首页|长江经济带基层医疗卫生资源配置与经济发展耦合协调关系研究

长江经济带基层医疗卫生资源配置与经济发展耦合协调关系研究

Research on the coupling and coordination relationship between primary healthcare resource allo-cation and economic development in the Yangtze River Economic Belt

扫码查看
以长江经济带11个省市为研究对象,运用耦合协调模型和核密度估计法分析其基层医疗卫生资源配置与经济发展的耦合协调情况,探讨我国在经济水平、地理位置及人口规模等差距较大的地区其基层医疗卫生资源配置与经济发展的协调关系,从而为实现两系统协调发展提供参考依据.结果显示,2017-2021年,各省市的相对发展度(R)均大于1.2,耦合度(C)均大于0.80,耦合协调度(D)逐年增大,表明这些省市的基层医疗卫生资源配置与经济发展关联强度高,二者的协调状态由磨合转变为协调,但是仍存在区域间不平衡,耦合协调度水平区域差距显著,但差距逐年缩小,均衡发展趋势渐显.因此,建议不同地区应明确自身发展重点,提高基层医疗卫生资源配置和经济发展的协调程度,经济发展水平滞后的地区应发展优势产业,创造经济发展动力;基层卫生资源配置滞后的地区应构建帮扶体系,优化基层资源配置.
Based on the regional perspective,taking the coupling and coordination of primary healthcare allocation and economic development in 11 provinces and cities in the Yangtze River Economic Belt,this paper discusses the coordination relationship between the healthcare allocation and economic development in areas with large gaps in economic level,geographical location and population size,so as to provide refer-ence for the coordinated development of the two systems.The entropy method is used to determine the in-dex weight of primary healthcare resource and economic development level.The coupling coordination model is used to calculate the degree of coupling coordination between 2017-2021,and the kernel density estimation method is used to analyze the distribution and changes of the coordination relationship between the two.During 2017 and 2021,the relative development degree(R)of each province and city is greater than 1.2,and the overall trend was that the allocation of primary healthcare resource exceeded economic development.The coupling degree(C)is greater than 0.80,which is in the high-level coupling stage.The coupling coordination degree(D)increases year by year,and the coordination type changes from being on the verge of imbalance to primary coordination.The overall level of coupling coordination shows the spa-tial pattern of'low upstream and high downstream'.The kernel density curve of coupling coordination de-gree shows a trend of increasing peak height and decreasing width.From 2017 to 2021,the allocation of primary healthcare resource and economic development are highly correlated,and the coordination state between the two has changed from running-in to coordination.In terms of distribution,the regional gap of coupling coordination degree level is significant,but the gap is narrowing year by year,and the balanced development trend is significant.

primary healthcare resource allocationregional economycoupling coordination degreekernel density estimation

陈湘婉、郭孟子、吕邦亮、李紫航、陈艺璇、汤质如

展开 >

安徽医科大学 卫生管理学院,安徽 合肥 230032

基层医疗卫生资源配置 区域经济 耦合协调度 核密度估计

2024

福建医科大学学报(社会科学版)
福建医科大学

福建医科大学学报(社会科学版)

CHSSCD
影响因子:0.639
ISSN:1009-4784
年,卷(期):2024.25(4)