摘要
目的:基于政策创新扩散理论框架,探究国家区域医疗中心扩散机制与核心影响因素,揭示其内在传播规律与关键驱动因素,为优质医疗资源的合理扩容、精准下沉及科学布局提供理论依据与实践指导。方法:基于2019—2023年我国31个省(区、市)的国家医疗中心建设相关面板数据,运用随机效应与固定效应模型进行基准回归分析,并创新性引入空间杜宾模型,挖掘优质医疗资源扩容的影响因素及内在作用机制。结果:人口老龄化程度、区域教育发展水平和医疗财政支出力度同国家区域医疗中心布局呈现显著的正向关联性,是驱动国家区域医疗中心建设的关键性战略支点。结论:为提升医疗资源配置效率并推进优质资源扩容与均衡布局,需精准对接人口结构演变带来的健康服务需求,推进国民教育质量升级,加大医疗卫生领域的财政资源配置,建立多机构协作机制,促进资源整合共享以保障医疗资源的可及性与公平性发展。
Objective:Based on the theoretical framework of policy innovation diffusion,it systermatically explores the difusion mechanism and core influencing factors of national regional medical centers,and reveals their internal diffusion laws and key driving factors,so as to provide theoretical basis and practical guidance for the rational expansion,precise sinking and scientifie layout of high-quality medical resources.Methods:Based on the panel data related to the construction of national medical centers in 31 provincial-level administrative regions of China from 2019 to 2023,the random effeet and fixed effect models were used for benchmark regression analysis,and the spatial Durbin model was innovatively introduced to explore the infuencing factors and internal mechanisms of the expansion of high-quality medical resourees.Results:The degree of population aging,the level of regional education development and the intensity of medical financial expenditure showed a significant positive correlation with the layout of national regional medical centers,which has become the key strategic fulerum driving the construction of national regional medical centers.Conclusion:In order to improwe the eficiency of medical resource allocation and promote the expansion and balanced distribution of high-quality resources,it is necessary to aceurately meet the demand for healhh services brought about by the evolution of population structure,systematically promote the upgrading of national education quality,and continue to increase the allocation of financial resouroes in the field of medical and health care,and establish a multi-institutional collaboration mechanism to promote the integration and sharing of resources to ensure the accssibility and equitable development of medical resouroes.
作者
李丽清
邱诗雅
孙克
Li Liqing;Qiu Shiya;Sun Ke(School of Economics Management and Law,Jiangxi Science and Technology Normal Univesity,Nanchang,Jiangxi,330031,China;Center for Health Poliey and Development Studies,Jiangxi Science and Technology Normnal University,Nanchang,Jiangxi,330031,China)
出处
《中国卫生经济》
北大核心
2025年第11期39-44,共6页
Chinese Health Economics
基金
国家自然科学基金项目(72364016、71964015)。
关键词
优质医疗资源
国家区域医疗中心
政策创新扩散理论
high-quality medical resources
National Regional Medical Center
policy inovation diffusion theory
