国家中心城市医疗资源分配的公平和效率,中国
1Department of Administration Office, Luzhou People's Hospital, Luzhou, Sichuan, 646000, People's Republic of China.
Risk management and healthcare policy
|June 17, 2025
概括
中国中部城市的医疗资源配置高于平均水平,但地理上集中. 重庆面临短缺,大多数城市显示资源分配效率低下,影响医疗保健公平.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
背景情况:
- 中国的国家中心城市对于区域发展至关重要.
- 有效的医疗资源分配对于公共卫生和医疗保健公平至关重要.
研究的目的:
- 分析中国国家中心城市医疗资源分配的公平性和效率.
- 确定医疗资源分配的改进领域,以促进发展.
主要方法:
- 提取了9个国家中心城市 (2018-2022) 的医疗资源数据.
- 使用描述性分析,健康资源密度指数 (HRDI) 和健康资源聚合度 (HRAD) 进行公平评估.
- 使用数据包装分析 (DEA) 来评估效率.
主要成果:
- 国家中心城市的HRDI超过了中国的平均水平.
- 在上海,广州,州和北京观察到医疗资源的高度地理集中.
- 重庆显示出与其人口相比的医疗保健专业人员赤字.
- 上海,广州和重庆展示了有效的医疗资源分配 (DEA=1).
- 北京,州和成都在医疗资源分配方面表现出效率低下.
结论:
- 国家中心城市的医疗资源分配通常高于全国平均水平,但在地理上不均.
- 存在显著的差异,重庆面临短缺,大多数其他城市显示分配效率低下.
- 需要有针对性的干预措施来改善资源分配和效率,在效率较低的城市.
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