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天津市卫生资源配置和经济发展的耦合协调研究

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目的 研究天津市卫生资源配置与经济发展的耦合协调关系及障碍因素,为促进卫生资源与社会经济协同发展提供决策依据。方法 从2023年《天津统计年鉴》获取2022年天津市各行政区经济发展和卫生资源配置状况的相关数据。通过熵权法计算各指标权重,利用耦合协调模型评价卫生资源配置与经济发展耦合协调度及发展状态,采用障碍度分析模型分析两系统耦合协调度的障碍因子。结果 2022年滨海新区是天津市人口最多,地区生产总值、一般公共预算支出和卫生健康支出最高的行政区;宁河区年平均工资、第三产业比重、一般公共预算支出、医院数、卫生机构床位数、医院床位数最低。东丽区、西青区和滨海新区经济发展超前于卫生资源配置,其他行政区经济发展滞后于卫生资源配置。滨海新区经济发展与卫生资源配置良好协调,耦合协调度为0。84;宁河区严重失调,耦合协调度为0。16。经济发展系统中,第三产业比重是滨海新区耦合协调度最主要的障碍因子,一般公共预算支出和地区生产总值是其他行政区的主要障碍因子;卫生资源配置系统中,和平区、河东区、河西区、南开区、河北区、红桥区主要障碍因子各不相同,而其他行政区主要障碍因子为每千人注册护士数、每千人执业医师数、每千人床位数。结论 天津市卫生资源配置与经济发展协调程度较低且经济发展普遍滞后于卫生资源配置,而其障碍因素复杂,应通过加强发展低地的投入、在控制卫生资源扩张的同时提高卫生资源的质量、加大卫生投入和区分不同行政区采取措施促进卫生资源配置与经济协同发展。
Study on the coupling coordination between the allocation of health resource and economic development in Tianjin
Objective To research the coupling coordination relationship and obstacles between the allocation of health resources and economic development in Tianjin,in order to provide basis for decision-making to promote the synergistic development of health resources and socio-economic.Methods The relevant data from the 2023 Tianjin Statistical Yearbook on the economic development and the allocation of health resource of each administrative district in Tianjin for the year 2022 was obtained.The weights of each indicator were calculated by entropy weight method,the coupling coordination model was utilized to evaluate the degree and development status of the allocation of health resource and economic development,and the obstacle degree analysis model was applied to identify the obstacle factors affecting the coupling coordination degree of the two systems.Results In 2022,Binhai New Area was the region in Tianjin with the largest population and the highest gross domestic product,general public budget expenditure,and health expenditure;Ninghe District had the lowest average annual wage,proportion of tertiary industry,general public budget expenditure,number of hospitals,number of beds in health institutions,and number of beds in hospitals.The economic development in Dongli District,Xiqing District,and Binhai New Area outpaced the allocation of health resources,while in other administrative districts,economic development lagged behind the allocation of health resources.Binhai New Area exhibited good coordination between economic development and the allocation of health resource,with a coupling coordination degree of 0.84;Ninghe District showed severe maladjustment,with a coupling coordination degree of 0.16.In the economic development system,the proportion of tertiary industry was the main obstacle factor for the coupling coordination degree in Binhai New Area;general public budget expenditure and gross domestic product were the main obstacle factors in other administrative districts;in the allocation of health resource system,the main obstacle factors in Heping District,Hedong District,Hexi District,Nankai District,Hebei District,and Hongqiao District were different,while the main obstacle factors in other administrative districts were the number of registered nurses per thousand,the number of licensed doctors per thousand,and the number of beds per thousand.Conclusion The coordination degree between the allocation of health resource and economic development in Tianjin is relatively low,with economic development generally lagging behind the allocation of health resources,and the obstacle factors are complex.To address these issues,it is recommended to enhance investment in underdeveloped areas,improve the quality of health resources while controlling their expansion,increase health expenditure,and adopt differentiated measures based on administrative districts characteristics to promote the synergistic development of the allocation of health resource and economic development.

TianjinAllocation of health resourcesEconomic developmentCoupling coordination

雷笑瑜、吴锋、刘德瑾、张磊磊、褚振海

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天津市眼科医院院长办公室,天津 300020

天津市胸科医院党委办公室,天津 300222

天津市眼科医院人事科,天津 300020

天津市卫生健康委员会人事处,天津 300050

天津市眼科医院行风办公室,天津 300020

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天津 卫生资源配置 经济发展 耦合协调

天津市医学重点学科(专科)建设项目

TJYXZDXK-016A

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(20)