اولویت سنجی مکانی توسعه ی مراکز خدمات بهداشتی- درمانی با استفاده از روش AHP ،مطالعه موردی: شهر میاندوآب (مقاله علمی وزارت علوم)
درجه علمی: نشریه علمی (وزارت علوم)
آرشیو
چکیده
در پژوهش حاضر با رویکرد «قیاسی، توصیفی- تحلیلی» تلاش شده است تا ضمن ارزیابی وضعیت موجود، بررسی توزیع و پراکندگی مراکز خدمات بهداشتی- درمانی میاندوآب، نواحی محروم از این خدمات در سطح شهر با توجه به ضوابط و استانداردهای مکان یابی و با استفاده از تکنیک تحلیل سلسله مراتبی (AHP)، اولویت های مکانی توسعه این نوع فضاها در سطح نواحی پنج گانه شهر میاندوآب تعیین گردد. معیارهای مکان یابی مراکز بهداشتی- درمانی در این پژوهش سازگاری اراضی، نزدیکی به مرکز مناطق، نزدیکی به مراکز آتش نشانی، دسترسی به شبکه های ارتباطی درجه یک، فاصله از مراکز و کارگاه های صنعتی، مجاورت با فضای سبز، شیب منطقه، تراکم جمعیت تعیین شدند. گزینه ها نیز نواحی پنج گانه شهر میاندوآب می باشد. نتایج حاصل از این پژوهش بیانگر این است که مکان فعلی اکثر مراکز بهداشتی- درمانی در شهر میاندوآب با معیارهای علمی و ضرورت های این نوع کاربری مطابقت ندارد. ضمن اینکه توزیع فضایی این مراکز به گونه ای است که قسمت های شمالی و جنوبی شهر خارج از محدوده خدمات رسانی این مراکز قرارگرفته اند. نتیجه مطالعه نشان داد که ناحیه یک شهر میاندوآب با امتیاز 385/0، بیشترین امتیاز را به خود اختصاص داده و در اولویت اول توسعه مکانی مراکز خدمات بهداشتی- درمانی شهر قرار دارد. نواحی سه، دو و چهار به ترتیب با امتیازهای 278/0، 175/0 و 100/0 در رتبه های بعدی قرار دارند. ناحیه پنج کمترین امتیاز (061/0) را به خود اختصاص داده و درنتیجه کمترین اولویت مکانی را جهت توسعه مراکز خدمات بهداشتی- درمانی شهر دارا می باشد.Locational assessment of priority in development of sanitary - therapeutic services centers using AHP (Case Study: Miandoab City)
Extended Today, with rising of population in the cities, especially large and middle cities in our country the demand for municipal services has also increased. But due to the economic- political structure of the country speed of responding to the needs has been always slower than their growth. Then in most of the cities providing facilities and public services has not been as rapid as the growth in population and beside the existing shortcomings in providing municipal services, incorrect locating and their inconsistency with municipal texture created many problems in providing these services. One of these important services in cities is sanitary-therapeutic services which paying attention to their fair distribution is necessary. In the present study with a " comparative, descriptive - analytic" approach we made attempt in addition to evaluating the distribution and dispersion estate of sanitary - therapeutic service centers in Miandoab, and identifying underserved areas of the city, according to to locating criteria and standards and using Analytical Hierarchy Process techniques (AHP), determine place priority of development of these spaces in the five areas of Miandoab city. Introduction Universal access to urban services and social justice, ruled that a city can equal all classes of health services - therapeutic benefit. Accordingly, the study of the spatial distribution and identify priorities for health services - health as a measure of sustainable urban development, especially in the Miandoab city, few studies have been done on this issue of high importance, and could herald future. Miandoab as a central city with high immigrant and vast rural invironmental always many challenges in terms of health care is facing. Therefore, however, it appears that per capita health is not mentioned proportional share of the proposed comprehensive plans and detailed internal and external standards development. In addition, the distribution and the spatial distribution of health services - the health of the city as well as balance and imbalance has been seen in the space between these areas. Methodology In this study the present situation sanitary - therapeutic services centers in the Miandoab city quantitatively (level, per capita, extent and function of radius), and the quality was studied. To examine the status sanitary - therapeutic services centers, including analysis of existing GIS data analysis using standard radius Centers were set. With respect to the components under study, dominant approach to the study of "comparative, descriptive - analytical" that results from it will be applied. The research sample is Miandoab five areas that the distribution and dispersion of health services - Therapeutic examined. And spatial development sanitary - therapeutic services centers located on eight criteria using Analytic Hierarchy Process (AHP) is specified. To gather preliminary data from a combination of documentary and field studies (observations and interviews) used And software excel, Expert choice and ArcGIS and Arc map to statistical analysis, mathematical and graphical representation and visual results of the study have been helped. The spatial development priorities sanitary - therapeutic services centers both manually and using the method of AHP was carried Expert choice software The results from both methods show the same situation Results and Discussion Given that the majority of sanitary - therapeutic services centers Miandoab city so location that First most of them near the sick applications such as industrial users and the industry have been disturbed, Secondly, the range of services with overlapping, And also in some areas in the northern and southern parts of the minimal sanitary facilities - therapeutic services centers do not have access to it. Hence, in this study we tried to use the technique, analytic hierarchy (AHP) spatial priorities of sanitary - therapeutic services centers in five key areas we identified in Miandoab. Criteria for locating sanitary - therapeutic services centers properties of according to Miandoab, and according to previous theoretical and adaptation, land near the center of the area, proximity to fire stations, access to roads networks classy, space and facilities industrial site, adjacent to green space, the slope of the area, population density were determined. Options in this study were five areas in Miandoab. In this study, we tried to also evaluate the distribution of sanitary - therapeutic services centers Miandoab city, a place of priority development areas of the city, these spaces can determine. Conclusion The results showed that in 1380, per capita sanitary - therapeutic land use of Miandoab 0/75 mm, respectively. This amounted to about 0/93 square feet less than the lowest per capita standard of Housing and Urbanization priministry Development and a detailed proposal for the city (1/68 mm). Despite very low per capita sanitary - therapeutic services centers in Miandoab, and distribution as well as the amount of available space in a balanced and proportionate to the size and population of the urban areas and therefore is not appropriate for the optimal distribution of City sustainable development. The difference between the areas with the lowest and highest per capita more than 5 times and the exact value is 5.03 mm. During the years 1380 to 1390, per capita sanitary - therapeutic of the city, and had a slow growth of per capita from 0/75 square meters in 1380 to 0/86mm at 1390 is reached. Along with the increase in per capita sanitary - therapeutic of the city, an imbalance in the enjoyment of these spaces in urban areas has also increased. Still far from reaching the country's per capita proposed detailed design and standards. Results showed that the first priority of Miandoab city, end up with a score of 0/385, most points allocated to sanitary - therapeutic services centers of the treatment of the city. Areas, three, two and four, respectively, with scores of 0/278, 0/175 and 0/100 in the rankings are next. The five lowest scores (0/061) has into account and thus place the lowest priority to the development of sanitary - therapeutic services centers. Inconsistency index compared to the priority areas of the city shows the characteristics of the results of this study in terms of logic and hierarchical analysis technique both in terms of external reality in Miandoab is logical and reasonable.
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