热带地理 ›› 2017, Vol. 37 ›› Issue (2): 203-217.doi: 10.13284/j.cnki.rddl.002937

• 论文 • 上一篇    下一篇

边境地区医疗服务研究综述

王 帅1,程 杨1,叶滨鸿2   

  1. (1.北京师范大学 地理科学学部,北京 100875;2.福建师范大学 地理科学学院,福州 350007 )
  • 出版日期:2017-03-05 发布日期:2017-03-05
  • 通讯作者: 程杨(1982―),女,四川人,副教授,博士,主要从事健康地理学研究(E-mail)chengyang@bnu.edu.cn。
  • 作者简介:王帅(1992―),女,天津人,硕士研究生,主要从事健康地理学研究,(E-mail)beavolunteer@163.com
  • 基金资助:
    “云南师范大学中国西南地缘环境与边疆发展协同创新中心 ”开放课题(230200043)

A Review on the Health Care Service in Border Regions

WANG Shuai1,CHENG Yang1,YE Binhong2   

  1. (1.Faculty of Geographical Science,Beijing Normal University,Beijing 100875;2.College of Geographical Sciences,Fujian Normal University,Fuzhou 350007)
  • Online:2017-03-05 Published:2017-03-05

摘要: 文章检索了科学引文数据(Web of Science)和中国知网(CNKI)中的边境医疗服务的相关文献,应用CiteSpace文献分析软件的关键词共现分析功能,系统地综述了国内外边境医疗服务相关研究的重点。从研究区域上看,国外研究多关注美国和墨西哥边境地区,国内的研究则聚焦于云南省边境地区;从研究对象上看,国外研究主要关注居住在边境地区的少数族裔和女性群体,国内研究多关注少数民族群体;从研究内容上看,国外研究主要关注边境地区的健康与疾病管控和跨境就医行为两方面,而国内主要集中于对我国西南边境地区的疾病流行和医疗服务研究;从研究方法上来看,国内外研究中定性与定量方法兼有,并呈现出多学科交叉的特点。总体来看,未来的研究需要进一步拓展研究区域,综合健康地理学和政治地理学的多元视角,全面分析新时代下的边境健康问题。中国的邻国众多,边境地区地缘环境复杂,边境医疗服务的研究有待加强。未来需结合中国国情,借鉴国外的空间分析等新兴方法,结合多种概念模型和边境研究的相关理论,在多学科背景下开展更深层次的研究。

关键词: 边境地区, 医疗服务, 健康地理

Abstract:

Border regions are an important geopolitical area, also a national gateway and an important trade route. After the proposal of the Belt and Road Initiative and Healthy China, there is a pressing need to strengthen research on health care services in border regions. In this paper, we systematically reviewed the publications on health care services in border regions from 2000 to 2016 in China and abroad. There were 282 articles in Chinese and 359 in English shown by CNKI and Web of Science, respectively. The Keyword Co-occurrence tool of CiteSpace software was used to visualize the keywords of the articles we searched for so as to show the current research trend more clearly. In terms of study areas, overseas scholars mainly focused on the U.S.-Mexico border, while Chinese scholars focused on the border regions in Yunnan Province. In terms of research subjects, overseas scholars mainly focused on the ethnic minorities and women who lived in the border regions, while Chinese scholars mainly studied the minorities living in Yunnan Province. In terms of contents, overseas scholars mainly focused on two topics: 1) health care services and disease control in border regions, and 2) cross-border health care utilization behavior and cross-border medical tourism. In the first topic, the health conditions of border residents who were suffering from HIV and cancer were discussed, and how community health workers and governments managed to deliver intervention to the border residents were demonstrated. In the second topic, the characteristics and the influencing factors of various cross-border behaviors which took place in different border regions were studied, and the development and emerging risks of medical tourism which is a special form of cross-border utilization of health care services were pointed out. In addition, some overseas scholars also highlighted the importance of health care accessibility and equality. Because of the complexity of socioeconomic and demographic characteristics of border regions, many non-spatial factors had determinant effects on health care accessibility. In comparison, related research in China started relatively late, and mainly focused on the prevalence, control and influencing factors of various infectious diseases such as malaria, HIV and dengue in Yunnan Province, and the related health care services offered by hospitals. As for research methods, both quantitative and qualitative methods were used by overseas and Chinese scholars, and interdisciplinary characteristics began to show. Quantitative methods are advantageous in identifying the influencing factors of certain diseases or health care utilization behaviors, while qualitative methods perform better in revealing the mechanisms behind phenomena and also in analyzing the interaction between various factors. In general, future research needs to include more areas and discuss health issues in border regions from the perspective of health geography and political geography in the new era. China has many neighboring countries and the geopolitical environment is complex. Research on health care services in border regions needs to be strengthened. In the future, new research methods developed in western countries should be employed based on the Chinese context, such as spatial distribution of health care services and optimization of service layout, and health care service utilization behavior. New conceptual models and emerging theories in border studies need to be combined to perform further research of multidisciplinary characteristics.

Key words: border region, health care services, health geography