中国地级以上城市医疗服务韧性的时空分异与驱动力分析  

Spatial-temporal differentiation and driving forces of medical service resilience of prefecture-level cities in China

作　　者：张学波 吴江楠 王振波[3] 何志浩 卢冰坤 ZHANG Xuebo;WU Jiangnan;WANG Zhenbo;HE Zhihao;LU Bingkun(School of Geography and Tourism,Qufu Normal University,Rizhao 276826,Shandong,China;Institute of Yellow River Ecology,Qufu Normal University,Qufu 273165,Shandong,China;Institute of Geographic Sciences and Natural Resources Research,CAS,Beijing 100101,China)

机构地区：[1]曲阜师范大学地理与旅游学院,山东日照276826 [2]曲阜师范大学黄河生态研究院,山东曲阜273165 [3]中国科学院地理科学与资源研究所,北京100101

出　　处：《地理科学进展》2024年第7期1273-1289,共17页Progress in Geography

基　　金：国家自然科学基金项目(42071150);山东省泰山学者青年专家计划项目(tsqn202306183)。

摘　　要：医疗服务韧性体现了地区面对风险冲击时的医疗应对能力,研究城市医疗服务韧性水平的时空分异与驱动力能够为健康中国建设提供理论参考。论文以中国287个地级以上城市为研究样本,融合韧性理念,构建了城市医疗服务韧性评价指标体系,分析了2011—2021年中国城市医疗服务韧性的时空分布特征与驱动力。研究发现:(1)中国城市医疗服务韧性水平保持逐年增长的态势,空间分布上总体表现为沿海高、内陆低的格局,区域差异有减弱的趋势,个别城市表现为一定程度的局部极化现象;(2)新冠疫情深刻影响了中国城市医疗服务韧性的格局,期间表现出了较强的抵抗韧性和调整适应能力;(3)根据动力要素组合差异划分出4种医疗服务韧性驱动模式,即医疗资源主导型、经费主导型、环境依赖型和科研依赖型;(4)医疗服务韧性受到诸多外部因素的影响,人口老龄化与医疗服务韧性呈负相关关系,市政环卫能力和互联网普及率对医疗服务韧性具有正向影响。论文分析了中国城市医疗服务韧性的驱动力模式,能够为不同类型地区医疗服务建设及韧性提升提供现实借鉴。The resilience of medical services reflects a region's medical response ability in the face of risks.The study of the spatial-temporal differentiation and driving forces of the resilience level of urban medical services can provide a theoretical reference for the construction of healthy China.Taking 287 cities of the prefecture level and above in China as research samples and integrating the concept of resilience,this study constructed an evaluation indicator system of the resilience of urban medical services,and analyzed the spatial and temporal distribution characteristics and driving forces of the resilience of urban medical services in China from 2011 to 2021.The study found that:1)The resilience level of urban medical services in China continued to increase year by year and overall,the spatial distribution showed a pattern of high in the coastal regions and low inland.There has been a trend towards a weakening of the regional differences,and some cities showed a certain degree of local polarization.2)The COVID-19 pandemic has profoundly affected the resilience of urban medical services in China,which showed strong resistance and adaptability.3)Based on the differences of dynamic factor combination,four medical service resilience driving models are identified:medical resource-oriented,fundoriented,environment-dependent,and scientific research-dependent.4)The resilience of medical services is influenced by many external factors.Population ageing is negatively associated with healthcare service resilience,while municipal sanitation capacity and the penetration rate of the Internet have a positive impact on the resilience of medical services.The paper analyzed the driving force model of the urban medical services resilience in China,which can provide practical reference for the construction and resilience improvement of medical services in different types of regions.

关 键 词：医疗服务 韧性 时空分异 驱动力 

分 类 号：R197.1[医药卫生—卫生事业管理]