区域差异,动态演变以及影响中国少数民族地区高质量医疗资源的因素
Binghua Liang1, Lifeng Huang2, Zhuo Chen3
1School of Public Administration, Northwest University, Xian, Shanxi, China.
Frontiers in public health
|September 30, 2024
概括
中国少数民族地区 (EMA) 的高质量医疗资源 (HQMR) 增加了,但差距仍然存在. 经济和人口因素显著影响HQMR分布,需要有针对性的政策干预.
科学领域:
- 医疗保健管理的管理
- 卫生经济学 卫生经济学
- 空间分析 空间分析
背景情况:
- 中国生活水平的提高增加了对高质量的医疗保健的需求.
- 在少数民族地区 (EMA),卫生资源分配 (HRA) 的不平等是显著的.
- 在中国的EMA中,对高质量医疗资源 (HQMR) 的研究有限.
研究的目的:
- 检查中国EMA (2007-2021) 中HQMRs的时空动态演变.
- 确定影响这些地区HQMR水平的关键因素.
主要方法:
- 三级医院被用作HQMRs的代理.
- 分布变化的描述性统计 (2007-2021年).
- 达格姆·吉尼系数和核密度用于动态进化分析.
- 最小平方模拟变量系数 (LSDVC) 用于因子识别.
主要成果:
- 欧洲药物管理局的HQMR每年都在增加;平均三级医院从175个增加到488个 (2007-2021年).
- 区域HQMR差异下降,区域内差异成为主要驱动因素.
- 尽管总体情况有所改善,但观察到HQMR水平的显著分叉.
- 人均GDP,人口规模和高等教育入学率与HQMR负相关;GDP和城市化正相关.
结论:
- 在EMA中的HQMR水平显示出快速增长,但仍然不足.
- 地区差异的缩小伴随着严重的分叉.
- 政策应侧重于经济增长,教育和人口动态,以有效改善HQMR.
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