首页|基于多源数据的兰州医疗机构空间布局研究

基于多源数据的兰州医疗机构空间布局研究

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为准确判断兰州市医疗服务现状,依据人口集中度、医疗设施分布等因素,选取城关区、七里河区、安宁区、西固区 4 个中心城区部分街道的医疗机构为研究对象。通过收集地理信息与官方统计等多源数据,并将其分为三个层级,再借助ArcGIS软件分析方法将POI数据生成各层级医疗机构空间分布图、核密度分析图与缓冲区分析图等,分析医疗机构的聚集程度,并形成第一、二、三层级医疗机构 800 m、1 500 m与 3 000 m的服务范围覆盖率以及服务范围等级图。结果表明:(1)兰州市整体医疗资源配置空间分布不均衡。空间聚集程度上,东部明显高于西部,以城关片区为中心向周围逐渐降低。(2)从缓冲区分析图中可以发现,第一层级医疗机构主要集中在城市快速发展的区域,地区性特点突出,第二、三层级则随机分布。覆盖率上,城关片区与西固片区覆盖率更高,且第一层级医疗机构数量最多,空间分异大,第二、三层级数量少,分布相对均匀。(3)兰州市整体医疗服务水平不高。服务范围等级上,城关片区与七里河片区的医疗机构设施全面,分布较广,安宁片区与西固片区严重缺乏第二、三层级资源。建议从尊重城市规划发展要求基础上完善医疗机构的空间配置,完善分级诊疗制度,科学预测年就诊量,加强建设各等级医院的分工协作体系,以及加强韧性城市建设,增加就医需求多样化服务三方面,合理优化医疗资源的空间布局。
On Spatial Layout of Medical Institutions in Lanzhou Based on Multi-source Data
In order to accurately assess the current situation of medical services in Lanzhou City,the medical service facilities in the four central urban areas of Chengguan,Qilihe,Anning and Xigu Districts were selected for the study.Through the collection of data from geographic information and official statistics,which was divided into three tiers,and then,with the help of ArcGIS software to analyze POI data and generate the spatial distribution map,nuclear density analysis map and buffer zone analysis map of medical institutions in each tier,this paper was aimed to analyze the aggregation degree of health care institutions,and to get coverage rates of medical services covering 800 m,1500 m,and 3000 m in the first,second and third tire respectively and corresponding grade maps.The results indicated that:(1)The spatial distribution of the overall medical resources allocation of service facilities in Lanzhou City was uneven.There was a significantly higher aggregation in the eastern part compared to the western part,gradually decreasing around Chengguan District as the center.(2)From the buffer zone analysis map,medical service facilities in the first tier were mainly concentrated on rapidly developing areas of the city,with prominent regional characteristics,while the second and third tiers were randomly distributed.In terms of the coverage rate,it was higher in Chengguan and Xigu Districts,and the first tier had the largest number of medical facilities with large spatial differentiation,while the second and third tiers had fewer numbers and the medical facilities in the two tires were relatively evenly distributed.(3)The overall level of medical service facilities in Lanzhou City was not high.In terms of the level of service scope,Chengguan District and Qilihe District had comprehensive facilities with wider distribution,while An'ning District and Xigu District seriously lacked medical resources of the second and third tiers.Therefore,it was proposed that the spatial configuration of medical resources of service facilities need be improved based on respect for the urban planning and development requirements.Besides,it was necessary to enhance the hierarchical diagnosis and treatment system,scientifically predict the annual number of patients,and strengthen the division of labor and collaboration among hospitals of various levels.Last,work should be done to promote the construction of resilient cities,increase diversified services of the medical demand in three aspects,and rationally optimize the spatial layout of medical resource of service facilities.

GISLanzhou Citymedical organizationmulti-source dataspatial distribution

李鸿飞、张丽霞、杨芷琼

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兰州理工大学 设计艺术学院,甘肃 兰州 730030

东南大学 城市与建筑遗产保护教育部重点实验室(西北中心),甘肃 兰州 730030

浙江工业大学 设计与建筑学院,浙江 杭州 310014

GIS 兰州市 医疗机构 多源数据 空间布局

甘肃省自然科学基金国家级大学生创新创业训练计划兰州理工大学高等教育研究项目

20JR10RA167DC2020292GJ2022B-39

2024

国土资源科技管理
国土资源部科技与国际合作司 成都理工大学

国土资源科技管理

CSTPCDCHSSCD
影响因子:0.519
ISSN:1009-4210
年,卷(期):2024.41(3)
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