引用本文:李粤鑫, 陈洁婷, 刘畅, 顾敏, 王俊人, 雷晓花, 朱睿, 林皇涛, 朱泉熔, 温明月, 贾金忠.中医医师资源配置水平的区域差异及时空格局分析[J].中国卫生政策研究,2023,16(1):60-66 |
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中医医师资源配置水平的区域差异及时空格局分析 |
投稿时间:2022-10-25 修订日期:2022-12-07 PDF全文浏览 HTML全文浏览 |
李粤鑫1, 陈洁婷1, 刘畅1, 顾敏1, 王俊人2, 雷晓花1, 朱睿1, 林皇涛1, 朱泉熔3, 温明月1, 贾金忠4 |
1. 石河子大学医学院 新疆石河子 832000; 2. 北京大学医学人文学院 北京 100191; 3. 北京大学公共卫生学院 北京 100191; 4. 北京大学研究生院医学部分院 北京 100191 |
摘要:目的:分析2012年和2020年中医执业(助理)医师资源配置情况,以为政府相关部门制定策略优化中医医师资源布局提供参考。方法:综合运用自然间断点分级法、空间自相关、极差率与泰尔指数等多元方法探讨中医医师资源配置的省域分布差异、空间格局及其变动情况。结果:2012—2020年,全国中医药人员数量呈增长趋势。2020年,共有7个省份中医医师资源配置水平低于规划标准,省际空间分布格局差异明显,总体上呈现由西北至东南递减的趋势。区域间配置不均衡呈扩大趋势,资源空间聚集程度加深,配置水平高值区主要集中于华北地区的天津、河北,低值区则主要分布在华南地区的广东和广西。结论:我国中医医师资源配置水平总体空间分布差距呈扩大趋势,省际间不均衡。建议重点关注东北、西北、西南和华中地区,以及经济发达地区的劣势省份。 |
关键词:中医医师 资源配置 区域差异 时空格局 空间自相关 泰尔指数 |
基金项目:国家社会科学基金教育学重点项目(AIA210012) |
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Analyzing the regional differences and spatial-temporal pattern of resource allocation of traditional Chinese medicine physicians |
LI Yue-xin1, CHEN Jie-ting1, LIU Chang1, GU Min1, WANG Jun-ren2, LEI Xiao-hua1, ZHU Rui1, LIN Huang-tao1, ZHU Quan-rong3, WEN Ming-yue1, JIA Jin-zhong4 |
1. School of Medicine, Shihezi University, Shihezi Xinjiang 832000, China; 2. School of Medical Humanities, Peking University, Beijing 100191, China; 3. School of Public Health, Peking University, Beijing 100191, China; 4. Graduate School Health Science Center, Peking University, Beijing 100191, China |
Abstract:Objective: To analyze the resource allocation of licensed traditional Chinese medicine (TCM)(assistant) physicians in 2012 and 2020, and to provide referencestorelevant government departments for formulatingstrategies to optimize theresource allocation of TCM physicians. Methods: Multivariate methods including natural discontinuity classification, spatial auto-correlation, range rate and Theil index were used to explore the differencesin the resource allocation of TCM physicians among different provinces,as well as their spatial pattern and dynamic changes over time. Results: From 2012 to 2020, the total number of TCM employeesin China showedan increasing trend.In 2020,theresource allocation of TCM physicians was below the planning standardin seven provinces,andobvious inter-provincial differences was found in the spatial distribution pattern,manifestinga general decreasing trend from northwest to southeast.The imbalance of resource allocation among regions showed anexpanding trend, and the degree of spatial aggregation of resources showed anintensifying trend. The high-value areas of resource allocation were mainly concentrated in Tianjin and Hebei in North China, while the low-value areas were mainly distributed in Guangdong and Guangxi in South China. Conclusion: The overall spatial distribution gap of resource allocation level of TCM physiciansin China shows an expanding trend,with severe imbalance among provinces.It is suggested more attention be paidtothe northeast, northwest, southwest and central China, as well as disadvantageousprovinces in the economically developed regions. |
Key words:Traditional Chinese medicine physicians Resource allocation Regional differences Spatial-temporal patterns Spatial auto-correlation Theil Index |
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