Zhejiang Daxue xuebao. Lixue ban (Jan 2024)
Study on the spatio-temporal evolution characteristics and influencing factors of medical resource supply in the Yangtze River Delta region(长三角地区医疗卫生资源供给的时空演化特征及其影响因素)
Abstract
Driven by the national strategies of health China and the integrated development of the Yangtze River Delta region, the supply capacity of health care resources has become an important indicator of the equalization of regional public facilities, and public health emergencies such as the new coronavirus pneumonia epidemic have put forward higher requirements on the supply capacity of regional health care resources. In order to identify the development characteristics and influencing factors of health care resource supply capacity in Yangtze River Delta, this article constructs an analytical structure with temporal evolution, spatial differentiation and factor exploration, and adopts the methods of Thiel index, spatial autocorrelation and multi-scale geographically weighted regression to study the regional differences and influencing factors of healthcare resource supply capacity in 41 prefecture-level cities in Yangtze River Delta from 2001 to 2019. The results show that the health care resources in the Yangtze River Delta grew rapidly during the study period and the regional balance was improved; the overall pattern was consistent with the "Z" spatial structure of Yangtze River Delta; the factors affecting the health care resources supply cover social, economic and political dimensions, and there was spatial heterogeneity in the intensity of their effects. On this basis, it proposes strategies to promote the integrated development of medical services in Yangtze River Delta.(在健康中国与长三角区域一体化发展国家战略的目标驱使下，医疗卫生资源供给能力日渐成为区域公共设施均等化发展的重要指标，新型冠状病毒肺炎疫情等突发公共卫生事件对地区医疗卫生资源供给能力提出了更高的要求。为辨明长三角地区医疗卫生资源供给的发展特征与影响因素，构建了以时间演变、空间分异与因子探究为主的分析结构，采用泰尔指数、空间自相关、多尺度地理加权回归等方法，研究了2001—2019年长三角地区41个城市医疗卫生资源供给的区域差异与影响因素。结果表明，研究期内长三角地区医疗卫生资源增长迅速，区域均衡性提高；总体格局与长三角“Z”字形空间结构相吻合；医疗卫生资源供给的影响因素涵盖社会、经济与政治3个维度，且作用强度存在空间异质性。在此基础上，提出了促进长三角地区医疗服务一体化发展的对策及建议。)
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