我国医疗卫生服务体系新质生产力水平测度及时空特征分析  

Analysis on the Level Measurement and Spatio-Temporal Characteristics of the New Quality Productivity of China's Medical and Health Service System

作　　者：张志烁 时涛 刘增法 李倩 曹养栋 聂雷 Zhang Zhishuo;Shi Tao;Liu Zengfa;Nie Lei(School of Healthcare Security,Shandong First Medical University&Shandong Academy of Medical Sciences,Jinan,Shandong,250117,China;不详)

机构地区：[1]山东第一医科大学(山东省医学科学院)医疗保障学院,山东济南250117 [2]山东省卫生健康委员会医疗管理服务中心,山东济南250014

出　　处：《中国卫生经济》2025年第3期60-65,共6页Chinese Health Economics

基　　金：2023年度山东省重点研发计划(软科学)项目(2023RKY03006);2024年度山东省医药卫生科技重点项目(202415021203);山东省社科联2024年人文社会科学课题卫生健康专项项目(24H063(Z));2025年度济南市哲学社会科学规划研究重点项目(JNSK2025B034);山东第一医科大学教学改革研究项目(JXGGYJ-22232543)。

摘　　要：目的:通过对我国医疗卫生服务体系新质生产力水平进行测度,并分析其时空特征,以揭示我国医疗卫生服务体系的发展现状和存在的问题,为进一步优化医疗卫生资源配置、提高服务效率与质量、推动健康中国战略深入实施提供决策参考。方法:采用熵权-优劣解距离法对2010-2019年我国各省份医疗卫生服务体系的新质生产力水平进行测度,再利用灰色关联分析探讨各指标与新质生产力水平的关联程度;基于核密度估计方法探究我国医疗卫生服务体系新质生产力的动态演进,并通过Dagum基尼系数对区域差异进行研究。结果:在样本考察期内,我国医疗卫生服务体系新质生产力水平总体呈现上升趋势,医疗服务效率、资源利用水平、人力资源配置以及经费投入对提升医疗卫生服务体系新质生产力水平具有显著影响,但区域差异制约了我国医疗卫生服务体系的整体发展。结论:为进一步提升我国医疗卫生服务体系新质生产力,促进医疗卫生服务公平、高效和可持续发展,应加大人才培养和引进力度,加强医疗设备投入和更新,推进医疗卫生服务体制机制创新,强化政策支持和监管力度。Objective:It aims to measure and analyze the spatial and temporal characteristics of the new quality productivity in China's healthcare service system,in order to reveal the current situation and existing problems of China's medical and health service system,and provide decision-making reference for further optimizing healthcare resource allocation,improving service efficiency and quality,and promoting the deep implementation of the“Healthy China”strategy.Methods:The new quality of productivity in China's healthcare service system from 2010 to 2019 was measured using the entropy weighted TOPSIS method,and the degree of association between each indicator and the new quality of productivity was explored using grey correlation analysis.The dynamic evolution of the new quality productivity in China's healthcare service system was explored using kernel density estimation,and the regional disparities were studied using the Dagum Gini coefficient.Results:The new quality productivity in China's healthcare service system showed an overall upward trend during the sample observation period.The efficiency of medical services,resource utilization level,human resource allocation,and financial input had a significant impact on the improvement of the new quality productivity in the healthcare service system.However,regional disparities constrain the overall development of China's healthcare service system.Conclusion:To further enhance the new quality productivity in China's healthcare service system and promote the equity,efficiency,and sustainable development of healthcare services,efforts should be made to strengthen talent training and recruitment,strengthen investment and upgrading of medical equipment;promote innovation in the medical and health service system;and enhance policy support and regulatory oversight.

关 键 词：医疗卫生服务体系 新质生产力 动态演化 区域差异 

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]