中国医患纠纷关注度时空差异特征及影响因素  

Spatiotemporal Differences and Influencing Factors of Attention to Doctor-patient Disputes in China

作　　者：刘举胜 邱志萍 于长锐[2,3] Liu Jusheng;Qiu Zhiping;Yu Changrui(School of Economics and Management,Shanghai University of Political Science and Law,Shanghai 201701,China;School of Information Management and Engineering,Shanghai University of Finance and Economics,Dongguan 523106,China;Shanghai Financial Intelligent Engineering Technology Research Center,Shanghai 200433,China;School of Economics and Management,Dongguan University of Technology,Shanghai 200433,China;School of Urban and Regional Science,Shanghai University of Finance and Economics,Shanghai 200433,China)

机构地区：[1]上海政法学院经济管理学院,上海201701 [2]上海财经大学信息管理与工程学院,广东东莞523106 [3]上海金融智能工程技术研究中心,上海200433 [4]东莞理工学院经济与管理学院,上海200433 [5]上海财经大学城市与区域科学学院,上海200433

出　　处：《中国管理科学》2024年第8期322-334,共13页Chinese Journal of Management Science

基　　金：国家社会科学基金重大项目(18ZDA088);国家自然科学基金项目(71871144);上海金融智能工程技术研究中心项目(19DZ2254600);中央高校基本科研业务费用专项基金项目(CXJJ-2019-400,CXJJ-2020-306);上海政法学院校级科研项目(D-10-24-001-68)。

摘　　要：基于2011—2019年省级医患纠纷百度指数,本文采用Dagum基尼系数、核密度估计和空间自相关刻画医患纠纷关注度的时空差异特征,并借助面板数据模型OLS估计方法和Oaxaca-Blinder分解法实证研究医患纠纷关注度演化的驱动因素及差异来源。结果表明:我国医患纠纷关注度整体有所上升,在空间上呈现自东向西递减且愈加明显的非均衡格局;省际差异是关注与非均衡的主要来源,其中东-西部差异最大,东北-中部最小;关注度存在显著的空间关联性特征,形成以长三角及闽鲁豫为高-高型关注度“俱乐部”;居民文化素养、病患负担、社会治理水平、信息化、经济发展水平和媒体报道次数均显著提升医患纠纷关注度,而地理距离产生显著抑制影响。上述结论在剔除极端样本和空间计量分析等稳健性检验后仍成立。此外,社会治理水平和病患负担是导致关注度地区差异与关注度水平差异的主要来源。本研究为正确引导与管理医患纠纷舆情传播提供政策启示。In recent years,the occurrence of disputes between doctors and patients has aroused great public concern,which not only wastes public attention but also hurts the promotion of the"Health China"strategy.Although the media and the public have reported and paid some attention to the issue of doctor-patient disputes,it is difficult to directly reflect the actual level of attention paid to doctor-patient disputes.Therefore,what are the characteristics of attention to doctor-patient disputes in China?What are the factors driving the evolution of attention to doctor-patient disputes?To explore the question of increasing attention to doctor-patient disputes and regional differences in China,a variety of methods is used to present an empirical study on spatiotemporal differences and influencing factors of attention to doctor-patient disputes in China.Based on the Baidu Index of doctor-patient disputes from 2011 to 2019,the Dagum Gini coefficient,kernel density estimation,and spatial Moran index are used to analyze the regional differences,distribution dynamics,and spatial agglomeration characteristics.It also uses OLS estimation of the panel data model and Oaxaca Blinder decomposition to explore the driving factors and sources of regional differences in doctor-patient dispute attention.The results indicate that the degree of attention to doctor-patient disputes has increased as a whole,showing a decreasing and more obvious unbalanced pattern from east to west.The inter-provincial difference is the main source of attention and imbalance,among which the East-West difference is the largest and the Northeast-Central difference is the smallest.Attention has significant spatial correlation characteristics,and it forms a high-high attention“club”in the Yangtze River Delta,Fujian,Shandong,and Henan.Cultural literacy,the burden of patients,social governance level,informatization,the regional economic level,and the number of media reports have a significant positive impact on attention,while geographical distance has a negative

关 键 词：医患纠纷 关注度 时空差异特征 影响因素 OAXACA-BLINDER分解 

分 类 号：G212[文化科学—新闻学]