87-90,共4页Urbanism and Architecture

摘　　要：医疗资源的供需失衡难以维持公平的社会就医环境,随着医改的深入,分级诊疗的提出对缓解此矛盾具有重要作用。本文在空间正义视角下,利用两步移动搜索法、洛伦兹曲线、基尼系数等方法,对分级诊疗实施效应进行量化及公正性评估,并以武汉市为例,揭示分级政策对居民的影响。研究发现:(1)随着分级诊疗的实施,居民就医机会的分布格局由单中心向多中心转变;(2)社会整体就医机会得到提升,尤其以城市边缘地区较为显著;(3)社会各群体间的就医机会差距拉大,未能完全实现空间正义。The imbalance between supply and demand of medical resources is difficult to maintain a fair social medical environment.With the deepening of medical reform,the proposal of hierarchical diagnosis and treatment plays an important role in alleviating this contradiction.From the perspective of spatial justice,this paper uses two-step mobile search method,Lorenz curve,Gini coefficient and other methods to quantify and evaluate the implementation effect of hierarchical diagnosis and treatment,and takes Wuhan as an example to reveal the impact of hierarchical policy on the residents.The results show that:(1)with the implementation of hierarchical diagnosis and treatment,the distribution pattern of residents’medical opportunities has changed from single center to multi center;(2)the overall medical opportunities of the society have been improved,especially in the urban fringe areas;(3)the gap of medical opportunities among various groups of society is widening,and the spatial justice has not been fully realized.

关 键 词：分级诊疗 空间正义 可达性 基尼系数 

分 类 号：TU246.1[建筑科学—建筑设计及理论] R197.1[医药卫生—卫生事业管理]