| 引用本文：张天天, 李健梅, 周奕男, 李健, 熊雪晨, 周帅, 吕大伟, 霍兆桦, 罗永兴, 周良, 白鸽, 罗力.基层药事服务圈的界定和可视化表达方法[J].中国卫生政策研究,2017,10(9):63-67 |
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| 基层药事服务圈的界定和可视化表达方法 |
| 投稿时间：2017-05-16 修订日期：2017-06-05 PDF全文浏览 HTML全文浏览 |
| 张天天1, 李健梅2, 周奕男3, 李健2, 熊雪晨1, 周帅1, 吕大伟2, 霍兆桦1, 罗永兴2, 周良3, 白鸽1, 罗力1 |
1. 复旦大学公共卫生学院 健康风险预警治理协同创新中心 上海 200032;
2. 上海市医保办公室 上海 200125;
3. 上海健康信息协同研究中心 上海 200041 |
| 摘要:目的：探讨基层药事服务圈的界定和可视化表达方法，为定点药店规划提供一种全新的思路与方式。方法：收集规划地区的行政区划等基础数据与信息，以公平和效率为导向，运用地理信息系统软件及其功能模块，按照提出方法、模拟验证、专家论证、完善方法的思路对基层药事服务圈进行界定和可视化表达。结果：形成了一整套基于医疗资源配置标准的基层药事服务圈的界定和可视化表达操作方法，并明确了其在ArcGIS软件中的操作命令和程序。结论：按本方法步骤操作所得到的基层药事服务圈，可实现：（1）相邻的药事服务圈彼此邻接但不重合或交叉；（2）空间关系可清晰有效表达；（3）形状呈面状、规则状；（4）不同时间所采集的数据信息在空间上具有可比性，为医保定点药店规划提供了良好的先决条件。 |
| 关键词:地理信息系统 基层药事服务圈 界定 可视化 方法学 |
| 基金项目:国家自然科学基金项目（71473045）；教育部哲学社会科学研究重大课题攻关项目（15JZD029） |
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| A methodology of defining and visualizing the scope of the basic medical insurance pharmacy service |
| ZHANG Tian-tian1, LI Jian-mei2, ZHOU Yi-nan3, LI Jian2, XIONG Xue-chen1, ZHOU Shuai1, LV Da-wei2, HUO Zhao-hua1, LUO Yong-xing2, ZHOU Liang3, BAI Ge1, LUO Li1 |
1. School of Public Health, Fudan University, Shanghai 200032, China;
2. Shanghai Medical Insurance Bureau, Shanghai 200125, China;
3. Shanghai Health Information Center, Shanghai 200041, China |
| Abstract:Objective: The paper aims at developing a method of defining and visualizing the scope of the basic medical insurance pharmacy service, and provides a new way of thinking for the designated pharmacy planning. Methods: Collecting the basic data and information on administrative divisions in the planning area taking equity and efficiency as the guidance, using ArcGIS and its function modules to define and visualize the scope of the medical insurance pharmacy service. The procedure of issue focus, method improvement, data simulation, expert consultation, methodology perfecting were followed to define and visualize the scope. Results: Forming a whole set of operative procedures of defining and visualizing the scope of the medical insurance pharmacy service based on medical resources allocation standard, and the operation commands and procedures in ArcGIS were clarified. Conclusion: Operating according to the appropriate method steps, the following can be achieved:(1) The adjacent scope of medical insurance pharmacy service are adjacent to each other but do not overlap or cross; (2) Spatial relations can be clearly and effectively expressed; (3) The shape is flat and regular; (4) The data collected at different times can be comparable in space, providing good prerequisites for medical insurance designated pharmacy planning. |
| Key words:Geographic information system The scope of medical insurance pharmacy service Definition Visualization Methodology |
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