Research on Maternal Service Area and Referral System in Hubei Province, China
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Area
2.2. Methods
- (1)
- Hospitals were assigned to a town in which they are located, and a town with any hospital was referred to as the hospital core.
- (2)
- Maternal flow data were spatialized, including the address of hospitals and residence sites, as well as the number of patients to hospitals.
- (3)
- Then each town was assigned to the hospital core which serves this town most.
- (4)
- All the towns assigned to the same hospital core constitute an original HSA
- (5)
- Spatial adjacency, administrative divisions and majority principles (localization index greater than 0.5) were used to check and adjust the initial HSA
3. Results
3.1. Analysis of Maternal Hospitalization Records
3.2. Dartmouth Based HSA
3.3. Dartmouth HRR and Administrative Dartmouth HRR
3.3.1. Dartmouth HRR Based on Tertiary Medical flows
3.3.2. Intra-City and Cross-City HRR
- intra-city HRR;
- cross-city HRR;
3.4. Building the Hierarchical Medical System
3.4.1. Two-Tier Hierarchical Medical System
3.4.2. Three-Tier Hierarchical Medical System
4. Discussion
5. Conclutions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
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Region | Eastern | Middle | Western | Northern |
---|---|---|---|---|
Number of HSAs | 41 | 35 | 21 | 20 |
Average area (km2) | 1023 | 1492 | 2178 | 2348 |
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Bai, L.; Cheng, Y.; Tao, Z.; Feng, L.; Wang, S.; Zeng, Y. Research on Maternal Service Area and Referral System in Hubei Province, China. Int. J. Environ. Res. Public Health 2022, 19, 4881. https://doi.org/10.3390/ijerph19084881
Bai L, Cheng Y, Tao Z, Feng L, Wang S, Zeng Y. Research on Maternal Service Area and Referral System in Hubei Province, China. International Journal of Environmental Research and Public Health. 2022; 19(8):4881. https://doi.org/10.3390/ijerph19084881
Chicago/Turabian StyleBai, Lingyao, Yang Cheng, Zhuolin Tao, Ling Feng, Shaoshuai Wang, and Yu Zeng. 2022. "Research on Maternal Service Area and Referral System in Hubei Province, China" International Journal of Environmental Research and Public Health 19, no. 8: 4881. https://doi.org/10.3390/ijerph19084881