引用本文: 陈秀芝,金春林.长三角区域城市医疗卫生资源集聚度评价研究[J].中国卫生经济,2023,42(3):20-24.[点击复制] CHEN Xiu-zhi,JIN Chun-lin.Evaluation on Health Resources Allocation in Cities of the Yangtze River Delta Based on Agglomeration Degree[J].CHINESE HEALTH ECONOMICS,2023,42(3):20-24.[点击复制]
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长三角区域城市医疗卫生资源集聚度评价研究
陈秀芝,金春林
0
(上海市卫生和健康发展研究中心卫生政策研究部(上海市医学科学技术情报研究所) 上海 200040)
摘要:
目的:分析长三角区域41个城市医疗卫生资源配置的公平性,比较长三角区域的“中心区”与“一般区”的医疗卫生资源配置的公平性。方法:运用集聚度法,从地理、人口和经济维度对2020年的数据进行计算并比较。结果:“中心区”各类医疗资源集聚度(HARD)均>1,一般区各类医疗资源集聚度均<1,与中心区差距较大。人口集聚度(PAD) ≥1 的城市数量超过HRAD与PAD比值≥1的城市数量。结论:长三角区域优质医疗卫生资源集聚,省会城市集聚度更高。长三角区域内部省域间、“中心区”与“一般区”之间的医疗卫生资源布局均存在差异。提升区域内部医疗卫生资源配置公平性要重点考虑区域人口规模和密度。
关键词:  长三角区域  城市  医疗卫生资源  集聚度
DOI:
基金项目:
Evaluation on Health Resources Allocation in Cities of the Yangtze River Delta Based on Agglomeration Degree
CHEN Xiu-zhi,JIN Chun-lin
(Shanghai Health Development Research Center (Health Policy Research Department,Shanghai Medical Information Center),Shanghai 200040 ,China.)
Abstract:
Objective: To analyze and the agglomeration degree of health resources of 41 cities in the Yangtze River Delta,and describe the equity of the health resource allocation between central cities and the general cities. Methods: Based on the agglomeration degree,the data of 2020 were calculated and compared from the dimension of geography,population and economics. Results: The Health Resource Agglomeration Degree (HRAD) of medical institutions,beds and human resources for health in central cities was more than 1,and HRAD in general cities was less than 1,which was far from the central cities. The number of cities with Population Agglomeration Degree ( PAD ) ≥slant 1 was more than cities with HRAD / PAD ≥slant 1. Conclusion: High quality health resources are concentrated in the Yangtze River Delta,especially in the provincial capital cities. There are differences in the distribution of health resources among provinces,central cities and general cities in the Yangtze River Delta Region. The size and density of the regional population will be the focus to improve the equity of the rational internal health resources allocation in the Yangtze River Delta.
Key words:  Yangtze River Delta  city  health resources  agglomeration degree

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