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人文地理  2021, Vol. 36 Issue (2): 46-54    DOI: 10.13959/j.issn.1003-2398.2021.02.007
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年龄分层视角下医疗设施可达性对居民就医行为的影响——以上海市崇明岛为例
申悦1,2,3, 李亮1,4
1. 华东师范大学 中国行政区划研究中心, 上海 200062;
2. 华东师范大学 中国现代城市研究中心, 上海 200062;
3. 华东师范大学 崇明生态研究院, 上海 202162;
4. 华东师范大学 城市与区域科学学院, 上海 200062
THE INFLUENCE OF MEDICAL FACILITY ACCESSIBILITY ON RESIDENTS' HEALTH SEEKING BEHAVIORS FROM THE PERSPECTIVE OF AGE STRATIFICATION: A CASE STUDY OF SHANGHAI CHONGMING ISLAND
SHEN Yue1,2,3, LI Liang1,4
1. Research Center for China Administrative Division, East China Normal University, Shanghai 200062, China;
2. The Center for Modern Chinese City Studies, East China Normal University, Shanghai 200062, China;
3. Institute of Eco-Chongming, East China Normal University, Shanghai 202162, China;
4. School of Urban and Regional Science, East China Normal University, Shanghai 200062, China

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摘要 年龄是影响就医行为的重要因素,从年龄分层视角出发探讨医疗资源可达性对就医行为的影响有助于理解居民的就医行为决策机理。本文以崇明岛为案例,利用一手调查数据,结合两步移动搜寻算法和回归分析方法,探讨了医疗设施可达性对居民就医机构选择和惯常就医距离的影响,揭示了不同年龄群体之间就医行为影响机理的差异。研究发现,医疗设施可达性对不同年龄群体就医行为的影响程度存在显著差异;可达性对老年人的就医行为影响尤为显著;中年人同时受到空间因素和社会经济属性的影响,且性别差异较为突出;青年人更倾向于前往高等级的医疗机构就医。研究为面向不同群体需求制定差异化的医疗资源配置策略以及引导居民的理性就医提供了依据。
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申悦
李亮
关键词 医疗资源可达性老龄化就医距离郊区    
Abstract:From the perspective of space, discussing the impact of accessibility of medical resources on health seeking behavior is conducive to a better understanding of residents' decision-making mechanism for health seeking behavior, and to explore the supply and demand relationship between health seeking behavior and medical resources. This study takes Chongming Island of Shanghai as a study case, using primary survey data to analyze the differences of health seeking behavior among different age groups from the perspective of age stratification. Combined with two-step floating catchment area method, this paper discusses the influence of the accessibility of medical facilities on the choice of medical institutions and habitual health seeking behavior distance of residents in Chongming Island, and the differences in the influence mechanism between different age groups are revealed. The study found that the medical facilities accessibility has a significant impact on residents' health seeking behavior, and the impact on different age groups is significantly different. Accessibility has a particularly significant impact on the health seeking behavior of the elderly, middle-aged people are affected by spatial factors and socioeconomic attributes, and gender differences are more prominent.
Key wordsmedical resources    accessibility    aging    health seeking distance    suburbs   
收稿日期: 2020-06-08     
PACS: C912.8  
基金资助:国家自然科学基金项目(41871166,41971200);中央高校基本科研业务费专项资金资助
作者简介: 申悦(1987-),女,上海人,副教授,博士,主要研究方向为城市社会地理与行为地理。E-mail:shenyue0519@163.com。
引用本文:   
申悦, 李亮. 年龄分层视角下医疗设施可达性对居民就医行为的影响——以上海市崇明岛为例[J]. 人文地理, 2021, 36(2): 46-54. SHEN Yue, LI Liang. THE INFLUENCE OF MEDICAL FACILITY ACCESSIBILITY ON RESIDENTS' HEALTH SEEKING BEHAVIORS FROM THE PERSPECTIVE OF AGE STRATIFICATION: A CASE STUDY OF SHANGHAI CHONGMING ISLAND. HUMAN GEOGRAPHY, 2021, 36(2): 46-54.
链接本文:  
http://rwdl.xisu.edu.cn/CN/10.13959/j.issn.1003-2398.2021.02.007      或     http://rwdl.xisu.edu.cn/CN/Y2021/V36/I2/46
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