机构地区:[1]新疆维吾尔自治区人民医院科研教育中心,新疆乌鲁木齐830001 [2]新疆医科大学公共卫生学院,新疆乌鲁木齐830017 [3]新疆维吾尔自治区矿山安全服务保障中心,新疆乌鲁木齐830063
出 处:《中华全科医学》2025年第5期768-772,共5页Chinese Journal of General Practice
基 金:新疆维吾尔自治区“天山英才”医药卫生高层次人才培养计划(TSY202301B113);新疆维吾尔自治区自然科学基金面上项目(2022D01C597)。
摘 要:目的 研究新疆中医药服务能力与区域经济水平耦合协调发展状况及空间关联特征,并提出政策建议以促进两系统间协调发展。方法 构建新疆中医药服务能力与区域经济水平的评价指标体系,包含6个一级指标和14个二级指标,综合运用耦合协调度、相对发展度和空间自相关分析等方法,对2020年新疆14个地州(市)中医药服务能力与区域经济水平2个子系统间的耦合协调程度、相对发展状况以及空间集聚特征展开分析。结果 两子系统耦合协调程度总体较低,超半数(8个)地州处于中度失调状态,仅首府乌鲁木齐处于初级协调水平且同步发展,绝大多数(13个)地州呈不同程度的失调发展,其中10个地州中医药服务能力发展滞后于区域经济水平;两子系统呈现明显空间负相关,空间集聚性较弱,区域联动效应不明显。结论 新疆中医药发展不充分的问题尤为突出,且地区间差异较小,面临的提升空间巨大。应以国家中医药振兴发展工程为契机,坚持加大政府投入力度,健全中医医疗服务体系,强化中医药人才队伍建设,推进优质中医医疗资源扩容,促进中医药服务与区域经济协调发展;发挥得天独厚的地缘优势和民族医学特色,通过组建中医医联体和中医医疗集团等措施,加强区域协同推进新疆中医药事业发展。Objective To study the coupling and coordinated development of traditional Chinese medicine service capacity and regional economic level in Xinjiang and its spatial correlation characteristics,and to put forward policy suggestions to promote the coordinated development between the two systems.Methods The research constructs the evaluation index system of traditional Chinese medicine service capacity and regional economic level in Xinjiang,including 6 primary indicators and 14 secondary indicators,comprehensively uses the Coupling coordination degree,relative development degree,and spatial autocorrelation analysis to analyze the coupling and coordination degree,relative development status,and spatial agglomeration characteristics between the two subsystems of traditional Chinese medicine service capacity and regional economic level in 14 prefectures in Xinjiang in 2020.Results The coupling and coordination degree of the two subsystems was generally low,more than half of(8)prefectures were moderately dysfunctional,only the capital Urumqi was at the primary coordination level and developed synchronously,and the vast majority(13)prefectures were in a state of imbalance to varying degrees,among which 10 prefectures were lagging behind in traditional Chinese medicine service capacity,and the two subsystems showed obvious spatial negative correlation,weak spatial agglomeration,and no obvious regional linkage effect.Conclusion The problem of insufficient development of traditional Chinese medicine in Xinjiang is particularly prominent,and the differences between regions are small,and the room for improvement is huge.It is necessary to take the national project for the revitalization and development of traditional Chinese medicine as an opportunity to increase government investment,improve the medical service system of traditional Chinese medicine,strengthen the construction of Chinese medicine talent team,promote the expansion of high-quality traditional Chinese medicine medical resources,boost the coordinated developmen
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