Evaluation And Optimization Of Medical Resource Allocation And Layout

In 2020,the novel coronavirus infection spread rapidly around the world.By the characteristics of its fast spreading and strong harmful,the sudden public health events represented by novel coronavirus bring great impacts and challenges to our medical and health system.Whether regional medical facilities can cope with the impact of sudden public health events,meet the increasing medical demand standards of residents,and provide high-quality and convenient medical services has become the key to the evaluation of regional medical resources in the era of epidemic control and integration.Based on the review of the relevant studies on the accessibility of medical facilities and the location and location of medical facilities in the optimal layout of existing medical facilities and the related studies on the equity and use efficiency in the allocation and evaluation of medical facilities,this paper evaluates the allocation and layout of regional medical resources from three aspects: service quality,equity of distribution and anti-risk ability.At the level of service quality of regional medical resources,for all kinds of medical facilities in the study area,AHP was used to determine the weight of the influence of different levels and types of medical facilities on the service quality of regional medical resources.Then,nuclear density analysis and improved thousand people index were used to start with the number of regional medical facilities,number of beds and number of medical staff.Evaluate the service quality of regional medical resources;From the perspective of equity of regional medical resource distribution,starting with equity of regional medical resource supply and demand relationship and accessibility of spatial distribution,location entropy and two-step mobile search model were used respectively to analyze the supply and demand relationship between population and medical facilities and the accessibility of medical treatment in each research unit.At the level of anti-risk ability of regional medical resources,the commuting cost changes of residents’ recent medical expenses in each research unit under daily state and emergency state were calculated respectively to reflect the response of regional existing medical resources to public health emergencies,and this was used as the evaluation basis for the anti-risk ability of regional medical resources.Finally,combined with the evaluation results,the optimization suggestions were put forward from the two aspects of regional medical resources allocation and spatial layout.This paper takes Fuzhou City as the research object for empirical research.The main research results are as follows:(1)The quality of medical resources in Fuzhou City is not high,high-quality medical resources tend to be allocated in cities,and the polarization of urban and rural medical facilities layout is obvious.(2)The accessibility of medical resources in Fuzhou is good on the whole,and the equity difference between urban and rural areas is obvious.(3)There is a great difference in the convenience of recent medical treatment between the daily and emergency situations of Fuzhou residents,and the anti-risk ability of regional medical resources needs to be improved.(4)Provide the location optimization plan of medical facilities in Fuzhou City and the optimization goal of the combination of the epidemic.This paper further proposes: urban and rural overall development,make up for the shortage of medical resources,improve the quality of residents’ medical treatment;Improve the density of road network and increase the convenience and fairness of medical treatment for residents;Implement the hierarchical medical treatment system,realize the transformation of epidemic prevention function,and improve the ability to fight against risk;Flexible land should be reserved in the overall planning of territorial space,and suggestions on the allocation and layout optimization of regional medical resources such as scientific site selection of emergency epidemic prevention facilities should be made,so as to provide certain references for similar studies in the future.