[1]苏 源,杨 静,余 芳,等.宁夏基层医疗资源供需协调关系的时空特征分析[J].卫生经济研究,2022,39(9):28-31,35.
　SU Yuan,YANG Jing,YU Fang,et al.Analysis on the Temporal and Spatial Characteristics of the Coordination Relationship between Supply and Demand of Primary Medical Resources in Ningxia[J].Journal Press of Health Economics Research,2022,39(9):28-31,35.
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宁夏基层医疗资源供需协调关系的时空特征分析
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
39
期数:
2022年9期
页码:
28-31,35
栏目:
卫生资源
出版日期:
2022-08-30

文章信息/Info

Title:
Analysis on the Temporal and Spatial Characteristics of the Coordination Relationship between Supply and Demand of Primary Medical Resources in Ningxia
作者:
苏 源1; 2; 杨 静3; 余 芳1; 司明舒4
1.宁夏医科大学公共卫生与管理学院， 宁夏 银川 750004
2.宁夏环境因素与慢性病控制重点实验室，宁夏 银川 750004
3.宁夏卫生健康委员会信息中心， 宁夏 银川 750001
4.福建医科大学公共卫生学院， 福建 福州 350122
Author(s):
SU Yuan;  YANG Jing;  YU Fang;  SI Mingshu
School of Public Health and Management, Ningxia Medical University, Yinchuan Ningxia 750004,China
关键词:
基层医疗机构; 卫生资源配置; 耦合协调; 时空特征; 宁夏
Keywords:
primary medical institution;  health resource allocation;  coupling and coordination;  temporal and spatial characteristics;  Ningxia
分类号:
R195
文献标志码:
A
摘要:
目的： 探讨宁夏基层医疗资源供给与医疗服务利用之间的协调关系，为供给侧资源配置与结构调整提供参考。方法：以2018—2020年宁夏各地区基层医疗服务数据为基础，利用文献法、熵权法和耦合协调度模型，从时间与空间视角分析基层医疗资源供需之间的耦合协调关系。结果：宁夏基层医疗资源供需总体耦合协调度达到勉强协调等级；供需两类系统发展水平比较接近，呈现微小反向变动趋势；供需系统协调等级呈现“南高北低、中心失调”的空间格局，地区不公平程度有所降低。结论：宁夏基层医疗资源供需系统协调发展关系总体维持相对稳定，协调关系由需求滞后型转向供给滞后型，地区间供给侧调整策略仍有优化空间，应针对供给、需求滞后地区进一步调整资源配置。
Abstract:
Objective This paper explored the coordination relationship between the supply of grass-roots medical resource and the utilization of medical service in Ningxia. The conclusion could provide reference for the resource allocation on the supply side in the future. Methods The coupling and coordination relationship between the supply and demand of primary medical service was analyzed from the perspective of time and space by using literature research, entropy weight and the coupling and coordination degree model, which was based on the data of primary medical service in 2018 and 2020 in Ningxia. Results The overall coupling and coordination degree between the supply and demand of primary medical system in Ningxia reached the level of barely coordination. The development level of the supply and demand systems is relatively close, and showing a slight reverse change trend. The coupling and coordination degree between the supply and demand system presents a spatial pattern of "high in the South and low in the north, imbalance in the center", and the regional inequality has been reduced. Conclusion There is a low level of the coupling and coordination relationship between the grass-roots medical supply and demand system in Ningxia, which has remained relatively stable from 2018 to 2020. The problem of coupling and coordination relationship has shifted from the lagging demand to the lagging supply. There is still room for the regional strategy optimization on the supply side. It is suggested that the health management department should continue to balance the structural resource allocation in areas with lagging supply and lagging demand in Ningxia.

参考文献/References:

[1] 张靓，董恒进，郜琳，等.居民就诊意愿与基层医疗服务能力研究——以浙江兰溪为例[J].卫生经济研究，2016（8）：19-22.
[2] 孔祥金.医疗资源配置视角下建立分级诊疗制度的问题与障碍分析[J].医学与哲学，2018，39（3A）：66-69，77.
[3] Zhang T,Xu Y,Ren J,et al.Inequality in the distribution of health resources and health services in China:hospitals versus primary care institutions[J].Int J Equity Health,2017,16(1):42.
[4] 李丽清，周绪，赵玉兰，等.我国东中西部地区基层医疗资源配置与经济发展耦合协调关系研究[J].中国全科医学，2021，24（22）：2777-2784.
[5] 方卓君.供需视角下武汉市小城镇医疗服务设施配置优化研究[D].武汉：华中科技大学，2018.
[6] 樊立惠，蔺雪芹，王岱.北京市公共服务设施供需协调发展的时空演化特征——以教育医疗设施为例[J].人文地理，2015，30（1）：90-97.
[7] 苏源，杨静，司明舒，等.基于熵权资源分布指数的宁夏卫生资源配置研究[J].中国卫生经济，2017，36（11）：41-43.
[8] 刘璐.京津冀地区基本公共服务与经济发展协调关系研究[D].石家庄：河北师范大学，2020.
[9] 杨静.成渝城市群区域经济发展与基本公共服务水平耦合协调研究[D].成都：电子科技大学，2020.

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更新日期/Last Update: 2022-08-30