成渝地区双城经济圈医疗服务水平与新型城镇化的协同性及障碍度研究
Study on the Synergy and Barrier Degree of Medical Service Levels and New Urbanization in the Twin-city Economic Circle of Chengdu-Chongqing Region
高明英 1鲍祎鑫 1魏浩 1蒲川1
作者信息
- 1. 重庆医科大学公共卫生学院, 重庆, 400016
- 折叠
摘要
目的:探究成渝地区双城经济圈医疗服务水平与新型城镇化耦合协调度的时空演变及识别影响协同性的主要障碍因素,为实现区域均衡发展提供参考.方法:采用熵权-TOPSIS法、耦合协调度模型计算2016-2020 年成渝地区双城经济圈16 个区域医疗服务水平与新型城镇化的耦合协调度,并结合障碍度模型与重心模型探讨二者耦合协调度的影响因素及重心变化.结果:2016-2020 年,成渝地区双城经济圈各区域医疗服务水平波动上升,新型城镇化水平则呈前期下降、后期上升趋势,两者的耦合协调度(0.664-0.696)总体上保持初级协调状态.每万人口卫生技术人员数(17.5%)、医师日均担负诊疗人次(15.0%)、人口密度(18.8%)、每百人拥有公共图书馆藏书量(12.5%)是制约医疗服务水平与新型城镇化耦合协调水平的主要障碍因素.耦合协调度的重心始终围绕着资阳(成都与重庆的中心)移动变化,且采用"双轮驱动"的发展模式,说明这两大核心城市的辐射带动作用逐步提高.结论:经济圈各区域医疗服务水平与新型城镇化的耦合协调度仍存在差异,且形成了以成都为核心的发展格局.需因地制宜制定政策,缩小差异使其均衡发展,提升各区域的协同性.
Abstract
Objective:To explore the spatio-temporal evolution of the coupling coordination degree of medical service level and new urbanization in Chengdu-Chongqing Region Twin Cities Economic Circle and identify the main obstacle factors affecting the synergism,so as to provide reference for realizing the balanced development of the region.Methods:The entropy weight-TOP-SIS method and the coupling coordination degree model were used to calculate the coupling coordination degree of medical service level and new urbanization in 16 districts of Chengdu-Chongqing Twin Cities Economic Circle from 2016 to 2020,this study ex-plored the influencing factors of the coupling coordination degree of the two and the change of the center of gravity by combining the obstacle degree model with the center of gravity model.Results:From 2016 to 2020,the level of medical services in the regions of Chengdu-Chongqing Twin Cities Economic Circle fluctuated and increased,while the level of new urbanization showed a trend of decreasing in the early stage and increasing in the late stage,and the coupling coordination degree(0.664-0.696)of the two gen-erally maintained a primary coordination state.The number of health technicians per 10000 population(17.5%),the average num-ber of consultations per physician per day(15.0%),the population density(18.8%),and the number of public libraries per 100 people(12.5%)were the main obstacles restricting the coupling and coordination level of the level of health care services and the new urbanization.The center of gravity of the coupling degree always moved around Ziyang,the center of Chengdu and Chongqing,and adopted a"two-wheel-drive"development mode,indicating that the radiation-driven role of these two core cities was gradually in-creasing.Conclusion:There are still differences in the degree of coupling and coordination between the level of medical services and new urbanization in various regions,and a development pattern with Chengdu as the core has been formed.Policies need to be formu-lated according to local conditions to narrow the differences and equalize the development,and to improve the synergy of each region.
关键词
医疗服务水平/新型城镇化/成渝地区双城经济圈Key words
Medical Service Level/New Urbanization/Twin-city Economic Circle of Chengdu-Chongqing Region引用本文复制引用
基金项目
重庆市社会科学规划项目(2021ZDZK28)
重庆市制度预见和科技创新项目(cstc2021jstjzzysbAX0066)
国家社会科学基金(18XJG016)
出版年
2024
NETL
NSTL
维普
万方数据