个体行为视角下中小城市居民就医空间及社会分异研究——兼议与特大城市比较

doi:10.13959/j.issn.1003-2398.2018.06.004

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摘要基于日常医疗消费出行调查数据，剖析了中小城市居民日常就医出行空间社会特征，并与特大城市比较，结果表明：中小城市居民日常就医选择以市域最高等级综合医院为中心，形成"一超多强"多中心结构，出行空间呈"三带四圈层"的核心-外围形态。低收入群体近距离就医特征突出，出行空间小；高收入群体消费选择较为多元，出行时空范围广。中小城市居民日常就医首选私人诊所，出行距离是首要考虑因素，出行空间与收入水平呈正相关；特大城市居民日常就医首选区级医院，更重视医疗机构社会声誉，与中小城市存在显著差异。

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关键词 ：个体行为, 医疗消费, 行为空间, 社会分异

Abstract：Medical services are important in urban resident's daily life, its scientific provision and effective consumption is the guarantee of high-quality urban life. This paper study the daily medical service consumption and social differential in small-middle-sized cities based on the daily medical service consumption data, using standard deviational ellipse and social network analysis method, and then compare that with the megacities. The results show that making the highest level comprehensive hospital as the center, the medical service institution selection of urban residents in small-middle-sized cities form multi-center network structure with the characteristics of "one super and several strong center coexist", and the travel space form the Coreperipheral pattern. The social differentiation characteristics of medical service consumption traveling space of different income groups in small and medium-sized cities will become more and more prominent,and gradually demonstrate the social differentiation trend of the daily life space of residents in small and mediumsized cities. As the whole, the travel space of medical service consumption in small-middle-sized cities increase with resident's educational level, but inverse with residents getting older.

Key words： individual behavior medical service consumption travel space social differentiation

收稿日期: 2017-12-25

基金资助:教育部人文社会规划项目（18YJA840003）；河南省哲学社科规划项目（2017BSH009）；河南省科技厅科技攻关项目（182102310988）

通讯作者: 闫军辉(1983-),男,河北定州人,博士,讲师,主要研究方向为历史时期土地利用变化。E-mail:yanjh2015@126.com。 E-mail: yanjh2015@126.com

作者简介: 高军波(1979-),男,河南信阳人,博士(后),副教授,主要研究方向为城市规划、城乡转型与乡村贫困。E-mail:gaojb@igsnrr.ac.cn。

引用本文:

高军波, 韩勇, 喻超, 张永显, 闫军辉. 个体行为视角下中小城市居民就医空间及社会分异研究——兼议与特大城市比较[J]. 人文地理, 2018, 33(6): 28-34,86. GAO Jun-bo, HAN Yong, YU Chao, ZHANG Yong-xian, YAN Jun-hui. RESEARCH ON THE MEDICAL SERVICE CONSUMPTION SPACE AND ITS SOCIAL DIFFERENTIATION OF URBAN RESIDENTS IN SMALL AND MIDDLE-SIZED CITIES BASED ON INDIVIDUAL BEHAVIORS: AND DISCUSS THE COMPARISON WITH MEGA CITIES. HUMAN GEOGRAPHY, 2018, 33(6): 28-34,86.

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http://rwdl.xisu.edu.cn/CN/10.13959/j.issn.1003-2398.2018.06.004 或 http://rwdl.xisu.edu.cn/CN/Y2018/V33/I6/28

