城乡交通一体化驱动下江苏农村医疗卫生服务可达性

农村医疗卫生服务均等化是国家乡村振兴规划的主要目标。在城乡交通一体化驱动下，机动化出行已然成为广大农户交通出行的优先偏好，在此背景下，农村医疗卫生服务均等化研究具有时代紧迫性和必要性。以江苏为例，基于GIS网络分析方法分别测度步行、电动车和汽车出行方式下农村医疗卫生服务可达性水平，力图揭示城乡交通一体化驱动下农村医疗卫生服务可达性与供需匹配特征。研究表明：步行方式下农村医疗卫生可达性水平低，而电动车能保证大部分农村享受较高水平卫生站可达性，汽车则使大多数农户享受高水平的医院可达性，城乡交通一体化是促进农村医疗卫生服务均等化发展的关键因素，它能够有效地破解农村医疗服务均等化过程中农村医疗卫生服务供给不足、供需不符和利用率低下问题，为农户共享高质量医疗卫生服务创造必要条件。有鉴于此，为了实现城乡医疗卫生服务均等化目标，应继续加快城乡交通一体化步伐，探讨构建城乡交通一体化框架下医疗卫生服务体系规划方案，优化城乡医疗卫生服务设施布局。

Accessibility of Jiangsu Rural Medical and Health Services Driven by Urban-Rural Transportation Integration

Equalization of rural medical and health services is the main goal of the national rural revitalization plan. Driven by the integration of urban and rural transportation, motorized travel has become the priority preference of the majority of rural households for transportation travel. Under this background, the research on the equalization of rural medical and health services is of urgency and necessity. This paper takes Jiangsu as an example, based on the GIS network analysis method to measure the accessibility of rural medical and health services under walking, electric bicycle and automobiles travel modes respectively, and tries to reveal the rural medical and health services accessibility and the matching characteristics of supply and demand driven by the integration of urban and rural transportation. This study have shown that the rural medical and health accessibility is low in walking mode, while electric bicycles can ensure that most rural areas enjoy higher level access to health service stations, and automobiles enable most farmers to enjoy higher level hospital accessibility. Integration of urban and rural transportation is a key factor to promote the equalization of rural medical and health services, which can effectively solve the problems of insufficient rural medical facilities and health services, inconsistent supply and demand, and low utilization during the process of equalization of rural medical services. In addition integration of urban and rural transportation can create the necessary conditions for sharing high-quality medical and health services for farmers. In view of this, in order to achieve the goal of equalization of urban and rural medical and health services, we should continue to accelerate the pace of urban and rural transportation integration, discuss the project design of medical and health service system planning under the framework of urban and rural transportation integration, and optimize the layout of urban and rural medical and health services.