我国养老机构资源配置时空差异分析与优化策略--基于2014~2021的国家统计数据  

Spatio-Temporal Difference Analysis and Optimization Strategy of Endowment Institution Resource Allocation Based on National Statistical Data from 2014 to 2021

作　　者：郭珊珊 杜进林 翟方明 王倩 陈晓亚 彭浩晟 Guo Shanshan(School of Public Health,Guangdong Medical University,Dongguan,P.R.China)

机构地区：[1]广东医科大学公共卫生学院,广东东莞523808 [2]广东医科大学人文与管理学院 [3]上海交通大学医学院附属精神卫生中心 [4]广东医科大学研究生院

出　　处：《中国卫生事业管理》2023年第10期754-759,共6页Chinese Health Service Management

基　　金：教育部人文社会科学研究青年基金项目“基于公平与可持续理念的基本医疗保险制度整合研究”(17YJC820063);广东省研究生教育创新计划项目“藏区贫困儿童卫生状况的调研和扶助”(2022SQXX022);广东省研究生教育创新计划项目“基于系统动力学的研究生高级统计学教学模式研究”(2020JGXM056);广东省教育科学“十三五”规划2019年度高校哲学社会科学专项资助“基于系统动力学的医科大学生急救教育及意外伤害救助意愿研究”(2019GXJK226)。

摘　　要：目的:分析我国2014~2021年养老机构资源配置的时空差异,促进养老机构资源的合理配置。方法:采用熵值法评价养老机构资源配置的综合水平,采用泰尔指数测量养老机构资源配置的地区差异,采用探索性空间数据分析方法分析养老机构资源配置的空间分布趋势和集聚程度。结果:2014~2021年,我国养老机构各项资源中养老机构数、年末床位数、专业技术技能人员数、管理人员数年均增长率分别为2.75%、3.71%、11.49%及-0.60%,每千65岁及以上人均拥有量下降;资源综合供给水平较低,且泰尔指数值减小,区域内贡献率较高。养老机构资源的空间集聚性增加,高—高、低—低、低—高集聚区分别集中于长三角地区、新疆一带及四川。结论:我国养老机构资源空间集聚性增加,地区差异较大,建议政府在进行养老机构资源配置时考虑空间分布特征,进一步缩小区域资源配置差异,提高资源配置的科学性。Objective To analyze the spatial and temporal difference of resources allocation in pension institutions from 2014 to 2021,and promote the rational allocation of resources in pension institutions.Methods The entropy method was used to evaluate the comprehensive level of resource allocation of pension institutions.Theil index was used to measure the regional differences of resource allocation of pension institutions.And the exploratory spatial data analysis method was used to analyze the spatial distribution trend and agglomeration degree of resource allocation of pension institutions.Results From 2014 to 2021,the annual average growth rate of the number of pension institutions,year-end sickbeds,professionals and administrative staffs was 2.75%,3.71%,11.49%and-0.60%,respectively.The per capita amount per thousand aged 65 and above decreased.The comprehensive supply level of resources was low,and its Theil index value decreased.The regional contribution rate was higher.The spatial agglomeration of endowment institution resources increased.The high-high agglomeration area,low-low agglomeration area and the low-high agglomeration area was concentrated in the Yangtze River Delta,Xinjiang and Sichuan,respectively.Conclusion The spatial agglomeration of resources in Chinese pension institutions is increasing,and its regional differences are great.It is suggested that the government should consider the spatial distribution characteristics in allocating resources in pension institutions,further reduce the regional resource allocation differences,and improve the scientific allocation of resources.

关 键 词：养老机构 资源配置 熵值法 泰尔指数 探索性空间数据分析 

分 类 号：R197[医药卫生—卫生事业管理]