Incorporating Exercise Efficiency to Evaluate the Accessibility and Capacity of Medical Resources in Tibet, China

作     者：WANG Li YANG Linsheng WEI Binggan LI Hairong CAI Hongyan HUANG Jixia YUAN Xing WANG Li;YANG Linsheng;WEI Binggan;LI Hairong;CAI Hongyan;HUANG Jixia;YUAN Xing

作者机构：Key Laboratory of Land Surface Pattern and SimulationInstitute of Geographical Sciences and Natural Resources ResearchChinese Academy of SciencesBeijing 100101China College of Resources and EnvironmentUniversity of Chinese Academy of SciencesBeijing 100049China State Key Laboratory of Resources and Environmental Information SystemInstitute of Geographical Sciences and Natural Resources ResearchChinese Academy of SciencesBeijing 100101China Key Laboratory for Silviculture and Conservation of Ministry of EducationBeijing Forestry UniversityBeijing 100083China 

出 版 物：《Chinese Geographical Science》 (中国地理科学（英文版）)

年 卷 期：2023年第33卷第1期

页      面：175-188页

核心收录：

学科分类：12[管理学] 1204[管理学-公共管理] 120402[管理学-社会医学与卫生事业管理(可授管理学、医学学位)] 1004[医学-公共卫生与预防医学(可授医学、理学学位)] 10[医学] 

基　　金：Under the auspices of the Second Tibetan Plateau Scientific Expedition and Research Program (STEP)(No.2019QZKK0607) 

主　　题：exercise efficiency medical resources medical capacity Tibet 

摘      要：Accessibility and capacity of medical resources are key for the health care and emergency response, while the efficiency of the medical resources is very much limited by hypoxia in Tibet, *** introducing exercise efficiency, this study explores the accessibility of township residence to county-ship medical resources in Tibet using weighted mean travel time(WMT), and evaluates the medical capacity *** results show that: 1) the average travel time of township residence to county-level hospital is around2 h by motor vehicle in *** than half of the population can not reach the county-ship hospital within 1 h, 33.24% of the population can not reach within 2 h, and 3.75% of the population can not reach within 6 h.2) When considering the catchment of the medical resources and the population size, the WMT of the county-ship medical resources ranges from 0.25 h to 10.92 h.3) After adjusted by travel time and exercise efficiency, the county-ship medical capacity became more unequal, with 38 out of 74 counties could not meet the national guideline of 1.8 medical beds per 1000.4) In total, there are 17 counties with good WMT and sufficient medical resources,while 13 counties having very high WMT and low capacity of medical resources in *** the end, suggestions on medical resources relocation and to improve the capacity are *** study provides a method to incorporate exercise efficiency to access the accessibility and evaluate medical capacity that can be applied in high altitude ranges.