中国新型城镇化水平与公共卫生资源配置空间适配性研究  

Study on the Spatial A ppropriateness of New Urbanization and Public Health Resource Allocation in China

作　　者：王若楠 何艳婷 张屹立 WANG Ruonan(School of Health Management,Southern Medical Unitersilty,Guangzhou,Guangdong,510515,China)

机构地区：[1]南方医科大学卫生管理学院,广东广州510515

出　　处：《医学与社会》2023年第7期35-40,共6页Medicine and Society

基　　金：广东省哲学社会科学规划2020年度项目,编号为GD20CGL23;教育部2021年产学合作协同育人研究项目,编号为202101313036。

摘　　要：目的:研究我国公共卫生资源的配置格局及区域均衡性,并从耦合协调的视角探究其与新型城镇化水平的空间适配性及影响适配的外部因素,以期为公共卫生资源的高效配置和均衡化适配提供参考。方法:运用全局莫兰指数、泰尔指数、耦合协调度模型、Tobit模型等方法,分析2010-2020年我国公共卫生资源配置与新型城镇化水平的空间适配性。结果:我国公共卫生资源配置水平整体偏低,空间集聚性显著且逐年增强(Moran’s I指数值范围为0.224-0.323,P<0.05),泰尔指数值偏小(均值为0.0147),且呈下降趋势(由2010年的0.015降至2020年的0.014);公共卫生资源配置与新型城镇化水平的空间适配性较差,2010、2013、2017和2020年过渡调和区域占比分别高达70.19%、77.42%、80.65%、77.42%、81.65%;政府引导和经济发展对空间适配性具有显著正向影响。结论:我国公共卫生资源配置空间均衡性较好,但配置水平偏低,且与新型城镇化水平的空间适配性较差。政府应统筹合理规划公共卫生资源,应协同调整新型城镇化水平发展与公共卫生资源配置的动态适配过程。Objective:To study the allocation pattern and regional balance of public health resources in China,and to explore the spatial adaptability of public health resource lloeation and new urbanization and the extermal factors afcting the adaptability from the perspective of coupling and coordination,with a view to providing reference for the ffcient allocation and balanced adapt-ability of public health resources in China.Methods:Using the global Moran index,Thiel index,coupled coordination model and Tobit model,the spatial suitability of China's public health resource allocation and new urbanization from 2010 to 2020 was ana-lyzed.Results:The overall level of allocation of public health resources in China was low,with significant and increasing spatial agglomeration(Moran's I index values ranged from 0.224 to 0.323,P<0.05),and the value of the Thiel index was small(mean value of 0.0147)and on a decreasing trend(from 0.015 in 2010 to 0.014 in 2020).The spatial appropriateness of public health re-source allocation and new urbanization was poor,with the proportion of transition reconeiliation areas being as high as 70.19%,77.42%,80.65%,77.42%and 83.87%in 2010,2013,2017 and 2020 respectively.Government guidance and economie develop-ment had a significant positive impact on spatial appropriateness.Conclusion:The spatial balance of the allocation of public health resources in China is fair,but the level of allocation is low and the spatial adaptability to new urbanization is poor.The govemment should coordinate and rationalize the planning of public health resources,and at the same time should coordinate the process of ad-justing the dynamic adaptation of new urbanization development and publie health resource allocation.

关 键 词：公共卫生 资源配置 新型城镇化 空间适配 

分 类 号：R195.1[医药卫生—卫生统计学]