中国中医药资源配置水平及影响因素探讨  

Discussion on the Level and Influencing Factors of TCM Resource Allocation in China

作　　者：高倩倩[1] 杨满洲 闫早红 井淇[1] 蔡伟芹[1] 邢洁 Gao Qianqian;Yang Manzhou;Yan Zaohong;Jing Qi;Cai Weiqin;Xing Jie(School of Management,Weifang Medical University,Weifang 261053,China;Affiliated Hospital of Weifang Medical University,Weifang 261031,China)

机构地区：[1]潍坊医学院管理学院,潍坊261053 [2]潍坊医学院附属医院,潍坊261031

出　　处：《世界科学技术-中医药现代化》2022年第8期2914-2920,共7页Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology

基　　金：教育部社会科学司人文社会科学研究青年项目(编号20YJCZH002):基于国际经验的全民免费医疗在中国的理论框架与模式选择,负责人:蔡伟芹;山东省自然科学基金委员会青年项目(编号ZR2020QG057):基于WISN的山东省康复治疗师配置技术与应用研究,负责人:井淇

摘　　要：目的分析2013-2019年中国31省市中医药资源配置水平及区域差异,探讨影响资源配置水平的主要因素,为优化中国中医药资源配置提供依据。方法选取具有代表性的每万人口中医药机构数、每万人口中医药技术人员以及每万人口中医药床位数作为中医药资源配置水平的指标,利用统计年鉴2013-2019年的面板数据,综合运用熵权法、可分解的泰尔指数以及面板时间固定效应模型,分析各省份中医药资源配置水平及区域公平性差异和影响因素。结果中国中医药资源配置水平均值为0.165,整体呈现递增趋势,不同省份间配置水平有差异;按人口配置的总体泰尔指数优于按面积配置的指数;公平性差异主要来自于四大经济区区域内差异;经济发展水平、城镇化水平和财政自主度是影响中医药资源配置的主要因素(P<0.05)。结论中医药资源配置整体水平呈增长趋势,资源配置的公平性有待于进一步提高,应重点关注区域内的不公平性。经济发展水平、城镇化水平和财政自主度是影响中医药资源配置水平的主要因素,建议各地区根据当地不同现状精准施策。Objective To analyze the TCM resource allocation level and regional differences in 31 provinces and cities in China during 2013-2019,discuss the main factors affecting the resource allocation level,and provide basis for optimizing the TCM resource allocation in China.Methods The representative number of TCM institutions per 10000population,TCM technical staff per 10000 population and TCM beds per 10,000 population were selected as indicators of TCM resource allocation level.Panel data from the Statistical Yearbook from 2013 to 2019 were used to comprehensively apply entropy weight method,index of decomposable Theil and panel time fixed effect model.And analyze the differences and influencing factors of TCM resource allocation and regional equity in different provinces.Results The average allocation level of TCM resources in China was 0.165,which showing an increasing tendency,and there were differences among different provinces.The overall Theil index by population was better than that by area.The differences of fairness mainly come from the differences within the four major economic zones.Economic development level,urbanization level and financial autonomy were the main factors affecting the allocation of TCM resources(P<0.05).Conclusion The overall level of TCM resource allocation shows an increasing tendency,and the fairness of resource allocation needs to be further improved.The regional unfairness should be paid more attention.Economic development level,urbanization level and financial autonomy are the main factors affecting the allocation level of TCM resources.It is suggested that each region should take precise measures according to different local situations.

关 键 词：中医药资源 公平性 熵权法 泰尔指数 时间固定效应模型 

分 类 号：R197.1[医药卫生—卫生事业管理]