引用本文: 陈俊利,冯文佳,王岩,等.我国医疗资源供给与利用的耦合协调及空间特征分析*[J].中国卫生经济,2023,42(10):33-37.[点击复制] Chen Junli,Feng Wenjia,Wang Yan,et al.Analysis on the Coupling Coordination and Spatial Characteristics of the Supply and Utilization of Medical Resources in China[J].CHINESE HEALTH ECONOMICS,2023,42(10):33-37.[点击复制]
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我国医疗资源供给与利用的耦合协调及空间特征分析*
陈俊利,冯文佳,王岩,高润国,蔡伟芹,井淇,高倩倩,付晓光,翟铁民,马安宁
0
(潍坊医学院公共卫生学院 山东 潍坊 261053;潍坊医学院管理学院 山东 潍坊 261053 ;“健康山东”重大社会风险预测与治理协同创新中心 山东 潍坊 261053;国家卫生健康委卫生发展研究中心 北京 100032)
摘要:
目的:分析医疗资源供给和医疗服务利用的协调发展状况。方法:利用熵权法确定指标权重,构建医疗资源供给与利用综合评价模型;基于耦合机制,构建耦合协调度模型;运用ArcGis 10.5软件,结合空间自相关,分析医疗资源耦合协调的空间分布特征。结果:没有严重失调的省份,大部分省份处于勉强协调或者中度协调,3个省份处于良好协调;Moran’s I 指数为0.261。结论:医疗资源供给与医疗服务利用不匹配现象明显,耦合协调存在地区差异,而且医疗资源利用能力趋向于人口和经济发达省份倾斜。
关键词:  医疗资源  供给  利用  耦合协调  空间自相关
DOI:
投稿时间:2023-08-28
基金项目:教育部人文社科规划基金项目 (22YJAZH081);潍坊市软科学研究计划项目 (2020RKXHT112)
Analysis on the Coupling Coordination and Spatial Characteristics of the Supply and Utilization of Medical Resources in China
Chen Junli,Feng Wenjia,Wang Yan,Gao Runguo,Cai Weiqin,Jing Qi,Gao Qingqing,Fu Xiaoguang,Di Tiemin,Ma Anning
(School of Public Health, Weifang Medical University, Weifang, Shandong, 261053 , China)
Abstract:
Objective: To analyze the coordinated development of medical resource supply and medical service utilization. Meth- ods: Using the entropy weight to determine the weight of indicators, construct a comprehensive evaluation model for the supply and utilization of medical resources. Based on the coupling mechanism, a coupling coordination degree model is constructed. Based on Arc- Gis 10.5 Software and combining spatial autocorrelation, the spatial distribution characteristics of medical resource coupling and coor- dination are analyzed. Result: There are no provinces with severe imbalance, most provinces are in barely or moderately coordinated, and three provinces are in good coordination. The Moran’s I index is 0.261 (P<0.05). Conclusion: There is a significant mismatch between the supply and utilization of medical resources, and there are regional differences in coupling coordination. Moreover, the uti- lization capacity of medical resources tends to be more populous and economically developed provinces.
Key words:  medical resources  supply  utilization  coupling coordination  spatial autocorrelation

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