医养结合导向下城市养老服务设施空间布局评价——以厦门市为例  

Evaluation of the Spatial Layout of Urban Elderly Care Service Facilities under the Guidance of the Combination of Medical Care and Elderly Care:Taking Xiamen as an Example

作　　者：冯瑾 吴建楠[1] Feng Jin;Wu Jiannan

机构地区：[1]华侨大学建筑学院

出　　处：《中外建筑》2024年第7期75-81,共7页Chinese & Overseas Architecture

基　　金：国家自然科学基金青年项目(编号:41801112)。

摘　　要：医养结合导向下的城市养老服务设施配置对老年健康服务体系的构建具有重要意义。研究以厦门市为例,从养老服务设施空间密度、医养设施空间接触最小成本与基于改进两步移动搜索法(Two-step Floating Catchment Area,2SFCA)的空间可达性三个方面对养老服务设施空间布局进行评价,分析城市养老设施与医疗设施的空间关系,为医养结合政策的开展提供空间建议。研究发现:(1)厦门市岛内养老服务设施配置密度明显高于岛外各区,湖里区养老服务供给能力最高;(2)城市层面岛内机构养老设施与医疗服务设施空间接触机会较大,获取医疗服务的空间成本较小;(3)社区养老设施到社区医疗设施的可达性较低,获取服务的空间成本较大,社区层面医养合作在空间上存在较大难度。The allocation of urban elderly care service facilities under the guidance of the combination of medical care and elderly care has a positive role in promoting the construction of urban elderly health service facility system.Taking Xiamen as an example,this study evaluated the spatial layout of elderly care facilities from three aspects:the spatial density of elderly care facilities,the minimum contact cost of medical care facilities,and the spatial accessibility based on the improved 2SFCA,analyzed the spatial relationship between urban elderly care facilities and medical facilities,and provided spatial suggestions for the implementation of the policy of combining medical care with elderly care.The results show that:(1)The distribution density of elderly care service facilities in Xiamen Island is significantly higher than that in other districts outside the island,and the elderly care service supply capacity in Huli district is the highest;(2)At the urban level,there is a greater opportunity for the elderly care facilities in the island to have spatial contact with medical services,and the space cost of obtaining medical services is small;(3)At the community level,the accessibility of some community elderly care facilities to community medical facilities is low,and the space cost of access to services is high.There are great difficulties in the space of medical and elderly care cooperation at the community level.

关 键 词：医养结合 城市养老服务设施 空间布局 改进2SFCA 

分 类 号：TU984.4[建筑科学—城市规划与设计]