摘要
基于儿童肿瘤监测点、定点医院、肿瘤患儿异地就医等数据,采用核密度、标准差椭圆、空间自相关等方法探析中国儿童肿瘤医疗资源的空间格局,以地理探测器识别影响儿童肿瘤医疗资源空间布局的关键因素。结果表明:①儿童肿瘤医疗资源空间配置呈“东多西少”不均衡的空间格局,显著集中于“京津冀、长三角、珠三角”地区,尤其集中分布于各省府(包括省会)城市、直辖市;非白血病和淋巴瘤的其他儿童实体瘤医疗资源分布的“极化”现象突出,肿瘤患儿异地就医规模大,集中流向北京、江苏、上海、广东、重庆、陕西等省府城市、直辖市。②儿童肿瘤医疗资源空间配置与区域社会经济发展关系密切,尤其是城乡居民人均可支配收入、教育水平、人均GDP及城镇化率影响显著,而儿童规模分布、医保水平则不显著,这与其他公共医疗资源布局的影响因素不尽一致。
Malignant tumor is one of the most prevalent diseases threatening the lives of children and adolescents.Access to specialist medical resources is conducive to accurate diagnosis and treatment,significantly improving their cure rates,and optimizing the allocation of healthcare resources can enhance the accessibility of medical services for children with cancer.Thus,this paper reviews the research progress of spatial allocation of health care resources and contributing factors.As a major research subject in health geography,the study of health care resource allocation has focused on public health care resources mainly,but not enough attention has been paid to specific diseases,particularly pediatric oncology health care resources.Based on the data of pediatric surveillance sites,certified hospitals,number of discharged children with cancer of different disease types and children with cancer mobility,this paper used nuclear density,standard deviation ellipse,spatial autocorrelation and coefficient of variation to analyze the spatial pattern of Chinese pediatric cancer healthcare resources,geographic detector are used to explore the influencing factor of spatial pattern of pediatric cancer healthcare resources.Last but not least,policies to optimize the spatial allocation of medical resources for pediatric oncology are summarized.The results have indicated that:1)There are more pediatric cancer healthcare resources in eastern region than in western region of China,which significantly concentrate in Beijing-Tianjin-Hebei,The Yangtze River Delta and Pearl River Delta region,especially centered in provincial capitals and municipalities.Focusing on the provincial scale,medical resources for pediatric oncology are concentrated in the provincial capitals,while the rest of the cities are less distributed.Medical resources for children with solid tumor are more concentrated in a few large cities than for leukemia and lymphoma,which has led to a large scale medical treatment flows for children with cancer,concentrated in prov
作者
李雪莲
杜芳娟
谢潇
李嘉红
吴函彦
Li Xuelian;Du Fangjuan;Xie Xiao;Li Jiahong;Wu Hanyan(School of Karst Science,Guizhou Normal University,State Engineering Technology Institute for Karst Desertification Control,Guiyang 550001,Guizhou,China)
出处
《地理科学》
CSSCI
CSCD
北大核心
2023年第8期1350-1359,共10页
Scientia Geographica Sinica
基金
国家自然科学基金项目(41861029)
贵州省科技支撑计划项目(黔科合支撑[2022]一般254号)
贵州师范大学学术新苗基金项目(黔科合平台人才[2018]5769-21)资助。
关键词
儿童肿瘤
医疗资源
区域差异
中国
pediatric cancer
healthcare resources
regional disparity
China
