期刊论文

Rural Public Medical Resources Allocation Spatial Optimization Towards Equity and Efficiency Access: A Case Study on Xiantao City, Hubei Province

中文

地理科学

1000-0690

2019

39

9

1455-1463

10.13249/j.cnki.sgs.2019.09.011

41801177:国家自然科学基金 41871176:国家自然科学基金 18CJY048:国家社会科学基金 CCNU19TD002:中央高校基本科研业务费专项华中师范大学项目

本校为第一机构

公共服务资源的空间配置问题一直存在效率与公平价值导向的博弈,空间综合人文社科的兴起,使其演化成一个空间优化问题。医疗资源空间配置的规划注重决策连续性,据此提出改进空间可达性的两步优化法。在农村地区资源有限的情况下,以空间可达性为主要指标,建立公平与效率导向下的二次规划模型,通过重新选址和设定规模以保证居民获得就医机会的最大公平和效率,并以湖北省仙桃市为案例进行应用研究。结果表明,新选地址和规模优化结果能使仙桃市医疗资源空间配置的公平性和效率性得到显著提高,2个步骤相结合,使其成为真正的混合优化模型,达到效率和公平平衡的双重目标。

A game relationship has always been existed between equity and efficiency on the study of resource allocation of public services, and the rise of spatially integrated humanities and social science has made it a spatial optimization problem. Research on the optimization of public service allocation towards equity and efficiency is still weak. In terms of spatial allocation of medical resources, it is considered that planning problems need continuous decision-making, such as selecting the location of new facilities and then adjusting the capacities of facilities. Based on this, a two-step optimi...