医联体促进医疗资源供给与区域经济协同发展的动态演进研究:以四川省为例
Research on the Dynamic Evolution of Medical Consortium Promoting the Coordinated Development of Medical Resourc-es Supply and Regional Economy:A Case Study of Sichuan Province
陈阳 1杨心玫 2朱星月3
作者信息
- 1. 成都市第三人民医院质量评价与病案管理部 四川 成都 610031
- 2. 复旦大学公共卫生学院 上海 200032
- 3. 贵州医科大学医药卫生管理学院 贵州 贵阳 550025
- 折叠
摘要
目的:明确四川省医联体改革对医疗资源供给与区域经济协同发展的作用效果,为持续推进两者的协同发展提供依据.方法:基于2009—2021年四川省18个地级市、3个自治州的面板数据,运用熵权法测定四川省各市(州)医疗资源投入和经济发展水平,通过耦合协调度模型测算两者的协同发展程度,并利用间断时间序列模型测算医联体政策的贯彻落实对协同发展程度的作用效果.结果:2009—2021年,四川省医疗资源供给总体呈现上升趋势,但首位集中特征明显;2021年,四川省医疗资源投入与经济发展的耦合程度较高(0.808),耦合协调度则尚处于勉强协调阶段(0.540);医联体改革的推行有效地促进了医疗资源供给与区域经济协同发展.结论:各地需进一步加大医联体建设力度,通过制定长期医疗资源规划、探索数字技术在医疗领域的应用等途径进一步推动优质医疗资源扩容和均衡布局.
Abstract
Objective:To clarify the effect of the reform of Sichuan medical association on the coordinated development of medical re-sources supply and regional economy,and provide a basis for continuing to promote the coordinated development.Methods:Based on the panel data of 18 prefecture-level cities and 3 autonomous prefectures in Sichuan Province from 2009 to 2021,the medical resources invest-ment and economic development level of each city(state)in Sichuan Province were calculated by entropy weight method.Through the cou-pled coordination model,the degree of coordinated development was measured.The discontinuous time series model is used to measure the impact of the implementation of the medical association policy on the degree of coordinated development.Results:From 2009 to 2021,the supply of medical resources in Sichuan Province showed an overall upward trend,but the characteristics of the first concentration were ob-vious.In 2021,the coupling degree between medical resources investment and economic development in Sichuan Province is high(0.808),but the coupling coordination degree was still in a barely coordinated stage(0.540).The implementation of the reform of medical associa-tion effectively promoted the coordinated development of medical resource supply and regional economy.Conclusion:Local governments need to further strengthen the building of medical associations.By making long-term medical resources planning and exploring the role of digital technology in the medical field,it will further promote the expansion and balanced distribution of high-quality medical resources.
关键词
医疗资源投入/经济发展/协同发展/四川Key words
input of medical resources,economic development/cooperative development/Sichuan引用本文复制引用
基金项目
2023年四川省医院协会医院管理科研专项资金项目(YG2342)
出版年
2024
NETL
NSTL
万方数据