揭示基本医疗和卫生服务的空间差异:来自中国省级分析的见解
Dainan Hou1, Xin Wang2,3,4
1School of Business, Minnan Normal University, Zhangzhou, China.
BMC health services research
|March 13, 2024
概括
中国的基本医疗和卫生服务显示出显著的区域差异,区域内差异超过区域间差异. 虽然没有观察到总体趋同,但区域服务水平正在逐渐接近平衡.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
背景情况:
- 中国的基本医疗和卫生服务对于人民的福祉至关重要.
- 了解区域差异和服务演变对于政策制定至关重要.
研究的目的:
- 为中国的基本医疗和卫生服务构建一个评估指数系统.
- 测量这些服务的水平,分析这些服务的空间差异和融合特征.
- 调查中国各地区的服务提供动态.
主要方法:
- 利用了来自中国31个省份 (2012-2019) 的面板数据.
- 在七个维度构建了一个全面的评估指数系统.
- 采用权方法进行指标权重和量化.
- 应用 σ 收和 β 收来分析空间差异和趋势.
主要成果:
- 中国四大地区的基本医疗和卫生服务得分保持稳定,仍有改进空间.
- 发现了显著的区域差异,区域内差异比区域间差异更为明显.
- 没有发现显著的σ收,表明持续的变异;然而,观察到β收,表明趋向于平衡.
结论:
- 尽管地区分数稳定,但在基本医疗和卫生服务方面,中国仍然存在严重的区域内不平等.
- 缺少 σ 收凸显了减少差异的有针对性的干预措施的必要性.
- 存在β收表明,随着时间的推移,区域服务水平可能会走向长期平衡,但政策努力至关重要,以加快这一过程,确保公平发展.
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