区域差异,动态演变以及TCM医院医疗资源分配效率的空间溢出效应
Zhihao Wang1, Zhiguang Li2,3, Ruijin Xie4,5
1The Second Affiliated Hospital of Anhui University of Chinese Medicine, Hefei, 230012, Anhui, China.
Cost effectiveness and resource allocation : C/E
|July 18, 2025
概括
传统中医 (TCM) 医院的医疗资源分配效率正在提高,区域差异正在缩小. 国内生产总值和城市化等因素影响效率,需要针对性的优化策略.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
背景情况:
- 分析中国传统中医 (TCM) 医院 (2016-2022) 的区域差异和医疗资源分配效率的演变.
- 为优化TCM医院资源分配提供参考资料.
研究的目的:
- 评估区域公平性和TCM医院医疗资源分配效率的动态演变.
- 确定关键影响因素和对效率的空间溢出效应.
- 为改进TCM医院资源管理的战略提供信息.
主要方法:
- 超高效率的Slack-Based Measure (SBM) 模型具有不理想的输出.
- 达格姆·吉尼系数用于区域差异分析.
- 核密度估计和空间经济度模型用于动态和空间分析.
主要成果:
- 效率正在提高,17个省份的效率高于平均水平,8个省份的效率高于平均水平.
- 区域格局:高东,稳定西,落后东北;存在显著的空间差异.
- 区域差异显示出波动的上升趋势,中部地区呈现出最大的差异;东部和中部地区之间的差距正在扩大.
- 核心密度估计显示效率正在上升,与缩小差距和多层次差异化.
- 人均GDP,城市化,老龄化率,人口密度和医学毕业生促进效率; 人口密度和TCM医生具有积极的空间溢出效应,而人均GDP具有负面溢出效应.
结论:
- 中医医院医疗资源分配效率正在稳步提高,区域差异正在缩小.
- 效率多极化正在缓和,朝着区域平衡迈进.
- 内部和外部因素共同影响效率;建议采取技术,机构,金融和人才战略,以提高效率和减少区域差距.
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