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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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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.
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Received: 08 June 2020
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[1] |
杨林生,王五一,谭见安,等.环境地理与人类健康研究成果与展望[J].地理研究,2010,29(9):1571-1583.[Yang Linsheng, Wang Wuyi, Tan Jian'an, et al. Overview on the research works in the field of environmental geography and human health[J]. Geographical Research, 2010,29(9):1571-1583.]
|
[2] |
齐兰兰,周素红,闫小培,等.医学地理学发展趋势及当前热点[J].地理科学进展,2013,32(8):1276-1285.[Qi Lanlan, Zhou Suhong, Yan Xiaopei, et al. Trend and hot topics of medical Geography[J]. Progress in Geography, 2013,32(8):1276-1285.]
|
[3] |
Luo W. Using a GIS-based floating catchment method to assess areas with shortage of physicians[J]. Health & Place, 2004,10(1):1-11.
|
[4] |
Wang F, Luo W. Assessing spatial and non-spatial factors for healthcare access:Towards an integrated approach to defining health professional shortage areas[J]. Health & Place, 2005,11(2):131-146.
|
[5] |
宋正娜,陈雯,袁丰,等.公共设施区位理论及其相关研究述评[J].地理科学进展,2010,29(12):1499-1508.[Song Zhengna, Chen Wen, Yuan Feng, et al. Formulation of public facility location theory framework and literature review[J]. Progress in Geography, 2010,29(12):1499-1508.]
|
[6] |
陶卓霖,程杨.两步移动搜寻法及其扩展形式研究进展[J].地理科学进展,2016,35(5):589-599.[Tao Zhuolin, Cheng Yang. Research progress of the two-step floating catchment area method and extensions[J]. Progress in Geography, 2016,35(5):589-599.]
|
[7] |
钟少颖,杨鑫,陈锐.层级性公共服务设施空间可达性研究——以北京市综合性医疗设施为例[J].地理研究,2016,35(4):731-744.[Zhong Shaoying, Yang Xin, Chen Rui. The accessibility measurement of hierarchy public service facilities based on multi-mode network dataset and the two-step 2SFCA:A case study of Beijing's medical facilities[J]. Geographical Research, 2016,35(4):731-744.
|
[8] |
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.]
|
[9] |
陶印华,申悦.医疗设施可达性空间差异及其影响因素——基于上海市户籍与流动人口的对比[J].地理科学进展,2018,37(8):1075-1085.[Tao Yinhua, Shen Yue. Spatial difference of medical facility accessibility and influencing factors:A comparative study of registered and floating populations in Shanghai[J]. Progress in Geography, 2018,37(8):1075-1085.]
|
[10] |
申悦,史祎雯,王虹翔,等.医疗设施可达性对患者就医空间的影响研究——基于上海市医院患者调查的实证[J].城市发展研究, 2019,26(12):46-52.[Shen Yue, Shi Yiwen, Wang Hongxiang, et al. The impacts of medical facility accessibility on patients' medical treatment space:A case study in Shanghai[J]. Urban Studies, 2019, 26(12):46-52.]
|
[11] |
Andersen R. A behavioral model of families' use of health services[J]. Journal of Human Resources, 1968,7(1):125.
|
[12] |
申悦,李亮.医疗资源可达性与居民就医行为研究进展[J].科技导报,2020,38(7):85-92.[Shen Yue, Li Liang. Progress of research on medical resource accessibility and residents' health seeking behavior[J]. Science & Technology Review, 2020,38(7):85-92.]
|
[13] |
张世平.年龄分层理论与青年研究[J].青年研究,1988(3):6-7.[Zhang Shiping. Age stratification theory and youth research[J]. Youth Studies, 1988(3):6-7.]
|
[14] |
梁宏.年龄分层视角下的中国劳动力[J].南方人口,2013,28(6):19-25,34.[Liang Hong. An analysis of chinese labor force in the perspective of age stratification[J]. South China Population, 2013,28(6):19-25,34.]
|
[15] |
王宇鹏.人口老龄化对中国城镇居民消费行为的影响研究[J].中国人口科学,2011(1):64-73,112.[Wang Yupeng. The impact of population aging on urban household's consumption behavior in China[J]. Chinese Journal of Population Science, 2011(1):64-73,112.]
