社区卫生服务中心就诊人群分布及影响因素分析——以天津市主城区为例  

Analysis of the Spatial Distribution and Influencing Factors of Treatment Groups in Community Health Service Centers:A Case Study based on the Main Urban Area of Tianjin

作　　者：周志宇 马桢 孟霞[1] 吴宁 康健 ZHOU Zhiyu;MA Zhen;MENG Xia;WU Ning;KANG Jian

机构地区：[1]河北工业大学建筑与艺术设计学院 [2]河北省健康人居环境重点实验室 [3]北京舜土规划顾问有限公司 [4]天津市医学科学技术信息研究所、天津市卫生健康发展研究中心 [5]英国伦敦大学学院巴克莱特建筑学部

出　　处：《南方建筑》2024年第9期76-83,共8页South Architecture

基　　金：国家自然科学基金资助项目(52278058):基于高分遥感影像深度学习的高密度城市交通噪声预估模型与规划应对研究。

摘　　要：为优化社区卫生服务中心布局,提供更契合居民需求的基层医疗服务,以天津市主城区102个社区卫生服务中心为研究对象,分析社区卫生服务中心就诊人群的空间分布特征及影响要素。结果表明:社区卫生服务中心覆盖率呈从中心向环城逐次降低的分布特征,与覆盖率分布不同,就诊人群空间分布呈“中-高-低”空间分布特征。其次,居住小区数量密度、路网密度、公交站点密度、街区的人口密度、老龄化水平、社区卫生服务中心的医务人员数量、设备水平和建筑面积都与就诊量呈显著正相关。最后,依据结构方程模型发现,社会要素对就诊量的影响最大,标准化路径系数为0.888,资源配置要素和空间要素的标准化路径系数分别为0.343和0.305。研究结果可为城市社区卫生服务中心的优化布局提供科学依据。Residents'demand for primary health services has increased significantly in response to the intensifying aging population situation in China.To optimize the layout of community health centers and provide primary medical care services in better accordance with residents'needs,this study uses buffer zone analysis,the Pearson correlation analysis,and the structural equation model(SEM)to analyze the spatial distribution characteristics and influencing factors of treatment groups in 102 community health centers in the main urban area of Tianjin.According to the results,the spatial coverage rate of community health centers in urban Tianjin decreases gradually from the center to the suburbs.Different from the coverage rate distribution,there are moderate distributions of treatment groups in the urban center(Heping District),high distribution in districts surrounding the center(Hexi,Nankai,Hedong,Hebei,and Hongqiao),and a spatial distribution pattern of"middle-high-low"in four districts surrounding the city(Beichen,Xiqing,Jinnan,and Dongli).The density of the residential neighborhood within 1000-meter service coverage of community health service centers,road network density,number of bus stops,population density in blocks,aging level,number of medical workers,equipment level,and building area in community health service centers have significantly positive correlations with the number of outpatient visits.According to SEM's"influencing mechanism of the spatial distribution of treatment groups"in community health service centers,social factors influence the number of outpatient visits in community health service centers more than resource allocation or spatial elements.The standardized path coefficient of the social element is 0.888.Specifically,the aging level of blocks is the most important influencing factor,with a factor load of 0.542.The standardized path coefficient of the resource allocation element is 0.343.The number of medical workers is the most important influencing factor,with a factor load of 0.868.The standa

关 键 词：社区卫生服务中心 就诊人群 空间分布 天津市 

分 类 号：TU984.12[建筑科学—城市规划与设计] TU246