大都市医院空间配置和优化的动态模拟研究  

Dynamic Simulation on Spatial Allocation and Optimization of Hospitals in Metropolis

作　　者：王海英[1] 赵威 薛领[2] Wang Haiying;Zhao Wei;Xue Ling(Beijing Jishuitan Hospital,Beijing,100035,China;不详)

机构地区：[1]北京积水潭医院,北京100035 [2]北京大学政府管理学院,北京100871

出　　处：《中国医院管理》2023年第6期63-66,71,共5页Chinese Hospital Management

基　　金：国家自然科学基金项目(71873007);国家社会科学基金重点项目(22AZD043)。

摘　　要：大都市医院合理布局是构建高质量医疗体系的重要基础。实现城市医院空间布局的优化,既要解决日常“看病难、看病贵”问题,又要加强应急状态下医疗服务供给能力。以疏解过度集中的医疗资源和优化医院空间布局为背景,借助计算社会科学的理论和方法,开发一个基于agent的医院空间布局的计算实验平台,模拟点轴和组团布局模式下居民的居住选择和就医行为,动态考察在日常和应急状态下2种医院布局模式的合理性和有效性。研究发现,在日常状态下,点轴布局的居民空间分布更加均匀,就医可达性略好于组团模式。然而,在应急情景下,组团模式整体医疗资源系统的空间可达性更为稳定,城市韧性显著优于点轴模式。The rational layout of metropolitan hospitals is important basis for constructing high-quality medical sys⁃tem.To optimize the spatial layout of metropolitan hospitals,it is necessary not only to solve the problem of“diffi⁃cult and expensive medical treatment”in daily life,but also to strengthen the capacity of medical service supply un⁃der emergency conditions.With the help of computational social science,it developed an agent-based simulation platform for spatial allocation and layout of urban medical resources,discussing residents’location choice and medi⁃cal behavior under different layout scenarios such as point-axis and cluster.The rationality and effectiveness of different modes of resource allocation in normal and emergency conditions were inspected dynamically.The simulation results show that in daily life,the residents’spatial distribution of point-axis layout is more uniform,and the accessibility of medical treatment is slightly better than that of“cluster”mode.However,in the emergency scenario,the spatial accessibility of the whole medical resource system in the cluster mode is more stable,and the urban resilience is significantly better than that in the point-axis mode.

关 键 词：大都市 医院 空间布局 基于agent的建模 计算实验 

分 类 号：R197.3[医药卫生—卫生事业管理]