Research on government regulation methods for the spatial layout of retail pharmacies: practice in Shanghai, China.

IF 4.5 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH International Journal for Equity in Health Pub Date : 2024-08-28 DOI:10.1186/s12939-024-02254-9
Qian Wang, Ruiming Dai, Qianqian Yu, Tiantian Zhang
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Abstract

Background: In China, retail pharmacies are critical sources for obtaining medications and play a vital role in residents' daily access to drugs and treatment of common illnesses. Effectively guiding the placement of these pharmacies in areas of need through government regulation is crucial for enhancing medication access. In this study, we used population and retail pharmacy spatial distribution data from Shanghai to design guidance and supplementary methods for optimizing the spatial layout of retail pharmacies and medical insurance designated pharmacies based on regional characteristics.

Methods: Population distribution, road traffic network, administrative division and retail pharmacy data from Shanghai in 2018 were collected from relevant government departments. ArcGIS 10.3 was used to map the retail pharmacies and population distribution. Based on the spatial distribution of population and the service standards of pharmacies, service circles with insufficient pharmacies were identified, and supplementary methods for retail pharmacies and medical insurance designated pharmacies were developed.

Results: In 2018, Shanghai had 3009 retail pharmacies, each serving an average of 6412 residents. The city was divided into 2188 basic pharmaceutical service circles, each within a 15-minute walking distance. The results indicated that there were 1387 service circles without any pharmacies, 151 of which had populations exceeding 5000. Additionally, 356 service circles had pharmacies but lacked medical insurance designated ones. After supplementation, 841 retail pharmacies were planned to be added in residential areas. Compared with before, the coverage area and population served of the pharmacies increased significantly.

Conclusions: This study mapped the spatial distribution of population and retail pharmacies in Shanghai, and designed government guidance and supplementary methods for optimizing the layout of retail pharmacies. The findings offer valuable insights for government agencies in low- and middle-income countries to improve the spatial distribution of retail pharmacies.

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零售药店空间布局的政府监管方法研究:中国上海的实践。
背景:在中国,零售药店是获取药品的重要渠道,在居民日常用药和常见病治疗中发挥着重要作用。通过政府监管,有效引导这些药店在有需求的地区布点,对于提高药品可及性至关重要。在本研究中,我们利用上海的人口和零售药店空间分布数据,设计了根据区域特点优化零售药店和医保定点药店空间布局的指导和辅助方法:从相关政府部门收集2018年上海市人口分布、道路交通网络、行政区划和零售药店数据。使用 ArcGIS 10.3 绘制零售药店和人口分布图。根据人口空间分布和药店服务标准,确定了药店不足的服务圈,并制定了零售药店和医保定点药店的补充办法:2018年,上海共有零售药店3009家,平均每家药店服务居民6412人。全市被划分为 2188 个基本药物服务圈,每个服务圈的步行距离为 15 分钟。结果显示,有 1387 个服务圈没有任何药店,其中 151 个服务圈的人口超过 5000 人。此外,356 个服务圈有药店,但缺少医保定点药店。经过补充,计划在居民区增加 841 家零售药店。与之前相比,药店的覆盖面积和服务人口均有显著增加:本研究绘制了上海人口和零售药店的空间分布图,并设计了政府指导和补充方法,以优化零售药店的布局。研究结果为中低收入国家的政府机构改善零售药店的空间分布提供了有价值的启示。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.80
自引率
4.20%
发文量
162
审稿时长
28 weeks
期刊介绍: International Journal for Equity in Health is an Open Access, peer-reviewed, online journal presenting evidence relevant to the search for, and attainment of, equity in health across and within countries. International Journal for Equity in Health aims to improve the understanding of issues that influence the health of populations. This includes the discussion of political, policy-related, economic, social and health services-related influences, particularly with regard to systematic differences in distributions of one or more aspects of health in population groups defined demographically, geographically, or socially.
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