基层医疗设施的空间多目标优化:新加坡案例研究

IF 2.1 3区 地球科学 Q2 GEOGRAPHY
Zhong Wang, Kai Cao, Yu Lung Marcus Chiu, Qiushi Feng
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引用次数: 0

摘要

初级医疗保健在改善健康状况方面发挥着举足轻重的作用。在新加坡,此类服务主要通过实施社区医疗援助计划(CHAS)来体现。社区保健援助计划是一项旨在提供基本预防和治疗服务的举措,尤其是为患有慢性疾病的老年人和低收入成年人提供服务。尽管在这一领域的政策和研究方面做出了大量努力,但关注这些初级医疗保健服务空间优化的研究却十分匮乏。在本研究中,我们基于粗粒度并行遗传算法开发了一种创新的多目标医疗服务设施选址模型,以解决与 CHAS 诊所选址优化相关的复杂挑战。所提出的优化模型旨在同时实现最大的可达性、最小的不平等性和最少的诊所数量。该模型在新加坡社区卫生服务诊所选址中的成功应用证明了它在提高居民获得医疗保健服务方面的有效性。除了在基层医疗设施空间优化领域做出了新颖的学术贡献外,我们还讨论了其固有的局限性,并确定了本研究的未来发展方向。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Spatial multi-objective optimization of primary healthcare facilities: A case study in Singapore
Primary healthcare plays a pivotal role in enhancing health conditions. In Singapore, such services are predominantly manifested through the implementation of the Community Health Assistance Scheme (CHAS). CHAS is an initiative aimed at providing fundamental preventive and therapeutic services, especially for those seniors and low-income adults with chronic diseases. In spite of considerable efforts in policy and research in this domain, there is a dearth of studies focusing on the spatial optimization of these primary healthcare services. In this study, an innovative multi-objective medical service facility siting model has been developed based on coarse-grained parallel genetic algorithm to address the intricate challenges associated with the optimization of locations for CHAS clinics. The proposed optimization model aims to simultaneously maximize accessibility, minimize inequity, and minimize the number of clinics. The successful application of this model in the siting of CHAS clinics in Singapore demonstrates its effectiveness in enhancing residents' access to healthcare services. Apart from its novel academic contributions to the field of spatial optimization of primary healthcare facilities in general, we have also discussed the inherent limitations and identified certain aspects as the future directions of this research.
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来源期刊
Transactions in GIS
Transactions in GIS GEOGRAPHY-
CiteScore
4.60
自引率
8.30%
发文量
116
期刊介绍: Transactions in GIS is an international journal which provides a forum for high quality, original research articles, review articles, short notes and book reviews that focus on: - practical and theoretical issues influencing the development of GIS - the collection, analysis, modelling, interpretation and display of spatial data within GIS - the connections between GIS and related technologies - new GIS applications which help to solve problems affecting the natural or built environments, or business
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