|
[16] |
毛中根,孙武福,洪涛.中国人口年龄结构与居民消费关系的比较分析[J].人口研究,2013,37(3):82-92.[Mao Zhonggen, Sun Wufu, Hong Tao. Comparative analysis on the relationship between population age structure and household consumption in China[J]. Population Research, 2013,37(3):82-92.]
|
[17] |
黎智鹏.基于年龄分层的城市社区健身空间规划设计研究[J].城市建筑,2019,16(21):62-63.[Li Zhipeng. Research on the planning and design of urban community fitness space based on age stratification[J]. Urbanism and Architecture, 2019,16(21):62-63.]
|
[18] |
董文兰,李镒冲,王丽敏,等.2010年中国成年人自评健康状况[J].中华预防医学杂志,2013,47(12):1137-1141.[Dong Wenlan, Li Yichong, Wang Limin, et al. Self-rated health status among Chinese residents, China, 2010[J]. Chinese Journal of Preventive Medicine, 2013,47(12):1137-1141.]
|
[19] |
胡盛寿,高润霖,刘力生,等《. 中国心血管病报告2018》 概要[J].中国循环杂志,2019,34(3):209-220.[Hu Shengshou, Gao Runlin, Liu Lisheng, et al. Summary of the 2018 Report on Cardiovascular Diseases in China[J]. Chinese Circulation Journal, 2019,34(3):209-220.]
|
[20] |
Sarma S. Demand for outpatient healthcare[J]. Applied Health Economics and Health Policy, 2009,7(4):265-277.
|
[21] |
申悦,柴彦威.基于性别比较的北京城市居民活动的时空弹性研究[J].地理学报,2017,72(12):2214-2225.[Shen Yue, Chai Yanwei. Space-time flexibility of daily activities and gender differences:A case study of Beijing[J]. Acta Geographica Sinica, 2017,72(12):2214-2225.]
|
[22] |
郭静,戴颖,付淋淋,等.基于结构方程模型的流动老年人口就医行为影响因素研究[J].中国卫生政策研究,2019,12(2):35-40.[Guo Jing, Dai Ying, Fu Linlin, et al. Structural equation model of the influencing factors of the medical behavior of floating elderly population[J]. Chinese Journal of Health Policy, 2019,12(2):35-40.]
|
[23] |
刘萍,方鹏骞.我国老年人口就医行为现状及干预策略研究[J].医学与社会,2010,23(8):26-27,40.[Liu Ping, Fang Pengqian. A study on the hospitalize behavior of the elderly in China[J]. Medicine and Society, 2010,23(8):26-27,40.]
|
[24] |
姚卫光,崔华欠,李红,等.广州市城镇居民社区卫生服务利用现状及就医意向调查[J].中国全科医学,2016,19(7):831-834.[Yao Weiguang, Cui Huaqian, Li Hong, et al. Utilization status of community health services and choices of medical settings among urban[J]. Chinese General Practice, 2016,19(7):831-834.]
|
[25] |
Tacken M. Mobility of the elderly in time and space in the Netherlands:An analysis of the Dutch National Travel Survey[J]. Transportation, 1998,25(4):379-393.
|
[26] |
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, Shi Changxing. Research progress on spatial behaviors of the elderly in China[J]. Progress in Geography, 2013,32(5):722-732.]
|
[27] |
Yang Y T, Iqbal U, Ko H L, et al. The relationship between accessibility of healthcare facilities and medical care utilization among the middle-aged and elderly population in Taiwan[J]. International Journal for Quality in Health Care, 2015,27(3):222-231.
|
[28] |
Taylor Jr D H, Hoenig H. Access to health care services for the disabled elderly[J]. Health Services Research, 2006,41(3Pt1):743-758.
|
[29] |
Radke J, Mu L. Spatial decompositions, modeling and mapping service regions to predict access to social programs[J]. Annals of GIS, 2000,6(2):105-112.
|
[30] |
刘钊,郭苏强,金慧华,等.基于GIS的两步移动搜寻法在北京市就医空间可达性评价中的应用[J].测绘科学,2007(1):61-63,162.[Liu Zhao, Guo Suqiang, Jin Huihua, et al. Application of the GISbased two-step floating catchment area method in measurement of spatial accessibility to hospitals in Beijing[J]. Science of Surveying and Mapping, 2007(1):61-63,162.]
|
|
|
|