| 引用本文: |
孙克,邹佳男,胡佳城,等.我国医疗资源利用效率的空间分异及驱动因素分析*[J].中国卫生经济,2023,42(6):51-55.[点击复制] |
SUN Ke,ZOU Jia-nan,HU Jia-cheng,et al.Analysis on Spatial Differentiation and Driving Factors of the Medical Resource Utilization Efficiency in China[J].CHINESE HEALTH ECONOMICS,2023,42(6):51-55.[点击复制] |
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| 摘要: |
| 目的：开展我国省域医疗资源利用的效率评价、空间分异及驱动因素分析，探寻区域医疗资源利用效率协同提升策略。方法：采用超效率SBM模型测算评价2010—2020年我国各省份医疗资源利用效率水平，利用Dagum基尼系数和地理探测器方法解析空间分异特征及驱动因素。结果：新医改政策实施后，我国医疗资源利用效率水平逐年改善，但仍存在较大 “效率缺口”；总体区域基尼系数较大，存在“增长不平等”问题，空间分异主要来源为超变密度；人口规模、城镇化、易感人群、环境污染和经济发展及其两两交互作用对医疗资源利用效率空间分异的形成具有显著影响；不同区域尺度具有不同的主导驱动因素。结论：各地应继续深化医疗卫生改革，注重医疗资源利用效率提升政策的系统性、整体性和协同性，在识 “源”分“型”的基础上，因地制宜。 |
| 关键词: 医疗资源利用效率 空间分异 驱动因素 Dagum基尼系数 地理探测器 |
| DOI： |
| 投稿时间：2023-03-26 |
| 基金项目:国家自然科学基金项目(71964015)；国家哲学社会科学重大项目(18ZDA085)；江西省社会科学基金项目(21YJ09)；江西省教育厅科技项目(GJJ180762)；江西科技师范大学博士科研启动基金项目(2019BSQD019)；江西省教育厅研究生创新基金项目(YC2002-S816) |
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| Analysis on Spatial Differentiation and Driving Factors of the Medical Resource Utilization Efficiency in China |
| SUN Ke,ZOU Jia-nan,HU Jia-cheng,WANG Yi-dong |
| () |
| Abstract: |
| Objective: To carry out efficiency evaluation,spatial differentiation and driving factors analysis of the medical resource utilization,and to find collaborative improvement strategies of medical resource utilization efficiency at regional level.Methods: The SBM model was used to estimate and evaluate the utilization efficiency of the medical resources in Chinese provinces during 2010-2020.The Dagum Gini coefficient and Geographic Detector method were used to analyze the spatial differentiation characteristics and driving factors.Results: After the implementation of the new medical reform policy,the utilization efficiency of medical resources in China was improved year by year,but there was still a large "efficiency gap".The Gini coefficient of the whole region is large,and there is a problem of "growth inequality".The main source of spatial differentiation is super-variable density.Population size,urbanization,susceptible population,environmental pollution and economic development and their interaction had significant effects on the formation of spatial differentiation of medical resource utilization efficiency.Different regional scales have different dominant driving factors.Conclusion: Local governments should continue to deepen the medical and health reform,pay attention to the systemization,integrality and coordination of the policies to improve the utilization efficiency of medical resources,and adapt to local conditions on the basis of recognizing the "source" and "type". |
| Key words: utilization efficiency of medical resources spatial differentiation driving factors Dagum Gini coefficient geographic detector |
