空间差异,动态演变以及影响因素对中国卫生资源分配和卫生服务利用之间的合和协调关系产生影响
Xiaomin Xu1, Zilin Han2, Qing Liang1
1Department of Public Health, Hangzhou Medical College, Hangzhou, China.
BMC public health
|May 14, 2025
概括
中国中国中国中国.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 空间分析 空间分析
背景情况:
- 越来越多的医疗保健需求需要有效的健康资源分配 (HRA) 和服务利用率 (HSU).
- HRA和HSU菌株资源之间的不匹配,影响公共卫生结果.
- 解决这些差异对于全球经济的发展至关重要.
- 健康的中国健康的中国
- 策略. 战略. 战略.
研究的目的:
- 分析中国HRA和HSU之间的合协调的时空演变.
- 确定影响合协调度 (CCD) 的关键因素.
主要方法:
- 对HRA和HSU的综合发展指数的透法.
- 合协调度模型 (CCDM) 用于测量CCD.
- 标准偏差圆 (SDE),内核密度估计 (KDE) 和XGBoost-SHAP用于空间和因子分析.
主要成果:
- 无论是HRA还是HSU都显示了上升趋势,但不是同时出现的.
- 随着时间的推移,CCD通常会增加,南部和东部的水平更高.
- CCD的空间分布发生了变化,变得更加集中,减少了两极分化.
- 医疗保健投资和经济发展是主要的驱动因素;区域因素,如URRBMI覆盖范围,交通密度和人口密度,显示出异构的影响.
结论:
- 政府应实施差异化战略,以改善HRA-HSU合协调.
- 这些发现为推进研究提供了理论基础.
- 健康的中国健康的中国
- 倡议 (initiative) 是指一个主动的行为.
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