摘要
目的空间角度分析江苏省卫生资源配置的公平性和利用率,为优化相关医疗资源配置提供科学参考。方法利用借助卫生资源集聚度和相对发展速度,评价2015—2021年江苏省卫生资源配置的公平性、利用率发展速度;波士顿矩阵法评估卫生资源配置及利用匹配模式,利用地理信息系统展示其空间特征。结果2015—2021年三大区域人口维度的卫生资源集聚度较接近,但地理维度差异较大,且随着时间推移,苏南与苏北差距由2015年的2.32倍上升到2021年的2.47倍;2021年13个地级市执业(助理)医师地理维度最高差距4.92倍,人口维度最高差异1.47倍;分析卫生资源配置与利用率相对发展速度的匹配模式发现,南京、无锡、徐州为高配置-高利用模式;泰州、连云港、宿迁为高配置-低利用模式。结论江苏省卫生资源分布和利用的空间差异不容忽视。建议本着空间公正的理念,构建“区域治理-分类管理”的政策设计框架,为政府优化卫生资源配置和开展卫生空间规划提供决策依据。
Objective To analyze the fairness and utilization of health resource allocation in Jiangsu Province from a spatial perspective,and to provide scientific reference for optimizing the medical resources allocation.Methods Based on the concentration degree and relative development speed of health resources,the fairness and utilization of health resources allocation in Jiangsu Province from 2015 to 2021 were evaluated;Boston matrix method was used to evaluate the allocation and utilization of health resources,and the spatial characteristics were displayed by geographic information systems.Results The fairness of health resources allocation by population in three regions was relatively close in 2015—2021,but the geographic dimension is quite different,with the passage of time,and the gap between Southern Jiangsu and Northern Jiangsu increased from 2.32 times in 2015 to 2.47 times in 2021;in 2021,the highest geographical difference of practicing(assistant)physicians in 13 prefecture-level cities was 4.92 times,and the highest population difference was 1.47 times by population;analyzing the matching pattern of the relative development speed of the allocation and utilization rate of health resources showed that,high allocation-high utilization pattern of health resource allocation and utilization was found that in Nanjing,Wuxi,and Xuzhou,in high allocation-low utilization pattern was found in Taizhou,Lianyungang,and Suqian.Conclusion The spatial differences in the distrilaction and utilization of health resources in Jiangsu Province should not be ignored.It is recommended that a policy design framework of“regional governance and classified mana-gement”be constructed to provide a decision-making basis for the government to optimize the allocation of health resources and carry out spatial planning for health.
作者
张敏
周健
施雯慧
羊海涛
陈妮
ZHANG Min;ZHOU Jian;SHI Wenhui;YANG Haitao;CHEN Ni(Jiangsu Health Development Research CenterHealth Policy Research DepartmentNational Health Commission Contraceptives Vigilance and Fertility SurreillanceJiangsu Provincial Medical Key Laboratory of Fertility Protection and Health Technology Assessment,Jiangsu Province,Nanjing210000,China)
出处
《中国医药导报》
CAS
2024年第19期8-12,17,共6页
China Medical Herald
基金
江苏省卫生健康委科研项目(ZD2022060、M2021024)
江苏省卫生健康发展研究中心自主科研项目(JSHD2021063)
江苏省社科应用研究精品工程立项项目(23SYB-133)。
关键词
卫生资源
集聚度
公平性
利用率
Health resources
Agglomeration degree
Fairness
Utilization
