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中国公立医院的财务可持续性的时空空间演变:来自省级小组数据 (2010-2022) 的证据
1Wuhan Hospital of Traditional Chinese Medicine, Wuhan, China.
Frontiers in public health
|October 20, 2025
概括
中国公立医院的财务可持续性显示区域差异,随着时间的推移不均地增加. 政府投资对可持续性产生重大影响,影响遍及各个地区.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
- 空间分析 空间分析
背景情况:
- 评估财务可持续性对于公共医院运营至关重要.
- 了解时空动态是有效医疗管理的关键.
研究的目的:
- 分析中国公共医院财务可持续性的时空演变.
- 确定影响医院财务健康的关键驱动机制.
主要方法:
- 利用来自中国31个省份 (2010-2022) 的平衡面板数据.
- 开发了一个多维的金融可持续性评估框架.
- 采用空间计量经济学模型和趋同测试.
主要成果:
- 金融可持续性显示出随着区域差异的增加而波动的上升,经过三个阶段演变.
- 观察到一个明显的"高东低西,强南弱北"的空间模式.
- 政府财政投资对可持续性产生了积极的影响,并显示出显著的空间溢出效应.
结论:
- 政策学习,人才流动和技术传播是关键的传播机制.
- 这些发现支持空间溢出和政策扩散理论.
- 提供适应性金融担保机制和医疗保健融资策略的证据.
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