Evolution of spatial-temporal differentiation pattern and decoupling relationship between provincial health resources and medical pressure in China
10.3969/j.issn.1674-2982.2024.02.004
- VernacularTitle:我国省域卫生资源与医疗压力的时空分异格局和脱钩关系演化
- Author:
Yun-Long SUO
1
;
Qian FU
;
Zhan-Chun FENG
Author Information
1. 华中科技大学同济医学院医药卫生管理学院 湖北武汉 430030
- Keywords:
Health resources;
Medical pressure;
Spatio-temporal differentiation;
Decoupling index
- From:
Chinese Journal of Health Policy
2024;17(2):23-31
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To clarify the spatio-temporal characteristics and changing trends of provincial health resources and medical pressure,and to provide suggestions for the high-quality development of medical and health services in China.Methods:Based on the panel data of 31 provincial administrative units from 2010 to 2020,a comprehensive evaluation system of provincial health resources and medical pressure was constructed.The global entropy method and exploratory spatial analysis were used to reveal the spatio-temporal differentiation and correlation pattern,and the Tapio decoupling index was illustrated to explain the evolution characteristics and trends.Results:During the observation period,health resources and medical pressure in the vast majority of provinces in China rose steadily,with positive spatial correlation and agglomeration,and a close relationship with economic development and population demand;the mainstream decoupling state of the country shifted from a negative decoupling to a positive decoupling,with an obvious progressive decoupling trend,and the development of regional health continued to improve.Conclusions and suggestions:Provinces need to take into account the status quo of health development in their own provinces,focus on the spatio-temporal coupling of elements and structures,and optimize the structure of health resource allocation and enhance the resilience of the health system as a means of bringing into play the comparative advantages of the regional health system.
