我国社区养老服务资源配置的空间差异及动态演进分析  

Analysis of the Spatial Differences and Dynamic Evolution of the Allocation of Community Pension Service Resources in China

作　　者：李娟 王欣宇 唐雨婷 Li Juan(College of Economics and Management,North China University of Science and Technology,Tangshan,P.R.China)

机构地区：[1]华北理工大学经济管理学院,河北唐山063210

出　　处：《中国卫生事业管理》2025年第3期256-262,共7页Chinese Health Service Management

基　　金：河北省社会科学基金项目“河北社区居家养老服务事业与产业协同发展路径研究”(HB23GL005)。

摘　　要：目的:分析我国社区养老服务资源的空间差异及动态演进过程,为均衡区域社区养老服务资源配置及完善老龄社会政策提供科学依据。方法:选取2014~2021年全国31个省份面板数据,利用熵值法测度社区养老服务资源配置水平,运用Dagum基尼系数、Kernel密度估计法及Markov动态链法分析配置的区域差异及动态演进特征。结果:全国及各地区社区养老服务资源配置水平有显著提升,但省际间仍存在较大差异;总体及区域差异呈现缩小趋势,但配置水平“东高西低”的空间非均衡特征依旧突出,区域间差异显著影响配置均衡程度;社区养老服务资源配置水平有较强稳定性,未来发展态势较好,但仍有一定概率出现水平下滑问题。结论:我国各区域间社区养老服务资源配置存在较强差异性,特别是中西部等经济发展落后地区。应引导社区养老服务资源合理流动,发挥高配置水平省份辐射带动效应,健全服务资源动态评估及监管机制,统筹推进社区养老服务资源均衡健康发展。Objective To analyze the spatial differences and dynamic evolution process of community pension service resources in China,and provide a scientific basis for balancing the allocation of regional community care service resources and improving the social policies for the elderly.Methods The panel data of 31 provinces in China from 2014 to 2021 were selected.The entropy method was used to measure the resource allocation level of community care services.The Dagum Gini coefficient,Kernel density estimation method and Markov dynamic chain method were used to analyze the regional differences and dynamic evolution characteristics of the allocation.Results The resource allocation level of community care services in the whole country and various regions has been significantly improved,but there are still significant differences among provinces.The overall and regional differences showed a decreasing trend,but the spatial non-equilibrium characteristics of the configuration level as“high in the east and low in the west”were still prominent.The regional differences significantly affected the degree of configuration equilibrium.The allocation level of community pension service resources has strong stability,and its future development trend is good,but there is still a certain probability of horizontal decline.Conclusion There are significant differences in the allocation of community care service resources among different regions in China,especially in the economically backward areas such as the central and western regions.It is needed to guide the rational flow of community pension service resources,give full play to the driving effect of provinces with high allocation level,improve the dynamic evaluation and supervision mechanism of service resources,and comprehensively promote the balanced and healthy development of community pension service resources.

关 键 词：社区养老服务资源配置 空间差异 动态演进 

分 类 号：R197[医药卫生—卫生事业管理]