| 引用本文：熊雪晨, 周奕男, 白鸽, 金超, 付晨, 吴凌放, 陈海乐, 罗力.区域卫生规划中病人跨区域流动分析方法及实证研究——以上海市为例[J].中国卫生政策研究,2016,9(3):64-68 |
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| 区域卫生规划中病人跨区域流动分析方法及实证研究——以上海市为例 |
| 投稿时间：2016-01-12 修订日期：2016-02-03 PDF全文浏览 HTML全文浏览 |
| 熊雪晨1, 周奕男1, 白鸽1, 金超1, 付晨2, 吴凌放3, 陈海乐1, 罗力1 |
1. 复旦大学公共卫生学院 上海 200032;
2. 上海市卫生和计划生育委员会 上海 200125;
3. 上海市卫生发展研究中心 上海 200040 |
| 摘要:由于病人自由就医出现区域内病人流出、区域外病人流入的交叉流动情况,致使根据常住人口不能直接计算医疗资源需求。本研究通过收集整理行政区划、医疗机构地址数据库、病人地址数据库,以及病人就诊机构等相关信息,将基础数据库转化为地理信息系统软件可以识别和分析的地理数据库,测算各区县流入病人占比、流出病人占比、负荷占比三项指标,分析病人跨区域流动情况,研制病人跨区域流向分析方法。本文提出的方法定量反映区域间医院病人就医的交错分布情况,清晰揭示各地区之间病人流动情况的差异性,上海市实证结果证实该方法具有可行性和科学性,为完善区域卫生规划提供思路方法和政策建议。 |
| 关键词:跨区域 区域卫生规划 病人 空间分布 地理信息系统 |
| 基金项目:教育部哲学社会科学研究重大课题攻关项目(15JZD029);上海市政府发展研究中心资助项目(2014-Z-M02) |
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| A methodology on cross-regional flow of patients under the regional health planning: A case study of Shanghai |
| XIONG Xue-chen1, ZHOU Yi-nan1, BAI Ge1, JING Chao1, FU Chen2, WU Ling-fang3, CHEN Hai-le1, LUO Li1 |
1. School of Public Health, Fudan University, Shanghai 200032,China;
2. Shanghai Municipal Commission of Health and Family Planning, Shanghai 200125, China;
3. Shanghai Health Development Research Center, Shanghai 200040, China |
| Abstract:The healthcare requirements were calculated by the resident population of certain area in regional health planning. However, as patients are always free to decide where to get health resources or health services, i.e. within and outer the area of patient flow, inflow and cross-flow, this makes it impossible to directly calculate health resources according to the needs of the resident population by spatial distribution. This paper aims to develop a methodology to empirically research on the phenomenon about cross-region behaviors of patients for health service or health products. Firstly, the research collected data including district administrative limits, addresses of medical institutions, address of patients and their treatment agencies, as well as other relevant information. Secondly, format data by transforming original database into geographical database using ArcGIS Software. Thirdly, perform index calculation by calculating the index proportions of inflow and outflow patients, and the ratio of net load in each area respectively. These three indexes are used to analyze patients' cross-region behaviors when seeking health services. From the proposed method to analyze cross-region behavior of patients with staggered distribution, clearly reveal the patient flow among various regions. Empirical results of Shanghai confirmed that the above methodology is demonstrated to be practicable and scientific, and is a supplement to the recently used methods in health planning through analyzing cross-regional behaviors of patients, which helps support the improvement of regional health planning and provide ideas, methods and policy recommendations for medical institution programs. |
| Key words:Cross-regional Regional health planning Patients Spatial distribution Geographic information system(GIS) |
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