摘要
目的:对比分析医改前后我国基层医疗资源配置与经济发展的耦合协调性及其变化。方法:运用熵值法、综合评价函数、耦合协调度、空间计量等方法评价医改前后我国基层医疗资源分布与经济发展水平的协调关系,借助ArcGIS软件明确两者协调关系的空间分布关联性。结果:2005—2019年我国基层医疗资源配置与经济发展耦合协调度整体呈逐年稳定上升态势。医改前我国基层医疗资源配置与经济发展的关系为勉强协调发展,但基层医疗资源配置总量超过经济发展的需求。医改后两者系统基本保持同步高水平发展。医改前后耦合协调度相近的地区在地理上均彼此毗邻,在空间上均呈“东高西低”的集聚特征,但医改后我国基层医疗配置和经济发展水平的全局莫兰指数有所下降,东、中、西部各区域省份的空间集聚程度减弱。结论:合理规划卫生资源配置布局,加大基层医疗资源财政投入。各省份应根据自身发展特征,因地制宜制定发展策略,促进两系统协调发展。
Objective:To compare and analyze the coupling coordination and changes of primary medical resource allocation and economic development in China before and after the medical reform.Methods:Entropy method, comprehensive evaluation function,coupling coordination degree, spatial measurement and other methods are used to evaluate the coordination relationship between the distribution of primary medical resources and the level of economic development in China before and after the medical reform. ArcGIS software is used to clarify the spatial distribution correlation of the coordination relationship.Results:From 2005 to 2019, the coupling coordination degrees of primary-level medical resources allocation and economic development in China show a steady increase by years.Before the medical reform, the relationship between the allocation of primary-level medical resources and economic development in China is barely coordinated, but the total allocation of primary-level medical resources exceeds the demand of economic development.After the medical reform, both systems basically maintain synchronous and high level development. The regions with similar coupling coordination degree before and after the medical reform are geographically adjacent to each other, which show the agglomeration characteristics of “high in the east and low in the west” in space. However, after the medical reform, the global Moran Index of primary-level medical allocation and economic development level in China are declined, and the spatial agglomeration degrees of provinces in the east, central and western regions are weakened.Conclusion:Rationally planning the distribution of health resources and increasing financial input of primary medical resources. Each province should formulate development strategies according to its own development characteristics and local conditions to promote the coordinated development of the two systems. Meanwhile, it needs to give full play to the comparative advantages of each region, promote the flow and transfer of
作者
李丽清
赵玉兰
黄肖依
卢祖洵
LI Li-qing;ZHAO Yu-lan;HUANG Xiao-yi(School of Economics and Management,Jiangxi Science and Technology Normal University,Nanchang,330031,China;不详)
出处
《中国卫生经济》
北大核心
2022年第5期44-50,共7页
Chinese Health Economics
基金
2019国家自然科学基金项目(71964015)
2018国家哲学社会科学重大项目(18ZDA085)
2020江西省教育厅科学技术重点项目(GJJ201102)
2020江西科技师范大学研究生创新专项资金项目(YC2019-X36)。
关键词
基层医疗服务
卫生资源配置
经济发展
耦合协调性
莫兰指数
primary medical service
health resources allocation
economic development
coupling coordination degree
Moran Index
