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弥合差距:协调老年人护理资源分配中的公平性和效率
Liangwen Zhang1,2, Linjiang Wei1,2, Wenzheng Zhang1,2
1State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, School of Public Health, Xiamen University, Xiamen, China.
BMC geriatrics
|February 16, 2024
概括
中国中国中国中国.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 资源分配 资源分配
背景情况:
- 全球人口老龄化为分配老年护理资源带来了迫切的挑战.
- 中国在老年护理资源分配方面面临着分配不均和效率低的问题.
- 解决这些差异对于可持续的老年护理系统至关重要.
研究的目的:
- 评估区域差异和中国老年护理资源分配公平性和效率的动态演变 (2009-2020年).
- 探索改善老年护理资源分配的战略.
- 确定时空模式和协调老年护理资源分配.
主要方法:
- 使用吉尼系数,泰尔指数和密度/聚合指数进行股权衡量.
- 使用动态Slack-Based Measure (SBM) 数据包裹分析来评估效率.
- 应用GIS技术用于空间自相关和热点分析,以评估动态演变和空间模式.
主要成果:
- 老年护理资源的空间差异很大,西方地区的公平差异最大.
- 资源集中在东部地区;西部和一些中部地区的资源不足.
- 老年护理资源分配的效率有所提高,在2020年,77.42%的省份处于效率边界.
结论:
- 尽管有所改善,但在老年护理资源公平性和效率方面仍然存在显著的时空差异.
- 中部和东部省份呈现出不平衡的发展,极化趋势.
- 西部地区面临的挑战是资源不足和效率低;建议制定有针对性的政策.
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