县域尺度下江苏省妇幼保健机构适配性的现状分析  

Current situation analyses on the suitability of maternal and child health care institutions at county scale,Jiangsu

作　　者：陈娟 孙志明[1,2] 张敏 赵亚楠 CHEN juan;SUN zhi-ming;ZHANG min;ZHAO ya-nan(School of Public Health,Nanjing Medical University,Nanjing,Jiangsu 211166,China;不详)

机构地区：[1]南京医科大学公共卫生学院,江苏南京211166 [2]徐州医科大学 [3]江苏省卫生健康发展研究中心 [4]国家卫生健康委避孕药具警戒与生育力监测重点实验室 [5]江苏省生育力保护与卫生技术评估重点实验室

出　　处：《现代预防医学》2024年第14期2598-2604,共7页Modern Preventive Medicine

基　　金：江苏省科教能力提升工程(ZDXYS202210);江苏省卫健委医学科研项目重点项目(ZDB2020038);江苏省卫健委妇幼保健重点项目(F202104)。

摘　　要：目的分析江苏省县域尺度下,妇幼保健床位与妇幼人群需求之间的空间适配性。方法运用空间自相关分析江苏省妇幼保健机构床位资源和妇幼人群空间分布特征,并结合集聚度分析,评估床位资源与妇幼人群供需适配性。结果江苏省各区县妇幼人群呈现明显的空间聚集性,主要集中于苏州市和徐州市。在全省范围内,共有122家妇幼保健机构,其中三级机构12家,二级机构29家,总计拥有11878张床位。值得注意的是,有41个区县床位数为0,其中苏州市占7个区县。常州市钟楼区每千妇幼人口床位数最高,为2.7张/千人。从集聚度角度分析,17个区县(17.89%)幼保健机构床位资源按地理分布较充足,76个区县(80%)幼保健机构床位资源较稀缺。考虑需求人口因素,21个区县(22.11%)供大于求,74个区县(77.89%)供小于求。结论江苏省妇幼保健资源的供需适配性存在地区差异,调整供大于求地区服务范围,供小于求的地区建议进一步加强服务能力建设。Objective To analyze the spatial compatibility between maternal and child health beds and the needs of women and children in Jiangsu at the county scale.Methods Spatial autocorrelation was used to analyze the spatial distribution of bed resources and maternal and child population in maternal and child health institutions in Jiangsu Province,and the adaptability of bed resources to the supply and demand of maternal and child population was analyzed by clustering degree.Results The population of women and children of childbearing age showed obvious spatial aggregation in all districts and counties of Jiangsu Province,mainly concentrated in Suzhou and Xuzhou.There were 122 maternal and child health care institutions in Jiangsu,including 12 tertiary institutions and 29 secondary institutions,with a total of 11878 beds.It was worth noting that there were 41 districts and counties with 0 beds,of which Suzhou City accounts for 7 districts and counties.The number of beds per 1000 women and children in Zhonglou District of Changzhou City was the highest,2.7 per 1000 women and children.From the perspective of concentration degree,the bed resources of 17 districts(17.89%)were adequate geographically,while those of 76 districts(80%)were scarce geographically.After considering the demand population,it was found that the supply was greater than the demand in 21 districts(22.11%)and that the supply was less than the demand in 74 districts(77.89%).Conclusion There are regional differences in the supply and demand adaptation of maternal and child health care resources in Jiangsu Province,so it is necessary to adjust the service scope of the region where the supply exceeds the demand,and increase the service capacity building.

关 键 词：妇幼保健机构 卫生资源 空间分析 集聚度 供需适配性 

分 类 号：R172[医药卫生—妇幼卫生保健]