| 引用本文：严云鹰, 陈菲, 雷雪, 孙月.基于优先序的健康服务产业供给选择路径研究[J].中国卫生政策研究,2018,11(7):49-53 |
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| 基于优先序的健康服务产业供给选择路径研究 |
| 投稿时间：2017-11-02 修订日期：2018-03-02 PDF全文浏览 HTML全文浏览 |
| 严云鹰, 陈菲, 雷雪, 孙月 |
| 重庆医科大学公共卫生与管理学院 医学与社会发展研究中心 国民健康社会风险预警协同创新中心 重庆 400016 |
| 摘要:目的：为满足居民对健康服务需求的多元化趋势，基于优先序视角探寻健康服务产业供给选择路径，为政府优化健康产业结构提供思路借鉴。方法：采用自行设计的调查问卷，对全国34个城市的1 187名居民进行调查，通过卡方检验、Pearson和Spearman相关分析法进行统计分析，建立需求度与满意度二维耦合模型对供给优先顺序进行类别划分。结果：居民对健康服务产业的需求度与满意度均较高，其中居民需求度和满意度耦合值最高的是健康保障服务产业，其次是基层医疗卫生服务产业、专业公共卫生服务产业等9项产业，健康教育服务产业得分最低。结论：基于模型将11项健康服务产业亚类划分为三类供给路径。I类为最急需供给产业类型，应最优先供给；Ⅱ类为需求型供给产业类型，在条件具备的基础上应大力发展；Ⅲ类为培育型供给产业类型，需要培育市场需求后合理发展。 |
| 关键词:健康服务产业 需求度 满意度 优先序 路径选择 |
| 基金项目:重庆市渝中区科委决策咨询与管理创新项目（20170146）；重庆市社科规划重大应用项目（2017ZDYY42） |
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| Research on health service industry selection path based on the supply priority |
| YAN Yun-ying, CHEN Fei, LEI Xue, SUN Yue |
| School of Public Health and Management, Chongqing Medical University, Research Center for Medicine and Social Development, Collaborative Innovation Center of Social Risks Governance in Health, Chongqing 400016, China |
| Abstract:Objective:To meet the diversified trend of residents' demand for health services, to explore the selection of path of supply priority of health service industry, and to provide reference for the government to optimize the structure and development of health industry. Methods:Using the self-designed survey questionnaire, 1187 residents of 34 provinces and cities in China were investigated. The statistical analysis was conducted using the Chi-square test, Pearson and Spearman correlation analyses, and the supply priority was classified by the establishment of a two-dimensional coupling model of demand and satisfaction. Results:Residents' both demand and satisfaction degrees to health care industry were relatively high, and the highest coupling value among them was health insurance service industry, followed by the primary medical healthcare service industry, professional public healthcare service industry and the other nine industries come after. The lowest value was scored by the health education service industry. Conclusion:Based on the two-dimensional coupling model of demand and satisfaction, eleven sub categories of health service industries were divided into three categories of supply paths as follows:1st Category is the most urgent supply industry type and should be given highest priority to supply; 2nd Category is the demand supply industry type which is to be vigorously developed depending on the conditions; and 3rd Category is the cultivation type of supply industry which needs a reasonable type of development after market demands are cultivated. |
| Key words:Health service industry Demand degree Satisfaction degree Priority Path selection |
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