摘要
解决医疗卫生资源空间配置的区域不均衡,对推进健康中国建设以及促进医疗卫生资源基本公共服务均等化具有重要的现实意义。以可获取数据的中国320个城市为例,采用地理空间统计、泰尔指数、耦合协调度模型等方法探究常住人口视角下中国医疗卫生资源均等化的空间配置。研究发现:①中国城市配置的人均医疗卫生资源数量增加且城市间配置人均医疗卫生资源的区域差距缩小;②省内医疗卫生资源均等化配置的区域差距缩小,但是医疗卫生资源均等化配置的区域差距存在省际差异;③医疗卫生资源的均等化配置与常住人口分布的耦合协调水平下降,绝大部分城市处于失调状态,空间错配现象十分严重;④未根据常住人口变动趋势配置医疗卫生资源,是导致医疗卫生资源均等化配置与常住人口分布存在空间错配的原因。文章将研究医疗卫生资源空间配置的区域范围拓展至以城市为尺度的中国全域,在人口大规模流动的中国国情下讨论常住人口视角下医疗卫生资源均等化的空间配置,完善了公共服务设施区位理论较少从动态视角研究公共服务设施空间配置的不足。
Addressing the regional imbalance in the spatial allocation of medical and health resources(MHRs)is of great practical significance for promoting both the construction of"Healthy China"and the equalization of basic public services of MHRs.Taking 320 cities in China with available data as an example,this paper explores the spatial allocation of the equalization of China's MHRs from the perspective of the permanent population by using the methods of geospatial statistics,Theil index,and coupling coordination model.The results are as follows:1)The number of per capita MHRs allocated by cities has increased,and the regional gap of per capita MHRs allocated among cities has narrowed.2)The regional gap of per capita MHRs allocated among cities within each province has narrowed,but the narrowing gap between cities within each province has provincial differences.3)The level of coupling coordination between the equalization of MHRs and the distribution of permanent population has declined.The spatial mismatch between the equalization of MHRs and the distribution of permanent population is very serious,and most cities are in a state of imbalance.4)The reason for the spatial mismatch between the equalization of MHRs and the distribution of permanent population is that MHRs are not allocated according to the changing trend of permanent population.The article expands the regional scope of the research on the spatial allocation of MHRs to the whole region of China taking cities as the scale,discusses the spatial allocation of MHRs equalization from the perspective of permanent population under the national conditions of China with large-scale population mobility,and improves the deficiency that the location theory of public service facilities is seldom used to study the spatial allocation of public facilities from the dynamic perspective.
作者
蔡永龙
李文辉
陈忠暖
王芳蕾
CAI Yonglong;LI Wenhui;CHEN Zhongnuan;WANG Fanglei(School of Geography,South China Normal University,Guangzhou 510631,Guangdong,China;Faculty of Geographical Science,Beijing Normal University,Bejing 100875,China;Center for Urban and Regional Development Studies,South China Normal University,Guangzhou 510631,Guangdong,China)
出处
《经济地理》
CSCD
北大核心
2023年第7期99-108,共10页
Economic Geography
基金
国家社会科学基金重大项目(21ZDA011)
国家自然科学基金面上项目(42171172)。
关键词
常住人口
基本公共服务均等化
医疗卫生资源
空间配置
城市治理
健康中国
permanent population
equalization of basic public service
medical and health resources
spatial allocation
urban governance
healthy China
