我国省域卫生资源与医疗压力的时空分异格局和脱钩关系演化  

Evolution of spatial-temporal differentiation pattern and decoupling relationship between provincial health resources and medical pressure in China

作　　者：索云龙 付谦[1] 冯占春[1] SUO Yun-long;FU Qian;FENG Zhan-chun(School of Medicine and Health Management,Tongji Medical College,Huazhong University of Science and Technology,Wuhan Hubei 430030,China)

机构地区：[1]华中科技大学同济医学院医药卫生管理学院,湖北武汉430030

出　　处：《中国卫生政策研究》2024年第2期23-31,共9页Chinese Journal of Health Policy

基　　金：国家自然科学基金面上项目(72074088)。

摘　　要：目的:明晰省域卫生资源与医疗压力时空特征与变动趋势,为我国卫生健康事业高质量发展提供建议。方法:基于2010—2020年全国31个省份面板数据,构建省域卫生资源与医疗压力综合评价体系,采用全局熵值法与探索性空间分析揭示两者时空分异与关联格局,并引入Tapio脱钩指数阐释其演化特征与趋势。结果:观测期内,我国绝大多数省份卫生资源和医疗压力稳中略升,二者具备空间正相关与聚集性特征,并同经济发展与人口需求关系密切;全国主流脱钩状态由负脱钩向正脱钩转变,递进脱钩态势明显,区域卫生发展持续向好。结论与建议:各省份需结合本省卫生事业发展现状,注重要素与结构的时空耦合,以优化卫生资源配置结构与增强卫生体系韧性为抓手发挥区域卫生体系的比较优势。Objective:To clarify the spatio-temporal characteristics and changing trends of provincial health resources and medical pressure,and to provide suggestions for the high-quality development of medical and health services in China.Methods:Based on the panel data of 31 provincial administrative units from 2010 to 2020,a comprehensive evaluation system of provincial health resources and medical pressure was constructed.The global entropy method and exploratory spatial analysis were used to reveal the spatio-temporal differentiation and correlation pattern,and the Tapio decoupling index was illustrated to explain the evolution characteristics and trends.Results:During the observation period,health resources and medical pressure in the vast majority of provinces in China rose steadily,with positive spatial correlation and agglomeration,and a close relationship with economic development and population demand;the mainstream decoupling state of the country shifted from a negative decoupling to a positive decoupling,with an obvious progressive decoupling trend,and the development of regional health continued to improve.Conclusions and suggestions:Provinces need to take into account the status quo of health development in their own provinces,focus on the spatio-temporal coupling of elements and structures,and optimize the structure of health resource allocation and enhance the resilience of the health system as a means of bringing into play the comparative advantages of the regional health system.

关 键 词：卫生资源 医疗压力 时空分异 脱钩指数 

分 类 号：R197[医药卫生—卫生事业管理]