北京市医疗市场竞争现状及空间相关性分析
Study on the Competition Status and Spatial Correlation of Medical Market in Beijing
孙新月 1王雨 1冯星淼 1吕博 1孟开2
作者信息
- 1. 首都医科大学公共卫生学院 北京 100069
- 2. 首都医科大学公共卫生学院 北京 100069;首都医科大学附属北京天坛医院 北京 100070
- 折叠
摘要
目的 分析2015-2019年北京市医疗市场竞争现状以及空间自相关性.方法 采用赫芬达尔-赫希曼指数(Herfindahl-Hirschman Index,HHI)计算北京市16个区市场竞争程度,并采用莫兰指数计算医疗市场竞争水平的空间自相关性.结果 除出院人次HHI,2015-2019年北京市16个医疗市场的卫生技术人员数、床位数、总诊疗人次HHI均值在0.2～0.4之间,呈下降趋势,且HHI的空间全局莫兰指数均小于0,医疗市场竞争程度呈现空间负相关关系.结论 北京市医疗市场竞争态势加强,城郊区竞争差距较大,且相邻市场竞争存在互斥现象.建议加强医院差异化发展,强化区域间均衡布局,以跨区域医疗联合体等带动低竞争力市场,形成正向外溢效应.
Abstract
Objective To analyze the competition status and spatial autocorrelation of Beijing medical market from 2015 to 2019.Methods The Herfindahl-Hirschman Index(HHI)was used to calculate the degree of market competi-tion in 16 districts of Beijing,and the Moran index was used to calculate the spatial autocorrelation of market compe-tition.Results Except for the number of discharged patients,the average HHI of the number of health technicians,the number of beds and the total number of medical visits in 16 medical markets in Beijing from 2015 to 2019 showed a downward trend between 0.2 and 0.4,and the spatial global Moran index of the HHI index was all less than 0,showing a spatial negative correlation with the degree of competition in the medical market.Conclusion The medical market competition in Beijing is strengthened,the competition gap between urban and rural areas is large,and the competition in adjacent markets is mutually exclusive.It is suggested to strengthen the differentiated develop-ment of hospitals,strengthen the balanced layout between regions,and promote the low-competitive market with cross-regional medical association,forming a positive spillover effect.
关键词
医疗市场/竞争现状/赫芬达尔-赫希曼指数/莫兰指数Key words
healthcare market/state of competition/Herfindahl-Hirschman Index/Moran Index引用本文复制引用
基金项目
国家自然科学基金(72074160)
北京市自然科学基金(9222004)
出版年
2024
NETL
NSTL
维普
万方数据