中国卫生资源的耦合程度及空间分布趋势研究  

Study on the coupling degree and spatial distribution trend of health resources in China

作　　者：杨欣维 王志伟[2] 曹楠 常慧 宁皓 YANG Xinwei;WANG Zhiwei;CAO Nan;CHANG Hui;NING Hao(School of Management,Beijing University of Chinese Medicine,Beijing 100029,China;National Institute of Chinese Medicine Development and Strategy,Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学管理学院,北京100029 [2]北京中医药大学国家中医药发展与战略研究院,北京100029

出　　处：《卫生软科学》2024年第8期58-63,68,共7页Soft Science of Health

摘　　要：[目的]分析我国卫生资源配置情况及合理性,探索各类卫生资源的空间分布及耦合协调程度,为卫生资源高效配置和发展提供参考。[方法]运用熵权TOPSIS法、全局和局部自相关莫兰指数及耦合协调度模型方法,分析2011-2021年我国卫生资源发展情况和空间分布。[结果]我国2021年卫生物力资源综合评分西部>中部>东部;卫生人力资源综合评分东部>西部>中部;卫生财力资源综合评分东部>西部>中部。人均卫生物力资源西部为“热点”区域,“冷点”区域向东南沿海发展;人均卫生人力资源方面,京津冀为“热点”区域,“冷点”区域向东南发展;人均卫生财力资源聚集性有所减弱。人财物力资源耦合度十年间快速提升,且人均卫生人力物力耦合度>人均卫生人力财力耦合度>人均卫生物力财力耦合度。[结论]卫生资源总量增加,各区域配置水平有待提升;医疗卫生资源空间布局呈现局部聚集趋势;卫生资源耦合性不强,省份间耦合协调度差距较大。Objective To analyze the situation and rationality of health resource allocation in China,explore the spatial distribution and coupling coordination degree of various health resources,so as to provide the reference for efficient allocation and development of health resources.Methods The entropy weight TOPSIS,global and local autocorrelation Moran I index,and coupling coordination model were used to analyze the development and spatial distribution of health resources in China from 2011 to 2021.Results The comprehensive score of material resources for health in China in 2021 was western>central>eastern.The comprehensive score of human resources for health was eastern>western>central.The comprehensive score of financial resources for health was eastern>western>central.The west was the“hot spot”area in material resources for health per capita,and the“cold spot”area was developing to the southeast coast.In terms of human resources for health per capita,Beijing-Tianjin-Hebei Urban Agglomeration was a“hot spot”region,and the“cold spot”region was developing to the southeast.The concentration of financial resources for health per capita had weakened.The coupling degree of human,financial and material resources had increased rapidly in the past ten years,and the coupling degree of human and material resources for health per capita>the coupling degree of human and financial resources for health per capita>the coupling degree of material and financial resources for health per capita.Conclusions The total amount of health resources has increased,and the allocation of all regions needs to be improved.The spatial distribution of medical and health resources shows a trend of local aggregation.The coupling of health resources is not strong,and the degree of coupling coordination between provinces differs greatly.

关 键 词：卫生资源 莫兰指数 熵权TOPSIS法 耦合程度 空间分布 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] F241[经济管理—劳动经济]