中老年慢性病人群健康贫困空间分布格局及驱动因素研究  

Study on the Distribution Pattern and Driving Factors of Health Poverty among Middle-aged and Elderly People with Chronic Diseases

作　　者：李红雨 吴冰 张晨溪 赖勇强 刘馨蔚 田雨露 戈倩倩 黄仙红[2] 杨海君 尹芳[4] 徐瑜涓 李叶[1,2] Li Hongyu;Wu Bing;Zhang Chenxi(School of Health Management,Harbin Medical University,Harbin Heilongjiang,150076,China;不详)

机构地区：[1]哈尔滨医科大学卫生管理学院,黑龙江哈尔滨150076 [2]杭州师范大学公共卫生学院,浙江杭州311121 [3]昆明市延安医院,云南昆明650051 [4]昆明医科大学第二附属医院,云南昆明650101 [5]昆明医科大学第一附属医院,云南昆明650032

出　　处：《中国医院管理》2025年第3期40-44,共5页Chinese Hospital Management

基　　金：国家自然科学基金面上项目(72174047,71874045);昆明医科大学应用基础研究联合专项基金项目(2021010AY0700001-59,202101AY070001-147)。

摘　　要：目的基于空间异质性假设,从空间分异视角刻画中老年慢性病人群健康贫困分布格局及风险特征,以期为后续减贫政策优化提供理论依据并为其他国家提供政策范本。方法采用因子探测器、交互探测器捕捉单因子及多因子交互对健康贫困空间分异的作用,利用风险探测器探索风险地区高危因素结果医疗救助、健康教育活动单因子解释力度突出,PM2.5、抚养比、城镇失业率等因素有强烈的交互作用。另外,研究识别了高健康贫困风险地区的高风险因素特征。结论我国中老年慢性病人群健康贫困的空间分异格局是多维因素协同驱动作用的结果,且各地区之间风险特征存在差异性,政府应建立情境式的优化策略并关注多因素联合作用建立协同管理体系。Objective Based on the assumption of spatial heterogeneity,the distribution pattern and risk characteristics of health poverty in middle-aged and elderly people with chronic diseases are described from the perspective of spatial differentiation.In order to providing a theoretical basis for the optimization of subsequent poverty reduction policies and a model policy for other countries.Methods It used factor detector and interaction detector to capture the role of single-factor and multi-factor interactions on the spatial differentiation of health poverty,and risk detectors were utilized to explore the high-risk factors in risky areas Results The single factor explanation of medical assistance and health education activities is prominent,and the factors such as PM2.5,old-age dependency ratio and urban unemployment rate have strong interaction.Furthermore,it identified high-risk factor characteristics in areas at high risk of health poverty.Conclusion The spatial differentiation pattern of health poverty among the middle-aged and elderly chronic disease population in China is the result of the synergistic driving effect of multidimensional factors,and there is variability in the risk characteristics among regions.The government should establish a contextual optimization strategy and pay attention to the joint effect of multiple factors to establish a synergistic management system.

关 键 词：健康贫困 空间分异性 地理探测器 慢性病 

分 类 号：R197.3[医药卫生—卫生事业管理]