中国健康可持续的时空特征与结构演化及提升路径  

The spatio-temporal characteristics,structural evolution and improvement path of health sustainability in China

作　　者：龚胜生[1,2,3] 潘稼佳 曹凡 肖克梅 GONG Shengsheng;PAN Jiajia;CAO Fan;XIAO Kemei(College of Urban and Environmental Sciences,Central China Normal University,Wuhan 430079,China;Research Institute of Sustainable Development,Central China Normal University,Wuhan 430079,China;The Key Laboratory of Geographical Process and Spatial Analysis and Simulation of Hubei Province,Wuhan 430079,China)

机构地区：[1]华中师范大学城市与环境科学学院,武汉430079 [2]华中师范大学可持续发展研究中心,武汉430079 [3]地理过程分析与模拟湖北省重点实验室,武汉430079

出　　处：《地理学报》2025年第3期620-642,共23页Acta Geographica Sinica

基　　金：国家自然科学基金项目(42371265)。

摘　　要：健康是人类永恒的追求,健康可持续是社会可持续的基础。采用压力—状态—响应(PSR)模型,构建中国健康可持续指标体系,对2000—2020年中国健康可持续水平的时空特征、结构演化和提升路径进行分析,结果表明:①中国健康可持续水平(HSI)稳步提升,健康可持续等级(HSL)不断提高,总体处于“可持续”状态;地带之间和省域之间的差异不断缩小,均衡化发展趋向明显;冷点区逐渐消失,热点区趋向弱化,分布重心自东南向西北迁移。②中国健康可持续系统的结构不断优化,发展趋向良好,结构均衡度不断增长并趋近于1,结构协调性不断提高并向“高级协调”转变,结构主导性由健康压力主导型(HP)经健康状态主导型(HS)向健康发展均衡型(HB)转化。③中国健康可持续能力提升可分为3个一级区:Ⅰ优先提升区、Ⅱ重点提升区、Ⅲ巩固提升区,6个二级区:Ⅰ_(1)(藏)、Ⅰ_(2)(青、新、内蒙古)、Ⅱ_(1)(黔、滇、渝)、Ⅱ_(2)(浙、闽、赣、桂、琼、粤、台)、Ⅱ_(3)(津、冀、辽、黑、吉、沪、苏、鲁、豫、鄂、湘、川、甘、宁、陕、皖、晋)、Ⅲ(京)。④未来中国健康可持续能力提升要重点提高卫生资源响应能力,降低社会经济压力带来的健康风险,提升道路安全水平和社会治安水平,改善国民社会健康状态。本研究构建的健康可持续指标体系为国家和区域健康可持续系统评价提供了理论框架和路径策略,对可持续社会和健康国家建设具有指导意义。Health is the eternal pursuit of human beings,and health sustainability is the basis of social sustainability.This study adopts the"pressure-state-response"(PSR)model to construct the index system of China's health sustainability.This study examines the spatio-temporal characteristics,structural evolution,and improvement path of health sustainability in China from 2000 to 2020.The results indicate that:(1)China's health sustainability index(HSI)has been steadily improved,and the health sustainability level(HSL)has been continuously enhanced,generally reaching a"sustainable"state.The differences between regions and provinces are shrinking,and the trend of balanced development is obvious.The cold spot area gradually disappears,and the hot spot area tends to weaken.The distribution center has shifted from the southeast to the northwest.(2)The structure of China's health sustainability system has been progressively optimized,exhibiting favorable development trends.The structural balance has increased and is approaching 1,and the structural coordination has improved and is transitioning towards advanced coordination,and the structural dominance has shifted from health pressure-dominated(HP)to health status-dominated(HS)and is now evolving towards health balance-dominated(HB).(3)The improvement of China's health sustainability can be divided into three first-level areas:I priority improvement area,II key improvement area,III consolidation improvement area,and six second-level areas:Ⅰ_(1)(Xizang),Ⅰ_(2)(Qinghai,Xinjiang,Inner Mongolia),Ⅱ_(1)(Guizhou,Yunnan,Chongqing),Ⅱ_(2)(Zhejiang,Fujian,Jiangxi,Guangxi,Hainan,Guangdong,Taiwan),Ⅱ_(3)(Tianjin,Hebei,Liaoning,Heilongjiang,Jilin,Shanghai,Jiangsu,Shandong,Henan,Hubei,Hunan,Sichuan,Gansu,Ningxia,Shaanxi,Anhui,Shanxi),Ⅲ(Beijing).(4)In the future,the improvement of China's health sustainability should focus on improving the responsiveness of health resources,reducing the health risks caused by social and economic pressures,enhancing road safety and social security l

关 键 词：健康可持续 时空特征 结构演化 提升路径 中国 

分 类 号：R197.1[医药卫生—卫生事业管理]