首页|我国中医医院服务效率的空间网络结构与形成机制

我国中医医院服务效率的空间网络结构与形成机制

Space Network Structure and Formation Mechanism of Service Efficiency of Traditional Chinese Medicine Hospitals in China

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目的 研究我国中医医院服务效率的动态变化情况和空间关联特征,为提高中医医院服务效率和优化资源配置提供参考.方法 收集 2012 年-2021 年我国 30 个省(自治区、直辖市)中医医院相关数据,运用超效率 SBM模型测算服务效率,使用社会网络分析法探析空间网络特征,采用 QAP 方法探究空间网络结构的形成机制.结果 2012 年-2021 年我国中医医院服务效率均值为 0.54,年均降幅为 1.70%.2012 年-2021 年网络密度全国均值为0.319,网络效率全国均值为 0.589,网络等级全国均值为 0.204,度数中心度、接近中心度、中介中心度的全国均值分别为 39.77、65.01、2.15.重庆、上海、江苏、北京、天津、广东和福建处于空间网络的核心地位.人均地区生产总值差异和老年抚养比差异会强化中医医院服务效率空间关联关系.结论 我国中医医院服务效率水平有待提升,省际间差异明显.中医医院服务效率空间网络具有较高的通达性和稳健性,等级结构不显著,整体均衡性较差且关联强度较低.人均地区生产总值和老年抚养比有助于中医医院服务效率空间网络的形成并产生空间溢出效应.
Objective To analyze the dynamic changes and spatial correlation characteristics of service efficiency of traditional Chinese medicine(TCM)hospitals,and provide reference for improving service efficiency and optimizing re-source allocation.Methods Data related to TCM hospitals in 30 provinces(autonomous regions and municipalities di-rectly under the central government)were collected from 2012 to 2021.The super-efficiency slack based measure(SBM)model was used to measure service efficiency,the network characteristics were analyzed by social network analy-sis method,and the formation mechanism of spatial network structure was analyzed by QAP method.Results The average service efficiency of TCM hospitals in China from 2012 to 2021 was 0.54,with an average annual decline of 1.70%.From 2012 to 2021,the national average of network density was 0.319,the national average of network efficiency was 0.589,the national average of network grade was 0.204,and the national average of degree centrality,proximity centrality and intermediate centrality were 39.77,65.01 and 2.15,respectively.Chongqing,Shanghai,Jiangsu,Beijing,Tianjin,Guangdong and Fujian were at the core of the space network.The differences of GDP per capita and old-age de-pendency ratio would promote the establishment of spatial correlation of service efficiency in TCM hospitals.Conclusion The service efficiency of TCM hospitals in China needs to be improved,and the difference between provinces is obvi-ous.The spatial network of service efficiency in TCM hospitals has high accessibility and robustness,no significant hier-archical structure,poor overall equilibrium and low correlation strength.GDP per capita and old-age dependency ratio contribute to the formation of spatial network of service efficiency of TCM hospitals and produce spatial spillover effect.

Traditional Chinese Medicine HospitalService EfficiencySpatial Association NetworkFormation Mechanism

阮智慧、朱欣叶、卓扬凯、时孝春、钱爱兵、张帅

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江苏卫生健康职业学院 江苏 南京 211800

南京中医药大学卫生经济管理学院 江苏 南京 210023

北京中医药大学深圳医院 广东 深圳 518172

江苏省中医院 江苏 南京 210029

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中医医院 服务效率 空间关联网络 形成机制

国家中医药管理局课题江苏省研究生科研创新计划

ZYJGC-YSCW202010KYCX22_1851

2024

中国卫生质量管理
中国医院协会,陕西省人民医院

中国卫生质量管理

CSTPCD
影响因子:1.091
ISSN:1006-7515
年,卷(期):2024.31(6)