地域格差と公平性の観点から中国の公衆衛生サービスの提供に影響を与える要因に関する研究
Shengjiao Zhu1,2, Jinsi Liu3,4, Zhihua Wang5
1School of Political Science and Public Administration, Wuhan University, Wuhan, China.
BMC health services research
|September 1, 2025
まとめ
中国
科学分野:
- 公衆衛生
- 医療サービス研究
- 健康に関する公平性
背景:
- 公共衛生サービスの提供は,人口の健康にとって極めて重要です.
- 公共医療サービスの配分における公平性は重要な問題です.
- 公的保健サービスにおける地域格差は,体系的な分析を必要とします.
研究 の 目的:
- 中国における公衆衛生サービスの時空分布を調査する.
- 地域格差を公平性の観点から分析する
- 公共医療サービスの公正性に影響を与える要因を特定する.
主な方法:
- 中国31省 (2010-2023) のパネルデータ
- 公共医療サービスの客観的な評価指標システム
- 空間時差分析のためのダガム・ギニ係数
- トビットの要因影響評価モデル
主要な成果:
- 医療改革後の公衆衛生サービスの提供が著しく改善された.
- 地域間の大きな差異と顕著な不均衡が続いている.
- 東部沿岸地域では"二極化"の傾向が見られる.
- 人口の高齢化と経済発展はサービス供給に好影響を与える.
結論:
- 政府が地域ニーズに基づいて資源を配分すれば"トリクルダウン効果"が生まれます.
- 発展途上地域には 明確な政策と 地域間の支援が不可欠です
- インターネット+医療のプラットフォームは 資源の公平な配分を促進します
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