积极老龄化视角下的社区卫生服务中心优化配置方法研究*——以武汉市口区为例

Optimal Allocation Method of Community Health Service Centers from the Perspective of Aging Population: A Case Study of Qiaokou District in Wuhan

徐 涛
武汉理工大学土木工程与建筑学院 副教授,博士

潘 聪
武汉市规划编制研究和展示中心 高级工程师

徐晨慧
武汉市不动产登记中心,武汉城市仿真实验室 高级工程师

周小艺
武汉理工大学土木工程与建筑学院 硕士研究生

摘要: 城市人口老龄化水平的提升为健全基层医疗服务带来新挑战。从积极应对老龄化视角,面向城市微观尺度人口构成差异,构建城市社区卫生服务中心优化配置技术体系。具体包括:基于年龄移算法和老龄化水平修正的需求预测,利用改进潜能模型评估步行网络支撑下的设施供需均衡性,基于位置分配模型的改扩建设施、新建设施选址。通过湖北省武汉市硚口区实证发现,综合考虑社区老龄化水平差异能够精准识别社区卫生服务中心配置缺口,提出切实的设施优化配置方案。以期为健全基层医疗设施体系、积极满足老龄化带来的医养需求提供技术支撑。

Abstract: Urban population aging has brought new challenges to the improvement of primary medical services. From the perspective of actively responding to aging, aiming at the differences in urban micro-scale population structure, this paper constructs the optimal allocation technology system of urban community health service centers, including demand forecasting based on the age shift algorithm and aging level correction, using an improved potential model to evaluate the balance between supply and demand of facilities supported by the walking network, and location selection of reconstruction and expansion facilities and new facilities based on location allocation model. Through the empirical study of the Qiaokou District in Wuhan City, it is found that considering the differences in community aging levels can accurately identify the allocation gap of community health service centers, and put forward a practical optimization allocation scheme of facilities. The technical framework proposed in this paper can provide technical support for improving the basic medical facilities system and actively meeting the medical needs brought by aging.

关键词:人口老龄化;社区卫生服务中心;供需均衡性;优化配置

Keyword: aging population; community health center; supply-demand equilibrium; optimal configuration

