广东省医疗卫生资源空间集聚特征评价分析

发布时间：2018-06-16 13:04

  本文选题：医疗资源 + 集聚特征　； 参考：《中国卫生经济》2017年05期

【摘要】：目的:对广东省21个地级市的医疗资源空间集聚特征进行分析,为促进广东省各区域医疗资源的合理配置提供参考。方法:从医疗人力资源、医疗服务设施和医疗业务效益3个方面共10个指标构建广东省医疗资源集聚特征评价指标体系,利用熵权TOPSIS法确定各指标权重和医疗资源集聚水平,同时借助GIS技术分析广东省各区域医疗资源的空间差异。结果:万元以上设备、房屋建筑面积和执业(助理)医师指标对广东省医疗资源集聚水平有重要影响;广州和深圳的医疗资源集聚水平超过0.6,汕尾、云浮、阳江、河源和潮州的医疗资源集聚水平低于0.1;珠三角地区的医疗资源集聚水平高于粤东、粤西和粤北地区。结论:广东省医疗资源集聚水平呈现出两极分化和区域差距的特征,提出应制定科学的区域卫生规划、加强卫生人力资源培养和放宽医疗卫生机构准入门槛,以缩小地区卫生资源差异。
[Abstract]:Objective: to analyze the spatial agglomeration characteristics of medical resources in 21 prefectural cities in Guangdong Province, and to provide a reference for the rational allocation of medical resources in various regions of Guangdong Province. Methods: ten indexes including medical human resource, medical service facility and medical service benefit were used to construct the evaluation index system of medical resource agglomeration in Guangdong province. The weight of each index and the level of medical resource agglomeration were determined by entropy weight TOPSIS method. At the same time, the spatial difference of medical resources in different regions of Guangdong Province was analyzed by means of GIS technology. Results: the medical resources agglomeration level in Guangdong Province was significantly affected by the equipment above 10,000 yuan, building area and assistant physician's index, and the medical resources agglomeration level in Guangzhou and Shenzhen exceeded 0.6, Shanwei, Yunfu, Yangjiang, Shanwei, Yunfu, Yangjiang, Guangzhou and Shenzhen. The concentration level of medical resources in Heyuan and Chaozhou is lower than 0.1, while that in Pearl River Delta is higher than that in eastern Guangdong, western Guangdong and northern Guangdong. Conclusion: the level of medical resources agglomeration in Guangdong Province shows the characteristics of polarization and regional disparity. It is suggested that scientific regional health planning should be formulated, health human resource training should be strengthened and the entry threshold of medical and health institutions should be relaxed. In order to reduce the difference of regional health resources.
【作者单位】： 广州医科大学卫生管理学院;南方医科大学人文与管理学院;
【基金】：国家自然科学基金青年科学基金项目(71503057) 广东省自然科学基金项目(2015A030310475) 广东省医学科研基金项目(B2014187)
【分类号】：R197.1
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本文编号：2026800