摘要
目的分析我国西部大开发项目中的12个省(自治区、直辖市)的医疗卫生资源空间集聚特征,为推进西部地区医疗卫生资源配置均衡化、公平化提供借鉴思路。方法构建西部地区医疗卫生资源集聚特征评价指标体系,运用熵权TOPSIS法确定各项指标的权重并对医疗卫生资源集聚水平进行评价,并利用GIS技术分析西部地区不同省(自治区、直辖市)医疗卫生资源的空间差异。结果医疗机构投入、医疗卫生机构和医疗机构收入的熵权值排名前三,分别为16.442、14.611和14.483,对西部地区医疗卫生资源集聚水平影响显著;在综合医疗卫生资源集聚水平方面,西南地区的集聚水平为1,西北地区的集聚水平为0,西南地区高于西北地区。结论西部地区医疗卫生资源集聚水平表现出两极分化的特点,存在较大的区域差异。
Objective To analyze the spatial agglomeration characteristics of medical and health resources in 12 provinces(municipalities,autonomous regions)in the western development project of China,and to provide reference for promoting the balanced and fair allocation of medical and health resources in the western region.Methods The evaluation index system of medical and health resource agglomeration characteristics in Western China was constructed,the entropy-weighted TOPSIS method was used to determine the weight of each index and to evaluate the level of medical and health resource agglomeration,and GIS technology was used to analyze the spatial differences in medical and health resources among different provinces(municipalities,autonomous regions)in Western China.Results The entropy weights of medical institution input,medical and health institutions and medical institution income ranked the top three,which were 16.442,14.611 and 14.483,respectively.They had a significant impact on the concentration of medical and health resources in Western China.In terms of the agglomeration level of comprehensive medical and health resources,the agglomeration level of Southwest China was higher than that of Northwest China(1 vs.0).Conclusions The agglomeration of medical and health resources in Western China shows a characteristic of polarization,and there are great regional disparities.
作者
杨风
陈敏
杨婧
邓维健
朱俊敏
YANG Feng;CHEN Min;YANG Jing;DENG Weijian;ZHU Junmin(School of Humanities and Management,Guilin Medical University,Guilin,Guangxi Zhuang Autonomous Region 541199,China;不详)
出处
《中国农村卫生事业管理》
2025年第3期202-207,共6页
Chinese Rural Health Service Administration
基金
国家自然科学基金项目(71864009)
广西高校人文社科重点研究基地健康与经济社会发展研究中心开放课题(2022RWB08)
广西“社会医学与卫生事业管理”八桂学者经费资助(2020GXWFSAA57146)。
关键词
熵权TOPSIS法
ArcGIS技术
集聚特征
医疗卫生资源
西部地区
卫生资源配置
Entropy-weighted TOPSIS method
ArcGIS technology
Agglomeration characteristics
Medical and health resources
Western China
Allocation of health resources