中图分类号:TU984

文献标识码: A

资金资助

国家自然科学基金项目 “基于溢价效应差异性的轨道交通站点地区规划调控模式研究” 51708430

武安琪. 兰州市区老龄人口分布与养老机构布局优化研究[D]. 兰州:西北师范大学,2020.
WU Anqi. Research on the distribution of the aged population and the optimization of the aged institutions Lanzhou City[D]. Lanzhou: Northwest Normal University, 2020.
周洁,柴彦威. 中国老年人空间行为研究进展[J]. 地理科学进展,2013,32(5):722-732.
ZHOU Jie, CHAI Yanwei. Research progress on spatial behavior of the elderly in China[J]. Progress in Geography, 2013, 32(5): 722-732.
李早,高岩琰,崔巍懿,等. 城市医疗设施布点的可达性分析及其适老化发展研究——以合肥市为例[J]. 建筑与文化,2019(5):136-140.
LI Zao, GAO Yanyan, CUI Weiyi, et al. Study on the accessibility of urban medical facilities layout and their elderly-oriented development: take Hefei City as an example[J]. Architecture and Culture, 2019(5): 136-140.
吴一洲,杨佳成,陈前虎. 健康社区建设的研究进展与关键维度探索——基于国际知识图谱分析[J]. 国际城市规划,2020,35(5):80-90.
WU Yizhou, YANG Jiacheng, CHEN Qianhu. Research progress and key dimension exploration of healthy community construction: based on the analysis of international knowledge map[J]. Urban Planning International, 2020, 35(5): 80-90.
胡晓婧,黄建中. 老年友好的健康社区营造:国际经验与启示[J]. 上海城市规划,2021(1):1-7.
HU Xiaojing, HUANG Jianzhong. The international experience and enlightenment of building age-friendly healthy communities[J]. Shanghai Urban Planning Review, 2021(1): 1-7.
王一. 健康城市导向下的社区规划[J]. 规划师,2015,31(10):101-105.
WANG Yi. Healthy city oriented community planning[J]. Planners, 2015, 31(10): 101-105.
王德文,任洁. 论人口老龄化语境下老年友善社区的构建[J]. 厦门大学学报(哲学社会科学版),2015(5):125-135.
WANG Dewen, REN Jie. Policy study on the construction of age-friendly communities in China[J]. Journal of Xiamen University (Arts and Social Sciences), 2015(5): 125-135.
王羽,尚婷婷,赫宸,等. 老年友好型住区构建中面临的挑战与思考——基于《住宅设计规范》局部修订研究工作[J]. 上海城市规划,2020(6):36-41.
WANG Yu, SHANG Tingting, HE Chen, et al. Challenges and suggestions in building aging-friendly communities based on partial amendment and research of design code for residential buildings[J]. Shanghai Urban Planning Review, 2020(6): 36-41.
周博,刘石磊,申威. 基于行为差异性的社区公共空间适老化调查研究——以大连市为例[J]. 上海城市规划,2020(6):22-29.ZHOU Bo, LIU Shilei, SHEN Wei. Research on age-friendly community public space based on behavioral differences: a case study of Dalian[J]. Shanghai Urban Planning Review, 2020(6): 22-29.
郑宇,方凯伦,何灏宇,等. 老幼友好视角下的健康社区微改造策略研究——以广州市三眼井社区为例[J]. 上海城市规划,2021(1):31-37.
ZHENG Yu, FANG Kailun, HE Haoyu, et al. Research on the strategy of healthy community micro-regeneration from the perspective of age-friendly and child-friendly community: a case study of Sanyanjing Community in Guangzhou[J]. Shanghai Urban Planning Review, 2021(1): 31-37.
汪劲柏,常海兴. 全龄友好社区的“场景化”设计策略研究——以中部某市老旧小区连片改造设计为例[J]. 上海城市规划,2021(1):38-44.
WANG Jinbai, CHANG Haixing. Research on the 'scene-oriented' design strategy of age-friendly communities: a case study of reconstruction design of a community in a city in central China[J]. Shanghai Urban Planning Review, 2021(1): 38-44.
程敏,连月娇. 基于改进潜能模型的城市医疗设施空间可达性——以上海市杨浦区为例[J]. 地理科学进展,2018,37(2):266-275.
CHENG Min, LIAN Yuejiao. Spatial accessibility of urban medical facilities based on improved potential model: a case study of Yangpu District in Shanghai[J]. Progress in Geography, 2018, 37(2): 266-275.
杨雯丽,陈能,王慧敏,等. 基于改进2SFCA上海中心城区医疗设施可达性研究[J]. 地理信息世界,2020,27(6):75-79.
YANG Wenli, CHEN Neng, WANG Huimin, et al. On the accessibility of medical facilities in the central area of Shanghai using improved 2SFCA[J]. Geomatics World, 2020, 27(6): 75-79.
谢小华,王瑞璋,文东宏,等. 医疗设施布局的GIS优化评价——以翔安区医疗设施为例[J]. 地球信息科学学报,2015,17(3):317-328.
XIE Xiaohua, WANG Ruizhang, WEN Donghong, et al. Evaluating the medical facilities layout based on GIS:an application of Xiang'an District[J]. Journal of Geo-Information Science, 2015, 17(3): 317-328.
王成新. 基于GIS的城市医疗设施布局研究[D]. 长沙:中南大学,2011.
WENG Chengxin. Research on the layout of urban medical facilities based on GIS[D]. Changsha: Central South University, 2011.
邓康. 合肥市社区卫生服务中心适老化评价与优化研究[D]. 合肥:合肥工业大学,2019.
DENG Kang. Research on appropriate aging evaluation and optimization of Hefei community health service center[D]. Hefei: Hefei University of Technology, 2019.
徐怡珊,周典,仇志伟,等. 基于老年人口空间分布特征的养老设施规划布局研究[J]. 建筑学报,2017(9):74-77.
XU Yishan, ZHOU Dian, QIU Zhiwei, et al. A study on the planning and layout of care facilities based on spatial distributive characteristics of the elderly people[J]. Architecture Journal, 2017(9): 74-77.
唐荣,苏维. 人口老龄化对医疗卫生的需求及其对策分析[J]. 现代预防医学,2010,37(5):861-863.
TANG Rong, SU Wei. The medical treatment demand among the aging population and analysis of relevant measures[J]. Modern Preventive Medicine, 2010, 37(5): 861-863.
周婕. 城市老龄人口空间分布特征及演变趋势[J]. 城市规划,2014,38(3):18-25.
ZHOU Jie. Spatial distribution characteristics and evolution trends of urban elderly population[J]. City Planning Review, 2014, 38(3): 18-25.
于立,王琪. 社区适老性及医养设施建设问题与规划设计对策思考:以厦门为案例[J]. 城市发展研究,2020,27(10):26-31.
YU Li, WANG Qi. Concerns on provision of medical and aging service facilities from planning and design for adaptation to the elderly in community: a case of Xiamen[J]. Urban Development Studies, 2020, 27(10): 26-31.
贺小林. 基于年龄移算法的多要素人口预测模型构建与运用[J]. 统计与决策,2018,34(21):23-26.
HE Xiaolin. Construction and application of multi-factor population prediction model based on age shifting algorithm[J]. Statistics and Decision, 2018, 34(21): 23-26.
许婷,宋昆. 社区居家养老模式与社区老人设施指标研究[J]. 城市规划,2016,40(8):71-76.
XU Ting, SONG Kun. Research on home-based community care for the elderly and index of elderly facility in community[J]. City Planning Review, 2016, 40(8): 71-76.
宋正娜,陈雯. 基于潜能模型的医疗设施空间可达性评价方法[J]. 地理科学进展,2009,28(6):848-854.
SONG Zhengna, CHEN Wen. Measuring spatial accessibility to health care facilities based on potential model[J]. Progress in Geography, 2009, 28(6): 848-854.
PEETERS D, THOMAS I. Distance predicting functions and applied location -allocation models[J]. Geographical Systems, 2000(2): 167-184.
刘承承. 基于改进2SFCA算法的医疗设施可达性分析与布局优化[D]. 成都:成都理工大学,2019.
LIU Chengcheng. Medical facility accessibility analysis based on improved 2SFCA algorithm and layout optimization[D]. Chengdu: Chengdu University of Technology, 2019.

微信扫一扫
关注“上海城市规划”
公众号