对中国卫生服务发展差异的测量,来源分解和形成机制
Fulei Jin1, Xigang Zhang2, Yiming Zhao2
1School of Labor Relations, Shandong Management University, Jinan, China.
Frontiers in public health
|April 10, 2025
概括
中国中国中国中国.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 区域经济学 区域经济学
- 公共卫生政策 公共卫生政策
背景情况:
- 不平衡的发展是中国的一个突出问题.
- 在中国的医疗服务发展中存在显著的差异.
- 促进健康公平需要了解这些发展差异.
研究的目的:
- 分析中国卫生服务发展的差异.
- 为通过服务均等化促进健康公平提供参考资料.
- 确定这些差异的空间和结构驱动因素.
主要方法:
- 测量卫生服务水平的两阶段法 (2005-2019).
- 空间内核密度估计用于分布分析.
- 在差异分析中使用theil指数,方差分解和二次赋值程序 (QAP).
主要成果:
- 卫生服务水平在全国和地区均呈上升趋势,但与东部,中部和西部的差异显著.
- 区域内差异是整体差异的主要来源,东部地区的内部差异最大.
- 治疗能力的差异是主要的结构驱动因素,其次是人员,服务利用率和初级服务.
- 影响差异的区域因素包括设施 (东部) 和人员 (中部/西部).
结论:
- 尽管总体情况有所改善,但中国的医疗保健服务仍然存在严重的区域不平衡.
- 区域内差异和治疗能力的差异是关键的挑战.
- 需要针对区域和结构因素的有针对性的政策来促进健康公平.
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