Study On The Spatial Distribution Of Primary Health Services Institution Under The Aging Background In Hohhot

Objective: To comprehensively understand the spatial distribution of the elderly population in Hohhot in 2017,and analyze the spatial distribution and coverage of primary health service institutions,and provide reference for Hohhot to respond to population aging,development and construction of primary health service institutions and rational implementation of regional health planning.Methods: The information of the establishment of primary health service institutions and the population they serving were collected in the Hohhot Health and Wellness Committee and the official website of the government.Indicators such as the number of elderly population,the proportion of elderly population,the ratio of the old to the young,the density of the elderly population and the dependency ratio of the elderly population were used to conduct a comprehensive analysis of the aging situation of the population of Hohhot.The number of primary health institutions,health resource density index(HRDI),coverage rate of primary health institutions,nuclear density estimation,buffer zone analysis and other spatial analysis tools were used to make statistical description and spatial analysis of the establishment of community health service institutions.The spatial analysis tool overlay analysis was used to analyze the population aging degree and the basic health service institutions in order to find out the mismatch between the population aging degree and the basic health service institutions.Some streets in Yuquan District,such as Shidong Road,Dayan Street,Changhe Gallery,Harle Town in Wuchuan County and Beibao Town in Qingshui County,had a high prevalence of chronic diseases.Results: In 2017,the number of elderly people aged 65 and over in Hohhot was 3,947,17,the proportion of the elderly population was 15.11%,the density of the elderly was 23 people per square kilometer,the ratio of the old to the young was 123.23%,and the dependency ratio was 20.81%.The number of elderly people,the degree of aging,the density of the elderly and the ratio of the elderly were not balanced in each region.The largest number of elderly people was the town of Chengguan Town in Linger County,with 12,131 people,the least being the County Industrial Park,with 70 people.Hohhot had been entered an aging age.In some areas,Wushen Town of Tuoketuo County and Wuliangtai Township of Qingshuihe County had a proportion of over 30% of the elderly population.Some areas in Qingshuihe County and Wuchuan County had a population ratio of up to several hundred.The density of the elderly in most streets in the central city was more than 500 people per square kilometer.The highest dependency ratio for the elderly was 50.83% in Wushen Town of Tuoketo County;the lowest was the Toketo County Industrial Park,which was 1.71%.In 2017,311 primary health service institutions have been established and operated in Hohhot,including 39 community health service centers,200 community health service stations,and 72 township health centers.In general,the total number of basic health service institutions in Saihan District was the highest,at 83,accounting for 26.69%.The highest urban area with the highest HRDI density index was the Huimin District(20.11),and the highest agricultural area was Qingshuihe County(3.29).The service radius coverage of community health service centers and community health service stations was the highest in Xincheng District,which was 78.33% and 85.37% respectively.Some community health service centers,such as the East Street/West Street Office Community Health Service Center(71091)in Xincheng District,and the Community Health Service Center(57351)in the West Vegetable Garden Office of Yuquan District,8 community health service centers and 3 The total number of people served in township hospitals and the number of elderly people exceeded the standard.The superposition analysis showed that the area with a high degree of aging population but sparsely set up by grassroots health service institutions was mainly in the eastern and southern parts of Qingshuihe County.Conclusion: Hohhot has entered an aging age and has a deeper aging;the elderly population in the central urban area is highly concentrated;some agricultural areas have a heavier economic burden;the spatial distribution of grassroots health service institutions is uneven,and the average number of elderly people in some institutions exceeds the standard.The degree of population aging does not match the setting of primary health care institutions.It is suggested that relevant departments should face the aging of Hohhot City and comprehensively respond to the aging of the population;Scientifically and rationally construct and develop grassroots health service institutions,improve the rational use and distribution of health resources;Adding an old-age care institution in areas where the elderly are gathering and the chronic diseases are serious;Expanding pension insurance Coverage and strengthen the construction of the old age service system.