2012-2021年我国医疗卫生资源配置的空间差异与动态演变
Spatial differences and dynamic evolution of allocation of healthcare resources in China,2012-2021
王馨蝶 1夏英华 2曹蓉 2郭辉杰 2吴为 2何群3
作者信息
- 1. 南方医科大学公共卫生学院,广东广州 510515;广东省疾病预防控制中心广东省公共卫生研究院
- 2. 广东省疾病预防控制中心广东省公共卫生研究院
- 3. 广东省疾病预防控制中心广东省公共卫生研究院;南方医科大学公共卫生学院,广东广州 510515
- 折叠
摘要
目的 分析我国医疗卫生资源配置的空间差异和动态演进情况.方法 利用2012-2021年我国31个省份(直辖市、自治区)的医疗卫生资源数据,评价指标选取医疗卫生财力、物力、人力和服务资源的4项指标:人均卫生费用、每千人医疗卫生机构数、每千人卫生技术人员数和医师每日担负诊疗人次数,使用全局熵值法计算各省历年配置水平指数,应用Dagum基尼系数和核密度估计方法分析我国医疗卫生资源配置水平的区域差异和动态演进特征.结果 Dagum基尼系数结果显示,2012-2021年间我国医疗卫生资源配置水平基尼系数由0.180 5上升至0.197 2,后波动下降至0.118 7.核密度估计结果显示,核密度曲线中心位置随年份的增加从0.2左右逐渐右移,稳定在0.3左右.结论 我国医疗资源配置水平逐年提高,资源配置空间总体差距整体上逐年缩小.各地区仍存在不平衡的发展现状和差异化的资源配置水平,影响总体区域差距的主要因素是区域间差距.
Abstract
Objective To analyze spatial differences and dynamic evolution of allocation of healthcare resources in China.Methods The Dagum Gini coefficient and kernel density estimation methods were used to explore the spatial differences and dynamic evolution of allocation of China's healthcare resources based on the data of 31 provinces,munici-palities as well as autonomous regions from 2012 to 2021.Four indicators representing medical and health financial,materi-al,human,and service resources were selected:health expenditure per capita,number of medical institutions per 1 000,number of health technicians per 1 000,and average patient load per physician per day.The global entropy method was used to calculate the resource allocation level index of provinces over the years.Results The Dagum Gini coefficient showed that from 2012 to 2021,the Gini coefficient of China's healthcare resources allocation increased from 0.180 5 to 0.197 2,and then decreased to 0.118 7.The kernel density estimation results showed that the center position of the kernel density curve gradually shifted to the right from about 0.2 with the increase of years,and stabilized at about 0.3.Conclusions The level of healthcare resources allocation is increasing year by year in China,and the overall gap in health-care resource allocation space is narrowing year by year.There are still unbalanced development status and differentiated re-source allocation level in each region,and the main factor affecting the overall regional gap is the gap between regions.
关键词
资源配置水平/空间差异/动态演进/Dagum基尼系数/核密度估计法Key words
Resources allocation level/Spatial differences/Dynamic evolution/Dagum Gini coefficient/Kernel density estimation method引用本文复制引用
基金项目
广州市科技计划(202102080584)
广东省医学科学技术研究项目(A2022100)
出版年
2024
NETL
NSTL
万方数据