[1]	Knox P L. The intraurban ecology of primacy medical care:Patterns of accessibility and their policy implications[J]. Environment and Planning A, 1978,10(4):415-435.
[2]	Shi X, Mei-Po Kwan. Geospatial health research and GIS[J]. Annals of GIS, 2015,21(2):93-95.
[3]	Zhou S H, Deng L F, Mei-Po Kwan, et al. Social and spatial differentiation of high and low income groups' out-of-home activities in Guangzhou, China[J]. Cities, 2015,45(7):81-90.
[4]	周春山,高军波.转型期中国城市公共服务设施供给模式及其形成机制研究[J].地理科学,2012,31(3):272-279.[Zhou Chunshan, Gao Junbo. Provision pattern of urban public service facilities and its formation mechanism during transitional China[J]. Scientia Geographica Sinica, 2012,31(3):272-279.]
[5]	孟甜甜,张晶.北京城区就医可达性评价及空间特征分析[J].地理空间信息,2017,15(3):62-66.[Meng Tiantian, Zhang Jing. Evaluation of health care service spatial accessibility and the analysis of the spatial distribution characteristics in Beijing[J]. Geospatial Information, 2017,15(3):62-66.]
[6]	柴彦威,申悦,马修军,等.北京居民活动与出行行为时空数据采集与管理[J].地理研究,2013,32(3):441-451.[Chai Yanwei, Shen Yue, Ma Xiujun, et al. The collection and management of space-time data of individual behavior based on location-based technologies:A case study of activity-travel survey in Beijing[J]. Geographical Research, 2013,32(3):441-451.]
[7]	柴彦威,李昌霞.中国城市老年人日常购物行为的空间特征——以北京、深圳和上海为例[J].地理学报,2005,60(3):401-408.[Chai Yanwei, Li Changxia. The spatial characteristics of shopping behavior of the Chinese urban elderly:A case study of Beijing, Shenzhen and Shanghai[J]. Acta Geographica Sinica, 2005,60(3):401-408.]
[8]	柴彦威,沈洁,基于活动分析法的人类空间行为研究[J].地理科学, 2008,28(5):594-600.[Chai Yanwei, Shen Jie. Activity-based approach to human spatial behavior research[J]. Scientia Geographica Sinica, 2008,28(5):594-600.]
[9]	柴彦威,塔娜.中国时空间行为研究进展[J].地理科学进展,2013,32(9):1362-1373.[Chai Yanwei, Ta Na. Progress in space-time behavior research in China[J]. Progress in Geography, 2013,32(9):1362-1373.]
[10]	Chai Yanwei, Ta Na, Ma Jing. The socio-spatial dimension of behavior analysis:Frontiers and progress in Chinese behavioral geography[J]. Journal of Geographical Sciences, 2016,26(8):1243-1260.
[11]	柴彦威,王德,张文忠,等.地理学评论(第三辑)[M].北京:商务印书馆,2009:25.[Chai Yanwei, Wang De, Zhang Wenzhong, et al. Geography Review (series3)[M]. Beijing:Commercial Press, 2009:25.]
[12]	Erkip I. The distribution of urban public service:The case of parks and recreational services in Ankara[J]. Cities, 1997,14(6):353-361.
[13]	Omer I. Evaluating accessibility using house-level data:A spatial equity perspective[J]. Computers, Environment and Urban Systems, 2006,30(3):254-274.
[14]	Neutens T, Schwanen T, Witlox F, et al. Social equity of public service delivery:A comparison of different accessibility measures[J]. Environment and Planning A, 2010,42(7):1613-1615.
[15]	樊立惠,蔺雪芹,王岱.北京市公共服务设施供需协调发展的时空演化特征——以教育医疗设施为例[J].人文地理,2015,30(1):90-98.[Fan Lihui, Lin Xueqin,Wang Dai. Spatial-temporal succession characteristics of public service facilities supply and demand coordinated development in Beijing:A case study of educational and medical facilities[J]. Human Geography, 2015,30(1):90-98.]
[16]	孙瑜康,吕斌,赵勇健.基于出行调查和GIS分析的县域公共服务设施配置评价研究——以德兴市医疗设施为例[J].人文地理, 2015,30(3):103-111.[Sun Yukang, Lv Bin, Zhao Yongjian. A study of county public service facilities distribution assessment based on behavior investigation and GIS:A case study of medical facilities in dexing[J]. Human Geography, 2015,30(3):103-111.]
[17]	高军波,田春艳.基于个体行为的城市居民医疗服务消费特征及社会分异——以广州中心城区为例[J].热带地理,2014,34(2):234-240.[Gao Junbo, Tian Chunyan. Medical service consumption features and social differentiation of urban residents based on individual behavior:A case study of the central districts of Guangzhou[J]. Tropical Geography, 2014,34(2):234-240.]
[18]	李德仁,余涵若,李熙.基于夜间灯光数据遥感影像的"一带一路" 沿线国家城市发展时空格局分析[J].武汉大学学报·信息科学版, 2017,42(2):711-720.[Li Deren, Yu Hanruo, Li Xi. The spatial-temporal pattern analysis of city development in countries along the belt and road initiative based on nighttime light data[J]. Geomatics and Information Science of Wuhan University, 2017,42(2):711-720.]
[19]	赵媛,杨足赝,郝丽莎,等.中国石油资源流动源——汇系统空间格局特征[J].地理学报,2012,67(4):455-466.[Zhao Yuan, Yang Zuying, Hao Lisha, et al. The evolution of spatial displacement pattern of china's crude oil flow source-sink system[J]. Acta Geographica Sinica, 2012,67(4):455-466.]
[20]	潘峰华,赖志勇,葛岳静.经贸视角下中国周边地缘环境分析——基于社会网络分析方法[J].地理研究,2015,34(4):775-786.[Pan Fenghua, Lai Zhiyong, Ge Yuejing. The surrounding geopolitical environment of China:A social network analysis based on trade data[J]. Geographical Research, 2015,34(4):775-786.]
[21]	高军波,韩勇,王义民,等.基于个体行为的城市居民就医空间及规划思考——以广州中心城区为例[J].城市规划,2017,41(10):46-52.[Gao Junbo, Han Yong, Wang Yimin, et al. Reflections on space of medical service for urban residents and its planning based on individual behavior:A case study of central district of Guangzhou[J]. City Planning Review, 2017,41(10):46-52.]