医疗卫生服务可及性的概念与评估
The Concept and Evaluation of Accessibility in Healthcare Services
李向民1
作者信息
- 1. 云南财经大学财政与公共管理学院 云南昆明 650221
- 折叠
摘要
医疗卫生服务可及性在我国学界相关领域的理论研究较为匮乏,鲜有文章对可及性内涵进行系统的梳理和分析,聚焦于此,对国内外医疗卫生服务可及性的概念化、操作化内涵加以回顾,揭示矛盾与问题所在,得出可及性概念应当包含服务利用"机会和能力"的适配,略去服务利用的"意愿或结果",并据此构建包含四个核心过程维度和两个适配维度的可及性评估模型,其中相应的分析维度和评估标准在实际应用时亦需因事制宜、动态调整.
Abstract
The theoretical research on the accessibility of healthcare services in relevant academic fields in China is relatively scarce,with few articles systematically sorting and analyzing the connotation of accessibility.This article focuses on reviewing the conceptualization and operationalization of the accessibility of health services both domestically and internationally,revealing the contradictions and problems.It argues that the concept of accessibility should include the matching of"opportunity and capability"for service utilization,excluding the"willingness or outcome"of service utilization.Based on this understanding,the article constructs an accessibility assessment model that comprises four core process dimensions and two adaptation dimensions.It further emphasizes that the corresponding analytical dimensions and evaluation criteria should be dynamically adjusted according to specific contexts and needs in practical application.
关键词
医疗卫生服务/医疗卫生服务可及性/可及性评估模型Key words
healthcare services/accessibility of healthcare services/accessibility assessment model引用本文复制引用
基金项目
云南省教育厅科研项目(2024)(2024Y505)
云南财经大学研究生创新基金(2023)(2023YUFEYC027)
出版年
2024
NETL
NSTL
万方数据