运用耦合协调度模型评价医疗服务价格水平宏观调控效果及建议  

Evaluating the Macro-Control Effect of Medical Service Price Level Using the Coupled Coordination Degree Model and Recommendations

作　　者：王晓昕 张媚[2] 李尚静 刘家宇 Wang Xiaoxin;Zhang Mei;Li Shangjing(West China Hospital of Sichuan University,Chengdu,Sichuan,610041,China;不详)

机构地区：[1]四川大学华西医院,四川成都610041 [2]成都中医药大学,四川成都611137 [3]四川大学华西天府医院,四川成都610213

出　　处：《中国卫生经济》2024年第9期48-52,共5页Chinese Health Economics

基　　金：四川中医药大健康产业发展与乡村振兴研究中心重点项目(DJKZD202205)。

摘　　要：目的:掌握医疗服务价格、医疗服务能力和地区经济水平之间的协调发展程度及其空间分布特征,从而促进医疗服务价格与各系统的良性协调发展。方法:利用熵值法计算样本省份医疗服务价格、医疗服务能力和地区经济水平的综合评价指数,利用耦合协调度模型分析样本省份医疗服务价格、医疗服务能力和地区经济水平之间的耦合协调程度并对其进行空间自相关分析。结果:医疗服务价格、医疗服务能力和区域经济水平具有中等耦合度,系统之间存在中等依赖性;医疗服务价格、医疗服务能力和区域经济水平的协调性差;我国现行医疗服务价格、医疗服务能力和地区经济水平间的协调性在空间上不具有空间聚集与辐射效应。结论:我国医疗服务价格、医疗服务能力和地区经济水平的协调性亟待加强。建议:量化评价医疗服务能力并指导医疗服务价格形成,加强医疗服务价格与宏观经济水平的协调联动,着力提升我国医疗服务价格政策的区域均衡性。Objective:To grasp the degree of coordinated development and spatial distribution characteristics of medical service prices,medical service capacity and regional economic level,so as to promote the benign and coordinated development of medical service prices and various systems.Methods:The entropy value method is used to calculate the comprehensive evaluation index of medical service price,medical service capacity and regional economic level in the sample provinces,and the coupling coordination degree model is used to analyze the degree of coupling coordination between medical service price,medical service capacity and regional economic level in the sample provinces,and carry out spatial autocorrelation analysis.Results:The price of medical services was moderately coupled to the capacity of medical services and the level of the regional economy,and there was moderate dependence between the systems;the price of medical services was poorly coordinated with the capacity of medical services and the level of the regional economy;the coordination between the current price of medical services in China and the capacity of medical services and the level of the regional economy did not have a spatial aggregation and radiation effect in space.Conclusion:Coordination between the price of medical services in China and the capacity of medical services and regional economic level needed to be strengthened urgently.Suggestion:The capacity of medical services should be quantitatively evaluated and the formation of medical service prices should be guided,the coordination and linkage between medical service prices and macroeconomic levels should be strengthened,and efforts should be made to enhance the regional equilibrium of China's medical service price policy.

关 键 词：医疗服务价格 价格政策 政策效果评价 耦合协调度模型 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] R197