均等化试点政策与超大城市公共卫生系统韧性评价  

Evaluating the Equalization Pilot Policy and Resilience of Public Health System of Super Megacity

作　　者：蔡芸[1] 韩惠敏 Cai Yun(Beijing Jiaotong University,Beijing,P.R.China)

机构地区：[1]北京交通大学经济管理学院,北京100091

出　　处：《中国卫生事业管理》2023年第10期730-735,750,共7页Chinese Health Service Management

基　　金：2021年度教育部人文社会科学研究规划基金项目“基于内生决定机制的我国县级政府规模优化研究”(21YJA630002);北京市习近平新时代中国特色社会主义思想研究中心项目(20LLGLC049)。

摘　　要：针对均等化试点政策的研究主要集中于流动人口健康效应、公共卫生服务利用、城市社会融入,很少考虑城市公共卫生系统的问题,结合风险矩阵理论(RMA)与PSR韧性评价模型的使用,利用熵权法分析了上海、北京、重庆、天津、深圳等5个超大城市的公共卫生系统韧性。同时,采用合成控制法,评价流动人口卫生服务均等化试点政策对超大城市公共卫生系统韧性的影响。研究结果表明:(1)从准则层指标角度分析,状态性指标带来的风险最为显著,响应性指标次之,压力型指标最小。(2)合成控制法结果表明流动人口均等化试点政策对城市公共卫生系统韧性的影响随着时间的推进存在地区差异性。人口压力较大的城市,均等化试点政策会在一定程度上降低城市公共卫生系统韧性。(3)北京整体以及其他城市的其他年份的政策效果并不显著,说明公共卫生系统韧性效果仍需强化。The existing research of equalization pilot policy is focused on the health effects of migrant populations,the utilization of public health services,and urban social integration,with little consideration given to the issues of urban public health systems.Combining the Risk Matrix Theory(RMA)and the PSR Resilience Evaluation Model,the entropy weight method was used to analyze the resilience of public health systems in five mega cities,including Shanghai,Beijing,Chongqing,Tianjin,and Shenzhen.And the synthetic control method was used to evaluate the impact of the pilot policy of health services equalization for migrant populations on the resilience of public health system in mega cities.The research results indicated that,from the perspective of criterion level indicators,state indicators brought the most significant risks,followed by responsiveness indicators,while the pressure indicators were the smallest.The results of synthetic control method indicated that there were regional differences in the impact of the pilot policy of equalization of migrant population on the resilience of urban public health systems over time.In cities with higher population pressure,pilot policies for equalization will reduce the resilience of urban public health systems.The overall policy effect in Beijing and in other cities in other years was not significant,indicating that the resilience effect of public health system still needs to be strengthened.

关 键 词：超大城市 公共卫生系统韧性 流动人口均等化试点政策 RMA-PSR模型 合成控制法 

分 类 号：R197.1[医药卫生—卫生事业管理]