摘要
目的:探究供需匹配视角下我国基层医疗卫生机构资源的协调关系,为卫生资源向基层倾斜及促进医疗卫生资源的均衡、高效配置提供参考。方法:选取2021年基层医疗卫生机构的相关指标数据,通过熵值法、综合评价指数和相对发展度对资源供给和需求进行综合评价,运用耦合协调度模型分析基层医疗卫生机构资源的空间耦合协调关系。结果:省域间基层医疗卫生机构资源综合发展水平以及耦合协调关系均存在明显差异,山西的相对发展度最高(3.860),属于需求严重滞后,而宁夏的相对发展度最低(0.672),属于供给滞后严重;四川(0.995)的耦合协调度最高,西藏(0.100)的耦合协调度最低,按照区域划分,中部地区的平均协调度最高(0.624),东部地区次之(0.548),西部地区最低(0.461)。结论:基层医疗卫生机构资源配置和服务利用的耦合协调程度有待提高,且存在显著区域差异。
Objective:This study aims to explore the coordination relationship of garssroots medical and health institution resources in China from the perspective of supply and demand matching,so as to provide a reference for tilting health resources to the grassroots and promoting the balanced and efficient allocation of medical and health resources.Methods:The relevant index data of garssroots medical and health institutions in 2021 were selected,and the supply and demand of resources were comprehensively evaluated by entropy method,comprehensive evaluation index and relative development degree,and the spatial coupling and coordination relationship of garssroots medical and health institution resources was analyzed by using the coupling coordination degree model.Results:There were significant differences in the level of comprehensive development of garssroots medical and health institution resources and the coupling and coordination relationship between provinces.Shanxi had the highest relative development degree(3.860),which was seriously lagging behind demand.While Ningxia had the lowest relative development degree(0.672),which was seriously lagging supply,Sichuan(0.995)had the highest coupling coordination degree,Xizang(0.100)had the lowest coupling coordination degree,and according to the region,the central region had the highest average coordination degree(0.624),followed by the eastern region(0.548),and the western region had the lowest(0.461).Conclusion:The coupling and coordination degree of garssroots medical and health institution resource allocation and service utilization needs to be improved,and there are significant regional differences.
作者
姜凤
张珉
陈永成
刘玉玲
陈翠珠
JIANG Feng(School of Economics and Management,Jiangxi University of Chinese Medicine,Nanchang,Jiangxi,330004,China)
出处
《医学与社会》
北大核心
2025年第8期64-69,共6页
Medicine and Society
基金
国家自然科学基金资助项目,编号为81960616
2024年度江西省高校人文社会科学重点研究基地项目,编号为JD24044
2022年江西中医药大学虚拟教研室建设项目,编号为xnjys20220302
2023年度江西省科学教育学会在校研究生课题,编号为2023KXJYS009
2024年江西中医药大学"大学生创新创业训练计划"项目,编号为202410412254
江西省2024年度研究生创新专项资金项目,编号为YC2024-S723。
关键词
基层医疗卫生机构
资源配置
服务利用
Garssroots Medical and Health Institution
Resource Allocation
Use of Service
