Research On The Measurement And Evaluation Of Spatial Fairness Of Shenzhen General Hospital

In the process of high-speed urbanization in China,how to use the limited urban public service facilities efficiently and fairly has become an important livelihood problem which the state and local governments have paid close attention to.As one of the important carriers of urban public service facilities,medical and health service facilities have long existed the contradiction of limited resources and infinite demand.The medical and health service in Shenzhen has been developing rapidly since 11 th Five-Year,but still faced with the total shortage of resources,uneven allocation of resources and many other issues.In order to effectively promote the balanced development of medical and health services to meet community basic needs for medical services,Shenzhen proposed regional health plan in a fair primary objective of health care facilities?Public service facilities are scarce resources in the city and are usually unevenly distributed.How to assess the fairness of public resources,through which indicators to evaluate it,has been one of the focus of domestic and foreign scholars.Based on the medical status of the development of Shenzhen,select the 87 general hospitals as the research object to the fairness of the perspective of space,combined with field research and GIS and other techniques,use the "location quotient","spatial overlay" and "potential change Model ",this paper makes a systematic measure and evaluation on the spatial supply of medical resources,spatial requirement and spatial accessibility of general hospitals in Shenzhen,and analyzes the planning and construction problems of general hospitals for medical and health facilities related to planning and construction of comments and suggestions.The results show that the spatial equity of Shenzhen general hospital is more prominent.First,the spatial supply of medical resources presents the imbalance of quantity,quality and scale.The number of general hospitals showed high in the center group,low in the eastern ecological group and the eastern industrial group.The number of thousands of beds and the number of thousands of practicing physician is the center group and the Longgang central group of the highest value,while the east and west of the corresponding group of low industrial value.The central group's general hospital medical resources gathering is about twice the average value of the city,while the eastern and western industrial group are only half the city's average.Secondly,in the spatial requirement,the coupling degree between the general hospital and the population density is acceptable,but the degree of coupling in the relatively slow economic development and the edge of the is relatively poor.There is a big difference between in the structure fairness of the spatial layout,the number of institutions,the scale of the organization,the quality of service,and the form of medical service show enrichment in the central group and the lack of surrounding areas.Thirdly,the spatial accessibility level of Shenzhen general hospital is low,and the level of reachability between regions is quite different.Due to the intensive and hierarchical structure of the general hospital,the spatial accessibility of the central group is higher,but at the same time,due to the excessive density of the organizations,the service scope is smaller.Although the number and quality of the general hospital in the central integrated group is far less than that of the central group,the spatial accessibility of radiation is wider than that of the central group because of the balanced spatial distribution of the hospitals.Based on the above findings,this paper suggests that investment in health care resources should be further increased and priority should be given to areas that are scarce in resources.Build efficient regional medical centers,improve the regional hospital grade system,optimize the hospital space layout.Make full use of existing hospital resources,and improve the efficiency of the use of medical resources.For more concentrated medical resources,or irrational location of the hospital,you can consider by adjusting the location of the hospital to improve the hospital's service efficiency,increase the coverage of hospital medical services.For the phenomenon of uneven distribution of regional medical resources,you can adjust the hospital grade,reallocate the existing resources to develop the regional coordination.For the sparsely populated areas,we should strengthen the construction of grassroots medical service system,improve the level of primary health care services and quality of service to make up for high-level general hospital spatial accessibility.