我国省域卫生资源与医疗压力的时空分异格局和脱钩关系演化
Evolution of spatial-temporal differentiation pattern and decoupling relationship between provincial health resources and medical pressure in China
索云龙 1付谦 1冯占春1
作者信息
- 1. 华中科技大学同济医学院医药卫生管理学院 湖北武汉 430030
- 折叠
摘要
目的:明晰省域卫生资源与医疗压力时空特征与变动趋势,为我国卫生健康事业高质量发展提供建议.方法:基于2010-2020 年全国31 个省份面板数据,构建省域卫生资源与医疗压力综合评价体系,采用全局熵值法与探索性空间分析揭示两者时空分异与关联格局,并引入Tapio脱钩指数阐释其演化特征与趋势.结果:观测期内,我国绝大多数省份卫生资源和医疗压力稳中略升,二者具备空间正相关与聚集性特征,并同经济发展与人口需求关系密切;全国主流脱钩状态由负脱钩向正脱钩转变,递进脱钩态势明显,区域卫生发展持续向好.结论与建议:各省份需结合本省卫生事业发展现状,注重要素与结构的时空耦合,以优化卫生资源配置结构与增强卫生体系韧性为抓手发挥区域卫生体系的比较优势.
Abstract
Objective:To clarify the spatio-temporal characteristics and changing trends of provincial health resources and medical pressure,and to provide suggestions for the high-quality development of medical and health services in China.Methods:Based on the panel data of 31 provincial administrative units from 2010 to 2020,a comprehensive evaluation system of provincial health resources and medical pressure was constructed.The global entropy method and exploratory spatial analysis were used to reveal the spatio-temporal differentiation and correlation pattern,and the Tapio decoupling index was illustrated to explain the evolution characteristics and trends.Results:During the observation period,health resources and medical pressure in the vast majority of provinces in China rose steadily,with positive spatial correlation and agglomeration,and a close relationship with economic development and population demand;the mainstream decoupling state of the country shifted from a negative decoupling to a positive decoupling,with an obvious progressive decoupling trend,and the development of regional health continued to improve.Conclusions and suggestions:Provinces need to take into account the status quo of health development in their own provinces,focus on the spatio-temporal coupling of elements and structures,and optimize the structure of health resource allocation and enhance the resilience of the health system as a means of bringing into play the comparative advantages of the regional health system.
关键词
卫生资源/医疗压力/时空分异/脱钩指数Key words
Health resources/Medical pressure/Spatio-temporal differentiation/Decoupling index引用本文复制引用
基金项目
国家自然科学基金面上项目(72074088)
出版年
2024
NETL
NSTL
万方数据