中国医疗保健服务供应的时空空间演变和发展路径
1School of Finance and Public Administration, Yunnan University of Finance and Economics, Kunming, 650221, People's Republic of China. lixmchn@163.com.
BMC health services research
|October 18, 2024
概括
中国中国中国中国.
科学领域:
- 医疗保健管理的管理
- 公共卫生政策 公共卫生政策
- 空间流行病学 空间流行病学
背景情况:
- 医疗保健的可访问性和公平性对于强大的医疗保健系统至关重要.
- 随着COVID-19大流行,人们更加关注医疗保健服务能力和分配.
- 了解医疗保健供应的时空动态对于资源分配至关重要.
研究的目的:
- 分析中国医疗保健服务供应的时空空间演变.
- 确定影响医疗保健资源分配的关键因素.
- 提出优化医疗保健服务分配的战略.
主要方法:
- 重TOPSIS,达格姆吉尼系数和内核密度用于评估供应水平.
- 莫兰指数,面板回归和空间经济度测试用于空间相关性分析.
- 分析了2012-2020年中国31个省和城市的情况.
主要成果:
- 全国范围内的医疗保健服务供应水平显著增加.
- 空间分布的转变,从东西方差异转变为中部地区的赤字.
- 减少区域差异 (相对和绝对) 和削弱空间相关性.
- 当地经济发展,人口因素和制度安排与供应有很大关系.
结论:
- 中国的整体医疗保健服务供应有所改善,但区域差异仍然存在.
- 区域发展水平和地方政府的行动对医疗保健供应产生重大影响.
- 建议制定量身定制的区域战略和优化资源配置.
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