在中国医疗资源供需合协调的时空空间演变和决定因素分析
Yuxiao Wang1, Jingru Zhang2, Xinyue Zhang1
1Department of Health Economics, School of Management, Shanxi Medical University, Taiyuan, 030001, China.
International journal for equity in health
|November 13, 2025
概括
中国中国中国中国.
科学领域:
- 医疗保健管理的管理
- 公共卫生政策 公共卫生政策
- 地区差异 地区差异
背景情况:
- 中国面临着医疗保健供需的明显失衡.
- 现有的医疗保健资源分配显示出显著的区域差异.
- 解决这些问题对于改善国家卫生结果至关重要.
研究的目的:
- 量化评估中国卫生资源供需的合和协调情况.
- 确定时空演变以及这种协调的关键决定因素.
- 为政策干预提供基于证据的建议.
主要方法:
- 利用了2002年至2021年的省级面板数据.
- 为卫生资源构建了一个全面的评估指数系统.
- 使用重量,TOPSIS,合协调模型,GTWR和地质探测器进行分析.
主要成果:
- 合协调度 (CCD) 从0.400显著提高到0.804.
- 区域异质性仍然存在,东部地区的协调程度最高.
- 教育水平及其与城市化的相互作用是空间异质性的关键决定因素.
结论:
- 尽管取得了改善,但中国的医疗保健系统在供应,质量和区域公平方面面临着挑战.
- 需要加强供给侧改革来解决差异.
- 加强合协调对于一个更公平的医疗保健系统至关重要.
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