在内蒙古,中国,医疗卫生工作人员分布及其影响因素的空间经济学分析
Jiajing Hu1, Li Xu2, Xuan Li3
1School of Health Management, Inner Mongolia Medical University, Hohhot, China.
PloS one
|January 20, 2026
概括
内蒙古的卫生工作人员分布显示出显著的空间差异,随着时间的推移,集群减少. 政策应侧重于区域合作和资源共享,以改善卫生工作人员的公平.
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:
- 医疗劳动力公平正义得到越来越多的认可,但其空间分布和驱动因素在内蒙古等多样化的地区仍未得到充分探索.
- 传统的模型往往忽视了医疗卫生工作人员分布中的位置和经济因素的相互作用.
研究的目的:
- 分析2013年至2022年内蒙古卫生工作人员的空间分布和影响因素.
- 应用先进的空间计量经济学方法来评估对卫生工作人员分配的直接和间接影响.
主要方法:
- 利用了来自内蒙古统计年鉴 (2013-2022) 的数据.
- 衡量卫生工作人员 (HW) 作为每1000名人口的卫生专业人员.
- 采用全球和本地莫兰的I用于空间模式分析和空间面板计量模型 (空间德宾模型) 来评估影响因素.
主要成果:
- 观察到卫生工作人员的显著空间集群,城市地区的高高集群和偏远地区的低低集群.
- 可支配收入和病床密度对当地卫生工作人员产生了积极影响,而人口密度则产生了负面影响.
- 可支配收入,财政自给自足和病床密度对邻近地区的卫生工作人员产生了积极的间接影响.
结论:
- 内蒙古在卫生工作人员分配方面表现出显著的空间差异,尽管区域异质性正在减少.
- 主要驱动因素包括可支配收入,床位密度和财政自给自足,人口密度作为负面因素.
- 建议包括加强区域合作,资源共享,财政支持,促进医疗联盟以优化分配.
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