作　　者： (吴悦）; (刘雪娇）; (李忠）; (刘爽）; (王庸非）; (杨坚）; (张亮）;

机构地区： 华中科技大学同济医学院医药卫生管理学院,武汉430030 湖北省人文社科重点研究基地农村健康服务研究中心,武汉430030

出　　处： 《中国卫生经济》 2017年第9期9-13,共5页

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及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。 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 based on the use of the CNKI and PubMed. Results： The geographical elements were mainly divided into natural and social geographical elements, whose theoretical basis in health service researeh were the theory, of man-land relationship and Anderson health service model. There were three main application aspects in the health service research including public health and epidemiology, health system planning and res,mrce allocation, and influence study on the health service supply and demand. Conclusion： Relationship between the natural geogaphie elements and human health and diseases was addressed in the public health research. The influence of the social geographic elements on the health resources allo- cation and service utilization was mainly analyzed. It suggested to apply the integration of natural and geographic elements in the health service research, which needed the future research, in order to provide more evidence for heahh policy reform, resources alloca- tion and stakehohlers＇ equilibrium.

关 键 词： 地理要素 卫生服务 系统论综述