通过使用空间计量经济学方法确定医疗保健资源空间聚合的决定因素:中国的一项纵向研究
Enhong Dong1,2, Xiaoting Sun1, Yueming Xi3
1School of Nursing and Health Management, Shanghai University of Medicine and Health Science, Shanghai, China.
Frontiers in public health
|June 12, 2024
概括
中国中国中国中国.
科学领域:
- 医疗保健资源管理 医疗保健资源管理
- 医疗保健中的区域差异
- 卫生经济学 卫生经济学
背景情况:
- 2009年中国的医疗保健改革旨在优化资源分配,实现医疗保健平等.
- 之前的研究没有检查医疗保健资源聚集的区域差异.
- 这项研究通过分析2009-2017年中国的医疗保健聚集地来解决这一差距.
研究的目的:
- 调查2009年至2017年期间中国的医疗保健资源聚集情况.
- 确定影响医疗保健资源聚集的关键决定因素.
- 为制定有效的医疗保健政策提供证据,以减少区域差异.
主要方法:
- 对2009-2017年中国医疗机构,病床和劳动力数据的分析.
- 应用聚合指数来评估医疗保健资源分配的区域差异.
- 构建空间计量经济学模型以确定影响医疗保健资源聚集的因素.
主要成果:
- 从2009年到2017年,医疗保健资源聚集的趋势通常是下降的,除了机构.
- 人口密度,政府卫生支出,收入,地理位置和城市化对床位聚集产生了积极影响.
- 人均医疗支出,大学生和产妇死亡率对机构,病床和劳动力的聚集产生了负面影响.
- 在人口密度,GDP和产妇死亡率方面观察到空间溢出效应.
结论:
- 中国的医疗保健资源聚集在2009-2017年保持在理想水平.
- 鉴定的决定因素表明需要采取有针对性的措施来平衡区域医疗保健资源差异.
- 结果为科学和理性的医疗保健政策制定提供了理论证据.
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