面向健康老龄化的初级卫生保健空间公平评价  

The Assessment on the Spatial Equity of Primary Health Care for Healthy Elderly

作　　者：白家圆 陆伟[1] Bai Jiayuan;Lu Wei

机构地区：[1]大连理工大学建筑与艺术学院

出　　处：《城市建筑》2024年第17期49-54,66,共7页Urbanism and Architecture

摘　　要：人口老龄化加剧与传染性疾病全球流行的背景下,“十四五”卫生规划指出初级卫生保健的重要作用。文章从适老化角度出发,关注初级卫生保健的空间公平问题。根据老年人的异质性改进了传统的可达性测量方法,使其能够应用在微观尺度识别初级卫生保健缺失区。结果表明,案例地区的初级卫生保健空间分布表现出严重不公平,虽然老年人口分布与社区卫生设施的可达性呈正相关,但二者具有显著的空间分异。该结果为社区卫生设施规划提出适老化策略。Due to increasing aging population and global epidemic of infectious diseases,the 14th Five-Year Plan for Health highlight the important role of primary health care(PHC).This paper focuses on the spatial equity issue in PHC from the perspective of the elderly.An improved accessibility measurement based on the heterogeneity of older adults is proposed,which could be applied to identify the underserved areas of PHC at a micro-scale.The results show that the spatial distribution of primary health care in the area of the cases has serious inequities,and although the elderly population’s distribution has a positive association with the accessibility of community health facilities,they also have a significant spatial differentiation.The results provide elderly-oriented strategies for the planning of community health facilities.

关 键 词：适老化 初级卫生保健 空间公平 社区卫生设施 

分 类 号：TU246[建筑科学—建筑设计及理论]