引用本文: 汪晓芳,杨苏乐,张琪,等.我国医疗资源供需耦合协调发展的空间差异分析*[J].中国卫生经济,2022,41(12):22-25,35.[点击复制] WANG Xiao-fang,YANG Su-le,ZHANG Qi,et al.Spatial Difference Analysis of Coupling Coordination between Supply and Demand of Medical Resources in China[J].CHINESE HEALTH ECONOMICS,2022,41(12):22-25,35.[点击复制]
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我国医疗资源供需耦合协调发展的空间差异分析*
汪晓芳,杨苏乐,张琪,李丽清
0
(江西科技师范大学健康政策与发展研究中心 南昌 330031)
摘要:
目的:为优化我国医疗资源配置效率与空间布局,为实现医疗资源配置的供需平衡提供政策建议。方法:以 2020年我国31个省份的医疗资源供给能力指标和需求压力指标为研究对象,引入物理学中的耦合理论,构建我国医疗资源供需耦合协调度模型,并借助空间计量学探讨我国医疗资源供需耦合协调的空间差异。结果:我国医疗资源供需耦合度均在0.83 以上,中度协调地区、勉强协调地区和失调地区占比分别为22.60%、54.80%和22.60%。供需类型表现为医疗资源均衡发展地区占比仅为9.70%,医疗资源失衡地区占比高达90.30%。结论:我国医疗资源供给和需求处于高耦合阶段,但总体上医疗资源供需耦合协调水平不高且供需失衡明显;各地区医疗资源耦合协调度差异显著,呈现从东部往中、西部地区逐级递减现象。
关键词:  医疗资源配置  供给与需求  耦合协调度  空间差异分析
DOI:
基金项目:2019国家自然科学基金项目(71964015);2018国家哲学社会科学重大项目(18ZDA085);2021江西省社会科学规划项目 (21GL23);2020江西省高校人文社科项目(GL20107)
Spatial Difference Analysis of Coupling Coordination between Supply and Demand of Medical Resources in China
WANG Xiao-fang,YANG Su-le,ZHANG Qi,LI Li-qing
(Health Policy and Development Research Center,Jiangxi Science and Technology Normal University,Nanchang 330031 ,China)
Abstract:
Objective: To provide policy recommendations for optimizing the efficiency and spatial distribution of China's healthcare resources and achieving a balance between supply and demand in the allocation of healthcare resources. Methods: Based on the medical resource supply capacity index and demand pressure index of 31 provinces and cities in China in 2020,the coupling coordination degree model of medical resource supply and demand in China is established by introducing the coupling theory of physics,and the spatial difference of the coupling coordination of medical resource supply and demand in China is discussed with the help of spatial econometrics. Results: The coupling degree of medical resource supply and demand in China is above 0.83. Coupling coordination degree shows that the proportion of moderately coordinated regions is 22.60 %,the proportion of barely coordinated areas is 54.80 %,and the proportion of maladjusted areas is 22.60 %. The proportion of regions with balanced development of medical resources in China is only 9.70 %,while the proportion of regions with unbalanced medical resources is as high as 90.30 %. Conclusion: The supply and demand of medical resources in China are in a high coupling stage. However,the overall coordination level of medical resources supplies and demand is not high and the imbalance between supply and demand is obvious,with significant differences in different areas,showing a gradual decline from the eastern regions to the central and western regions.
Key words:  medical resource  supply and requirement  coupling coordination  spatial difference analysis

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