引用本文: 吴悦,刘雪娇,李忠,等.地理要素在卫生服务研究中的应用*[J].中国卫生经济,2017,(9):9-13.[点击复制] .Application of Geographical Elements in the Health Service Research[J].CHINESE HEALTH ECONOMICS,2017,(9):9-13.[点击复制]
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地理要素在卫生服务研究中的应用*
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摘要:
目的:基于地理要素的基本内涵及其在卫生服务研究中的内涵应用,归纳并论证地理要素应用的相关理论与应用方面,并提出拓展与丰富地理要素相关应用的展望。方法:采用文献研究法,从PubMed、中国知网等网络学术平台收集相关文献。结果:地理要素主要分为自然和社会地理要素,人地关系论与Anderson卫生服务模型是地理要素相关应用的理论基础。公共卫生与流行病学研究、卫生系统规划与资源配置研究和卫生服务供需的影响因素研究是地理要素应用在卫生服务领域中的三个重要方面。结论:地理要素在公共卫生服务研究中偏重于自然地理要素和人类健康疾病的关系,而医疗服务研究偏重于社会地理要素对卫生资源配置与卫生服务利用的影响,因此建议将自然与社会地理要素综合地运用到卫生服务研究中,为卫生领域的政策“因地制宜”的改革、资源的合理配置与供需双侧的均衡发展提供更加全面的决策信息。
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Application of Geographical Elements in the Health Service Research
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Abstract:
Objective: To discuss the relevant theories and applications of geographical elements in the health service research, and put forward the prospect of the application based on the basic connotation of geographical elements in the health service research. Methods: Literature research were applied to analyze the geographical elements , with the use of the CNKI and PubMed. Results: The geographical elements are mainly divided into natural and social geographical elements, whose theoretical basis in health service research are the theory of man-land relationship and Anderson health service model. There are three main application aspects in the health service research including public health and epidemiology, health system planning and resources allocation, and influence study on the health service supply and demand. Conclusion: Relationship between the natural geographic elements and h uman health and diseases is addressed in the public health research, and the influence of the social geographic elements on the health resources allocation and service utilization is mainly analyzed. However, it is rare to apply the integration of natural and geographic elements in the health service research, which needs the future research, in order to provide more evidence for health policy reform, resources allocation and stakeholders’ equilibrium
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