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中国医患纠纷关注度时空差异特征及影响因素

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基于2011-2019年省级医患纠纷百度指数,本文采用Dagum基尼系数、核密度估计和空间自相关刻画医患纠纷关注度的时空差异特征,并借助面板数据模型OLS估计方法和O axaca-Blinder分解法实证研究医患纠纷关注度演化的驱动因素及差异来源。结果表明:我国医患纠纷关注度整体有所上升,在空间上呈现自东向西递减且愈加明显的非均衡格局;省际差异是关注与非均衡的主要来源,其中东—西部差异最大,东北—中部最小;关注度存在显著的空间关联性特征,形成以长三角及闽鲁豫为高—高型关注度"俱乐部";居民文化素养、病患负担、社会治理水平、信息化、经济发展水平和媒体报道次数均显著提升医患纠纷关注度,而地理距离产生显著抑制影响。上述结论在剔除极端样本和空间计量分析等稳健性检验后仍成立。此外,社会治理水平和病患负担是导致关注度地区差异与关注度水平差异的主要来源。本研究为正确引导与管理医患纠纷舆情传播提供政策启示。
Spatiotemporal Differences and Influencing Factors of Attention to Doctor-patient Disputes in China
In recent years,the occurrence of disputes between doctors and patients has aroused great public concern,which not only wastes public attention but also hurts the promotion of the"Health China"strategy.Although the media and the public have reported and paid some attention to the issue of doctor-patient disputes,it is difficult to directly reflect the actual level of attention paid to doctor-patient disputes.Therefore,what are the characteristics of attention to doctor-patient disputes in China?What are the factors driving the evolution of attention to doctor-patient disputes?To explore the question of increasing attention to doctor-patient disputes and regional differences in China,a variety of methods is used to present an empirical study on spatiotemporal differences and influencing factors of attention to doctor-patient disputes in China.Based on the Baidu Index of doctor-patient disputes from 2011 to 2019,the Dagum Gini coefficient,kernel density estimation,and spatial Moran index are used to analyze the regional differences,distribution dynamics,and spatial agglomeration characteristics.It also uses OLS estimation of the panel data model and Oaxaca Blinder decomposition to explore the driving factors and sources of regional differences in doctor-patient dispute attention.The results indicate that the degree of attention to doctor-patient disputes has increased as a whole,showing a decreasing and more obvious unbalanced pattern from east to west.The inter-provincial difference is the main source of attention and imbalance,among which the East-West difference is the largest and the Northeast-Central differ-ence is the smallest.Attention has significant spatial correlation characteristics,and it forms a high-high atten-tion"club"in the Yangtze River Delta,Fujian,Shandong,and Henan.Cultural literacy,the burden of patients,social governance level,informatization,the regional economic level,and the number of media reports have a significant positive impact on attention,while geographical distance has a negative inhibitory effect.The above results are still robust after excluding extreme samples and spatial econometric analysis.Besides,the level of social governance and the burden on patients are the main sources of regional and high-low level differences in attention.The value of this study is to provide policy implications for the correct guidance and management of the spread of public opinion on doctor-patient disputes.It also can help people to understand the regional differences and evolution of attention to doctor-patient disputes in China.

doctor-patient disputesattentionspatiotemporal characteristicsinfluencing factorsOaxaca Blinder decomposition

刘举胜、邱志萍、于长锐

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上海政法学院经济管理学院,上海 201701

上海财经大学信息管理与工程学院,上海 200433

上海金融智能工程技术研究中心,上海 200433

东莞理工学院经济与管理学院,广东东莞 523106

上海财经大学城市与区域科学学院,上海 200433

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医患纠纷 关注度 时空差异特征 影响因素 Oaxaca-Blinder分解

国家社会科学基金重大项目国家自然科学基金项目上海金融智能工程技术研究中心项目中央高校基本科研业务费用专项基金项目中央高校基本科研业务费用专项基金项目上海政法学院校级科研项目

18ZDA0887187114419DZ2254600CXJJ-2019-400CXJJ-2020-306D-10-24-001-68

2024

中国管理科学
中国优选法统筹法与经济数学研究会 中科院科技政策与管理科学研究所

中国管理科学

CSTPCDCSSCICHSSCD北大核心
影响因子:1.938
ISSN:1003-207X
年,卷(期):2024.32(8)