摘要
[目的]分析河北省基层医疗卫生服务能力现状,探究提升其服务能力的实现路径,助力河北省基层医疗卫生服务高质量协同发展。[方法]基于2018-2022年河北省11个地级市的面板数据,从资源配置、服务效率、服务效果3个维度构建评价指标体系,运用熵值法对各评价指标及11个地级市基层医疗卫生服务水平进行统计测度,采用描述性统计法、核密度估计法、数据可视化方法、Dagum基尼系数及其分解法分析河北省基层医疗卫生服务水平的时空演变特征及区域差异。[结果]2018-2022年河北省基层医疗卫生服务能力整体呈上升趋势,资源配置、服务效果维度各指标综合值呈上升趋势,服务效率维度各指标综合值呈下降趋势;各区域呈现“南北高、中部低”的空间分布格局,存在明显空间不均衡现象;基层医疗卫生服务水平总体差异明显,且差异来源主要是区域间差异。[结论]河北省基层医疗卫生服务能力存在明显时空差异,从完善政策制度、优化资源配置、提高服务效率、缩小区域差异等方面,提出全面提升河北省基层医疗卫生服务水平的路径建议。
Objective To analyze the current situation of the capacity of primary medical and health services in Hebei Province,explore the realization paths for enhancing the service capacity,and contribute to the high-quality and coordinated development of primary medical and health services in Hebei Province.Methods Based on the panel data of 11 prefecture-level cities in Hebei Province from 2018 to 2022,an evaluation index system was constructed from three dimensions of resource allocation,service efficiency and service effectiveness.The entropy method was used to statistically measure evaluation indicators and the primary medical and health services level of 11 prefecture-level cities.Descriptive statistics,Kernel density estimation,data visualization,Dagum Gini coefficient and its decomposition were used to analyze the characteristics of spatial and temporal evolution and regional differences of primary medical and health services level in Hebei Province.Results From 2018 to 2022,the overall capacity of primary medical and health services in Hebei Province showed an upward trend.The comprehensive values of the indicators of resource allocation and service effectiveness showed an upward trend,and the comprehensive values of the indicators of service efficiency showed a downward trend.Each region exhibited a spatial distribution pattern of“high in the south and north,and low in the middle”,with an obvious phenomenon of spatial imbalance.The overall level of primary medical and health services varied significantly,and the differences mainly lied in inter-regional differences.Conclusions There are obvious temporal and spatial differences in the capabilities of primary medical and health services in Hebei Province.The suggestions of paths are proposed from the aspects of enhancing policy systems,optimizing resource allocation,improving service efficiency,and reducing regional differences to comprehensively improve the level of primary medical and health services in Hebei Province.
作者
赵林如
张晓义
梁亚充
殷亚萍
牛璐
ZHAO Linru;ZHANG Xiaoyi;LIANG Yachong;YIN Yaping;NIU Lu(Hebei Chest Hospital,Shijiazhuang Hebei 050041,China)
出处
《卫生软科学》
2025年第9期45-49,共5页
Soft Science of Health
基金
河北省统计科学研究计划项目(2024HL37)。
关键词
基层医疗卫生服务
指标体系
统计测度
区域差异
提升路径
primary medical and health services
index system
statistical measurement
regional differences
improvement paths
