Health region division in Beijing:A case study of cancer
10.3969/j.issn.1674-2982.2024.10.006
- VernacularTitle:北京市医疗卫生区域划分:以恶性肿瘤为例
- Author:
Lu GAO
1
;
Wen-Zhuo ZHOU
;
Fan YANG
;
Yi-Zhang LI
;
Xiao-Lei XIE
Author Information
1. 北京市卫生健康委员会 北京 101160
- Keywords:
Cancer;
Health services needs;
Cluster analysis;
Healthcare disparities
- From:
Chinese Journal of Health Policy
2024;17(10):39-45
- CountryChina
- Language:Chinese
-
Abstract:
Objective:Using cancer care as an example,we apply multi-dimensional data for healthcare region division in Beijing,and apply indicators to compare the results of the divisions.Methods:We use two approaches:the hospital catchments division method based on the hospital service range,and the K-Means clustering algorithm based on the population geographic distribution from the residents'healthcare needs,and established two indicators for comparison.Results:Three regions are divided by hospital service range method and eight regions by population geographic distribution method.The indicators of the number of beds per 100 000 population and the need satisfaction rate are more balanced among the different regions than when divided by administrative district.Conclusions:The distribution of healthcare resource in Beijing is significantly imbalanced.The region division based on hospital service range has extended the range of high-quality medical institutions.The division based on population geographical distribution reflects the actual supply and need of healthcare resources in different regions.Beijing can adopt the regional division method based on hospital service range to expand the service coverage of high-quality hospitals and reduce the imbalance in medical resources between central urban areas and suburban areas.The regional division based on population geographical distribution can provide decision support to achieve balanced allocation of healthcare resources.