湘鄂豫三省城市建成区医疗服务潜能的分布特征及其影响因素  

Distribution Characteristics and Influencing Factors of Medical and Health Service Potential in Built-up Areas of Hunan,Hubei and Henan

作　　者：韩宗伟 林子艺[3] 冉俊容 焦胜 卢德彬[1,2] 胡玥 龙一槿[3] HAN Zongwei;LIN Ziyi;RAN Junrong;JIAO Sheng;LU Debin;HU Yue;LONG Yijing(School of Economics and Management,Tongren University,Tongren 554300,Guizhou,China;Engineering Research Center of Intelligent Monitoring and Policy Simulation for Mountainous Land Space,Tongren University,Tongren 554300,Guizhou,China;School of Architecture and Planning,Hunan University,Changsha 410082,Hunan,China;Hunan Provincial Key Laboratory of Hunan Settlements in Hilly Regions,Hunan University,Changsha 410082,Hunan,China)

机构地区：[1]铜仁学院经济管理学院,中国贵州铜仁554300 [2]铜仁学院山地国土空间智能监测与政策仿真工程中心,中国贵州铜仁554300 [3]湖南大学建筑与规划学院,中国湖南长沙410082 [4]湖南大学丘陵地区城乡人居环境科学湖南省重点实验室,中国湖南长沙410082

出　　处：《经济地理》2023年第10期87-98,共12页Economic Geography

基　　金：贵州省教育厅高校工程中心(黔教技[2023]045号);铜仁学院博士科研启动基金项目(trxyDH2303);湖南省自然资源厅2022年重大科技研究项目[(2022)1号]。

摘　　要：以华中地区湖南、湖北、河南为研究对象,综合运用随机森林回归、空间回归等系列定量模型对医疗服务潜能分布特征及影响因素进行系统分析。研究发现:研究区医疗服务供给多集中于相对发达的城市中心区而周围区域医疗服务发展滞后,就医交通时间成本呈“中心—边缘”梯度分布;医疗服务潜能相对集中且呈现出围绕省会中心城市的环状分布,各类型医疗服务发展越成熟的区域周围医疗服务发展成熟度较低,医疗机构外向功能量多分布于省会城市、交通节点型城市、省际门户区域;对医疗服务能力影响程度由大到小的因素依次为常住人口、就医交通时间成本、建设用地布局复杂程度、城市建成区与最近邻医疗机构距离,其中就医交通时间成本为负向影响,其余为正向影响;规模较大的城市中,医疗服务领域的集聚效应更加明显,即配给的医疗资源数量更多、密度更大、间距更小,各医疗机构利用效率会更高且承载的服务量会上升。This study takes Hunan,Hubei,and Henan as the study area,and uses a series of quantitative models such as random forest regression and spatial regression to systematically analyze the distribution characteristics and influencing factors of medical and health service potential.The results show that:The supply of medical and health services is mainly concentrated in the relatively developed urban center,while the development of medical and health services in the surrounding areas lags behind.The potential of medical services is relatively concentrated and presents a circular distribution around the provincial capital and central city.The external functions of medical institutions are concentrated in provincial capital cities,transportation node cities,and interprovincial gateway regions.The factors that influence the medical and health service capacity from great to small are resident population,the cost of medical transportation time,the complexity of the layout of construction land,and the distance between the built-up area and the nearest medical institutions,among which the cost of medical transportation time has a negative impact,and the rest has a positive impact.In large-scale cities,the agglomeration effect in the field of medical and health services is more obvious,that is,the number of medical resources allocated is more,the density is larger,the spacing is smaller,the utilization efficiency of medical institutions will be higher and the amount of service carried will be increased.

关 键 词：医疗服务 就医交通 医疗机构 时间成本 网格化 公平供给 健康中国 

分 类 号：F207[经济管理—国民经济]