我国31个省(自治区、直辖市)卫生资源分布指数构建及区域比较研究  

The construction and regional comparison of health resources distribution index of 31 provinces,autonomous regions,and municipalities in China

作　　者：王瑜[1,2] 陈凌眉 马双鸽[1,2,3] WANG Yu;CHEN Lingmei;MA Shuangge(Center for Applied Statistics,School of Statistics,Renmin University of China,Beijing 100872,China;不详)

机构地区：[1]中国人民大学应用统计科学研究中心,北京100872 [2]中国人民大学统计学院 [3]耶鲁大学公共卫生学院

出　　处：《中国预防医学杂志》2023年第11期1172-1178,共7页Chinese Preventive Medicine

基　　金：国家社会科学基金(20BTJ017);中国人民大学公共健康与疾病预防控制跨学科交叉重大创新平台建设成果(2022PDPC)。

摘　　要：目的 为了解我国31个省(自治区、直辖市)医疗资源在各区域间的布局情况。方法 本研究综合相关研究,整合年鉴权威数据,并基于指数功效函数改进模型,构建卫生资源分布指数(health resource distribution index, HRDI)并进行深入分析。结果 当前卫生资源分布格局可概括为:东部及西部地区卫生资源分布内部差异大,东北地区卫生资源分布情况居中,中部地区相对落后。根据2017—2021年卫生资源分布指数得分及增速情况,将我国31个省(自治区、直辖市)卫生资源分布发展划分为4个相对发展阶段:领跑加速阶段、落后加速阶段、领跑低速阶段及落后低速阶段;按照各地区医疗卫生资源、医疗卫生人员及医疗保障能力进行聚类分析,将我国31个省(自治区、直辖市)卫生资源分布划分为4种分布模式:全能型、保障型、资源型及均衡型。结论 通过纵向时间趋势及横向区域分布的比较研究,全面系统地评价我国各地区卫生资源分布特点,为推动卫生资源合理配置提供相关参考依据。Objective To investigate the distribution of medical resources across different regions in China,so as to promote the construction of healthy China and to accelerate the expansion of high-quality medical resources.Methods In this study,data were collected from relevant studies and yearbooks.Health resource distribution index(HRDI)was established using the modified model of the exponential effective function.Results The status quo of health resources distribution can be summarized as follows:the internal difference of health resources distribution in eastern and western regions was large,the distribution of health resources in northeast China was at average level,and the central region was relatively lagged behind in distribution of health resources.According to the HRDI scores and growth rates from 2017 to 2021,the distribution of health resources in 31 provinces,municipalities,and autonomous regions in China were divided into four development stages:leading&accelerating stage,backward&accelerating stage,leading&low-speed stage and backward&low-speed stage;and divided into four distribution patterns,namely all-round pattern,financial-resource pattern,material-resource pattern,and balanced pattern,according to cluster analysis on the characteristics of medical and health resources,human resources,and medical security capacity.Conclusions By analyzing the longitudinal time trend and horizontal spatial distribution,this paper comprehensively and systematically evaluated the distribution of health resources across different regions in China.It provides relevant evidence for promoting appropriate allocation of health resources.

关 键 词：卫生资源分布指数 评价指标 指数功效函数改进模型 区域比较 

分 类 号：R195[医药卫生—卫生统计学]