文献类型：期刊文献

中文题名：甘肃省医疗卫生资源失配度的时空格局及影响因素

英文题名：The Spatial-temporal Patterns and Influencing Factors of Medical and Health Resources Mismatch in Gansu Province

作者：王小鹏[1];王秀兰[1];高歆[2]

第一作者：王小鹏

机构：[1]甘肃中医药大学卫生管理学院,甘肃兰州730000;[2]甘肃省卫生健康统计信息中心(西北人口信息中心),甘肃兰州730030

第一机构：甘肃中医药大学

年份：2024

卷号：37

期号：10

起止页码：20

中文期刊名：医学与社会

外文期刊名：Medicine and Society

收录：CSTPCD;;国家哲学社会科学学术期刊数据库;北大核心:【北大核心2023】；

基金：2022年度甘肃省哲学社会科学规划项目,编号为2022YB082;2021年度甘肃省哲学社会科学规划项目,编号为2021YB106;2023年甘肃省高等学校创新基金项目,编号为2023A-090。

语种：中文

中文关键词：医疗卫生资源;失配度;时空格局;甘肃

外文关键词：Medical and Health Resource;Mismatch Degree;Spatial-temporal Pattern;Gansu

摘要：目的:研究甘肃省医疗卫生资源失配度的时空格局及影响因素,为医疗卫生资源的高效配置提供参考。方法:基于2012-2021年甘肃省面板数据,采用健康距离模型与岭回归方法,分析甘肃省医疗卫生资源失配度的时空格局及影响因素。结果:甘肃省医疗卫生资源失配度均值从2012年的0.732降低至2021年的0.636。2012-2013年失配度高(较高)的市(州)占比达50%,其后逐年减少,至2021年失配度低(较低)的市(州)占比增至57.14%。城镇化率、一般公共预算收入与支出的比值、人口规模、人口密度及人口老龄化指标岭回归系数小于0(P<0.001)。结论:2012-2021年甘肃省医疗卫生资源失配度不断降低,但至2021年仍处于一般失配状态。时空格局上呈现出从“高度失配主导的非均衡”到“西北>东南”空间格局,再到“中部低水平失配团状集聚”的演进趋势。城镇化率、人口密度、人口规模等指标的提升有利于降低医疗卫生资源失配度。
Objective:To study the spatial-temporal characteristics and influencing factors of the mismatch of medical and health resources in Gansu Province,providing a valuable reference for the efficient allocation of medical and health resources.Methods:Based on panel data of Gansu Province from 2012 to 2021,the health distance model and ridge regression method were used to analyze the spatial-temporal characteristics and influencing factors of the mismatch of medical and health resources.Results:The mean mismatch degree of medical and health resources in Gansu Province decreased from 0.732 in 2012 to 0.636 in 2021.From 2012 to 2013,the proportion of high(higher)level units reached 50%,then decreased year by year,and the number of low(lower)level units increased by 57.14%in 2021.The ridge regression coefficients of population urbanization rate,the ratio of general public budget revenue to expenditure,population size,population density,and population aging indexes were all less than 0(P<0.001).Conclusion:The mismatch degree of medical and health resources continues to decrease and was still in a general mismatch state by 2021.In terms of regional space,there is an evolving situation of disequilibrium dominated by high mismatch to spatial difference in northwest>southeast,and then to low-level mismatch cluster in central China.Population urbanization,population density,population size,and other variables help reduce the mismatch of medical and health resources.