本文選題：基層醫(yī)療資源 + 空間分布　； 參考：《第三軍醫(yī)大學(xué)》2016年碩士論文

【摘要】：基層醫(yī)療資源是指以社區(qū)衛(wèi)生服務(wù)中心、鄉(xiāng)鎮(zhèn)衛(wèi)生院和村衛(wèi)生所(室)等為核心的醫(yī)療衛(wèi)生機構(gòu)所承載的人、財、物之和,也包括其運行體制與機制�；鶎俞t(yī)療資源合理性的配置,對基本醫(yī)療衛(wèi)生服務(wù)均等化的實現(xiàn)作用巨大,對醫(yī)藥衛(wèi)生體制改革的進一步深化和中國特色基本醫(yī)療衛(wèi)生制度的建立影響深遠,對促進醫(yī)療衛(wèi)生事業(yè)長遠健康發(fā)展、提高人民健康水平、保障和改善民生具有重要意義。本文以重慶市基層醫(yī)療資源為研究的出發(fā)點和落腳點,借助衛(wèi)生經(jīng)濟學(xué)、統(tǒng)計學(xué)與地理學(xué)等相關(guān)學(xué)科,選用空間統(tǒng)計、計量分析等方法手段,對重慶市基層醫(yī)療資源空間分布、變動特征以及影響因素進行分析研究。本文以重慶市基層醫(yī)療資源為對象,著手以下幾點研究:(1)從基層醫(yī)療資源比重、密度等方面對重慶市基層醫(yī)療資源空間分布及其變動特征進行分析,同時采用Moran指數(shù)等空間統(tǒng)計方法研究重慶市基層醫(yī)療資源,探討其空間自相關(guān)性和空間分布情況,總結(jié)出重慶市基層醫(yī)療資源在不同地域的空間分布與變化特性,揭示其分布規(guī)律;(2)在了解重慶市基層醫(yī)療資源空間分布及其變動特征的基礎(chǔ)上,運用Pearson相關(guān)性分析方法,對影響重慶市基層醫(yī)療資源的自然因素和社會經(jīng)濟因素進行了分析;(3)針對重慶市基層醫(yī)療資源空間分布及其變動所呈現(xiàn)出的特征,結(jié)合其影響因素,對重慶市基層醫(yī)療資源空間配置存在的問題進行了分析,并進一步提出了合理布局的對策建議。研究結(jié)果發(fā)現(xiàn):(1)無論是從基層醫(yī)療機構(gòu)還是基層醫(yī)療人員的分布比重、分布密度來看,重慶市基層醫(yī)療資源在空間分布上都存在不均等的狀況,存在明顯的空間差異。重慶市基層醫(yī)療資源的分布具有明顯的正向空間自相關(guān)性,即各區(qū)縣基層醫(yī)療資源的空間分布沒有隨機性,而是在相似值之間具有空間集聚效應(yīng);(2)基層醫(yī)療資源的空間分布格局與自然因素和社會經(jīng)濟因素密切相關(guān);(3)針對重慶市基層醫(yī)療資源空間配置存在的問題,從合理規(guī)劃布局城鄉(xiāng)醫(yī)療資源、拓寬基層醫(yī)療費用來源、建立城鄉(xiāng)醫(yī)護技術(shù)幫扶制度以及引導(dǎo)實現(xiàn)基層就醫(yī)患者合理分流等方面,提出了實現(xiàn)重慶市基層醫(yī)療資源合理配置的對策建議。
[Abstract]:The primary medical resources refer to the sum of the people, wealth and things, including its operating system and mechanism, which are carried by the community health service center, the township health center and the village health center (room). The rational allocation of primary medical resources has a great effect on the realization of equalization of basic medical and health services, and has a profound impact on the further deepening of the reform of the medical and health system and the establishment of the basic medical and health system with Chinese characteristics. It is of great significance to promote the long-term development of medical and health care, to improve the health level of the people and to ensure and improve the people's livelihood. In this paper, the basic medical resources of Chongqing City as the starting point and foothold, with the help of health economics, statistics and geography and other related disciplines, the use of spatial statistics, metrological analysis and other methods, to Chongqing grass-roots medical resources spatial distribution. The change characteristics and influencing factors were analyzed and studied. This paper takes the primary medical resources of Chongqing as the object, and begins to study the following points: 1) analyzing the spatial distribution and variation characteristics of the primary medical resources in Chongqing from the aspects of the proportion and density of the primary medical resources, etc. At the same time, the spatial statistical method such as Moran index is used to study the spatial autocorrelation and spatial distribution of the primary medical resources in Chongqing, and the spatial distribution and variation characteristics of the primary medical resources in different regions of Chongqing are summarized. On the basis of understanding the spatial distribution and changing characteristics of primary medical resources in Chongqing, Pearson correlation analysis method was used. Based on the analysis of the natural and social economic factors affecting the primary medical resources in Chongqing, this paper analyzes the characteristics of the spatial distribution and changes of the primary medical resources in Chongqing, and combines the influencing factors. The problems existing in the spatial allocation of medical resources at the grass-roots level in Chongqing were analyzed, and the countermeasures and suggestions for the rational distribution of medical resources were put forward. The results show that the distribution proportion and density of primary medical personnel in Chongqing are not equal in spatial distribution, and there are obvious spatial differences in the distribution of primary medical resources in Chongqing. (1) in terms of distribution density and distribution density of primary medical personnel, there are obvious differences in spatial distribution of primary medical resources in Chongqing. The distribution of primary medical resources in Chongqing has obvious positive spatial autocorrelation, that is, the spatial distribution of primary medical resources in all districts and counties is not random. The spatial distribution pattern of primary medical resources is closely related to natural factors and social and economic factors. From the aspects of rational planning and distribution of urban and rural medical resources, broadening the sources of primary medical expenses, establishing the system of medical technical assistance in urban and rural areas, and guiding the realization of rational diversion of patients seeking medical treatment at the grass-roots level, etc. The countermeasures and suggestions to realize the rational allocation of medical resources at the grass-roots level in Chongqing were put forward.
【學(xué)位授予單位】：第三軍醫(yī)大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R197.1

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