基于GTWR模型的我国医疗卫生水平时空特征及影响因素分析  

Spatio-Temporal Characteristics and Influencing Factors of China's Medical and Health Level Based on GTWR Model

作　　者：刘溪 位争气 王丽 汪志宏 LIU Xi;WEI Zhengqi;WANG Li;WANG Zhihong(School of Public Health,Guilin Medical College,Guangxi Guilin 541199;College of Humanities and Management,Guilin Medical College,Guangxi Guilin 541199;Project Office,The First Affiliated Hospital of Shenzhen University,Shenzhen Second People's Hospital,Guagndong Shenzhen 518035)

机构地区：[1]桂林医学院公共卫生学院,广西桂林541199 [2]桂林医学院人文与管理学院,广西桂林541199 [3]深圳大学第一附属医院/深圳市第二人民医院项目办,广东深圳518035

出　　处：《深圳中西医结合杂志》2025年第1期21-24,28,I0004,共6页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

基　　金：广西“社会医学与卫生事业管理”八桂学者经费资助项目(2020GXWFSAA57146)。

摘　　要：目的:构建我国省级医疗卫生水平综合评价体系,分析医疗卫生水平时空变化特征和影响因素,并探讨各省医疗卫生水平协调发展策略。方法:采用熵权逼近理想解排序法(TOPSIS)模型测算2011—2020年我国各省医疗卫生资源水平、服务水平,构建时空地理加权回归模型探究社会、经济和人口等方面因素对医疗卫生水平的驱动效应。结果:我国医疗卫生资源水平、服务水平稳步上升,但医疗卫生资源分配不均的问题仍存在;城镇化率和产业结构能有效提高发达省份的医疗卫生水平;人均可支配收入和老龄人口抚养比对各省医疗卫生水平以促进作用为主;收入差距和人口密度对各省医疗卫生水平有负面影响。结论:基于对GTWR分析,主要应从优化医疗卫生资源配置和提高医疗卫生服务体系运行效率两方面提升医疗卫生水平。Objective To construct a comprehensive evaluation system of provincial medical and health level in China,analyze the characteristics and influencing factors of the spatio-temporal change of medical and health level,and explore the coordinated development strategy of provincial medical and health level.Methods The entropy weight approximation ideal solution ranking method(TOPSIS)model was used to estimate the level of medical and health resources and service in various provinces in China during 2011-2020,and the spatio-temporal geographical weighted regression model(GTWR)was constructed to explore the driving effect of social,economic and demographic factors on the medical and health level.Results The level of medical and health resources and service increased steadily,but the problem of uneven distribution of medical and health resources still existed.The urbanization rate and industrial structure can effectively improve the medical and health level of developed provinces.The per capita disposable income and the ratio of the elderly population to support each province's medical and health level are mainly promoted.Income gap and population density have a negative impact on the level of health care in each province.Conclusion Based on the analysis of GTWR model,the medical and health level should be improved mainly from two aspects:optimizing the allocation of medical and health resources and improving the operating efficiency of medical and health service system.

关 键 词：医疗卫生水平 医疗卫生资源 医疗卫生服务 熵权逼近理想解排序法模型 时空地理加权回归模型 

分 类 号：R197[医药卫生—卫生事业管理]