| 引用本文: |
潘宏伟,邹俐爱,张远妮,等.广东省公立医院医疗服务能力与经济水平耦合协调程度研究*[J].中国卫生经济,2023,42(9):60-65.[点击复制] |
Pan Hongwei,Zou Liai,Zhang Yuanni,et al.Research on the Coupling Coordination of Medical Service Capacity of Public Hospitals and Economic Level in Guang⁃ dong[J].CHINESE HEALTH ECONOMICS,2023,42(9):60-65.[点击复制] |
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| 摘要: |
| 目的：从地区和城市视角分析2016—2021年广东省公立医院医疗服务能力与经济水平的耦合协调程度。方法： 使用Stata 14.0软件对广东省各地区的公立医院医疗服务能力与经济水平的耦合协调度进行计算、使用ArcGis 10.8软件进行空间相关性分析和Moran空间分布散点图的绘制。结果：2016—2021年广东省公立医院医疗服务能力与经济水平耦合协调程度呈现略微递增趋势，但处于失调水平的城市占比较多 （2021年17个）。截至2021年，粤北、粤西地区大部分城市公立医院医疗服务能力领先于经济水平，粤东、珠三角地区城市公立医院医疗服务能力落后于经济水平；各年份的Moran’s I指数均大于 0.30，各城市的耦合协调度在空间上存在聚类分布。结论：广东省公立医院医疗服务能力与经济水平的耦合协调度随年份变化略有增加，但整体不高，且区域间差异较大，呈现高、低聚类分布。政府应持续增加医疗卫生领域的财政投入，注重区域间各类生产要素的合理配置和良性流转，丰富两者间的转化途径，建立公立医院医疗服务能力与经济发展间的良性循环。 |
| 关键词: 公立医院 医疗服务能力 经济发展水平 耦合协调度 广东 |
| DOI： |
| 投稿时间：2023-07-07 |
| 基金项目:国家重点研究发展计划 （973计划）“主动健康和老龄化科技应对”重点专项“健康管理综合服务应用示范”项目 （2020YFC2006400）；广东省卫生经济学会指令性课题 （2021-WJZL-02） |
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| Research on the Coupling Coordination of Medical Service Capacity of Public Hospitals and Economic Level in Guang⁃ dong |
| Pan Hongwei,Zou Liai,Zhang Yuanni,Yao Yiting,Ma Chao,Yang Fangyi,Li Yaotian,Zhu Hong |
| (School of Health Management, Southern Medical University, Guangzhou, 510515 , China) |
| Abstract: |
| Objective: Analyzing the coupling and coordination degree of medical service capacity of public hospitals and economic level in Guangdong Province from the perspective of region and city from 2016 to 2021. Methods: Stata 14.0 was used to calculate the coupling and coordination degree of medical service capacity of public hospitals and economic level in Guangdong province, and ArcGis 10.8 was used to analyze the spatial correlation and draw the Moran’s spatial distribution scatter plot. Results: From 2016 to 2021, the coupling and coordination degree of public hospitals’medical service capacity and economic level in Guangdong Province showed a slight increasing trend, but there were a large number of cities in imbalance level (17 in 2021). By 2021, the medical service capacity of public hospitals in most cities in northern and western Guangdong was ahead of the economic level. The medical service capacity of public hospitals in eastern Guangdong and Pearl River Delta region lags behind their economic level. The Moran’s I index in each year was greater than 0.3, and there was a spatial cluster distribution of the coupling and coordination degree among cities. Conclusion: The coupling and coordination level between medical service capacity of public hospitals and economic development in Guangdong Province increased slightly with years, but the overall level was not high, and the regional differences were large, showing a high, low cluster distribution. The government should continue to increase financial input in health field, pay attention to the rational allocation and benign circulation of various production factors between regions, enrich the transformation pathways, and establish a virtuous circle between these two systems. |
| Key words: public hospital medical service capacity economic development level coupling coordination degree Guangdong |
