| 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 |
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| (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) |
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| 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） |
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| 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 |