上海市医疗韧性设施的空间可达性研究

This paper attempts to combine the concept of "resilient city" with facilities such as gymnasiums and large exhibition centers that can be converted into temporary emergency hospitals, proposes the concept of "medical resilience facilities" in response to sudden public health crises, and further explores its spatial accessibility. Based on the existing experience of renovated temporary emergency hospitals, this study estimates the number of emergency medical beds that can be supplied by resilient facilities in Shanghai, and analyzes the accessibility results with kernel-density 2SFCA. The findings of the study show that: ① There are 36 resilient facilities in Shanghai, which can provide 4. 5 emergency medical beds for every 1 000 people. ② The scale of supply is greatly affected by the type of resilient facilities. The supply capacity of convention and exhibition centers and large sports centers is much higher than that of general gymnasiums. ③ Resilient facilities can cover 70%，91%，and 97% of the city's demand points within 30 minutes，45 minutes，and 60 minutes of travel time，respectively. ④ The accessibility of resilient facilities has obvious spatial differentiation, showing typical "core-periphery" spatial structure. The accessibility value decreases from the core high-value area to the peripheral low-value area in a circular structure. The core high-value areas of accessibility are the central urban areas other than Yangpu District, the central and northern parts of Minhang District, the eastern part of Qingpu District, the northeastern part of Songjiang District and Chongming District.