| 引用本文：付媛山, 陈南希, 吴绍棠.湖北省健康发展水平评价及空间格局研究[J].中国卫生政策研究,2023,16(3):37-44 |
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| 湖北省健康发展水平评价及空间格局研究 |
| 投稿时间：2022-11-13 修订日期：2023-01-20 PDF全文浏览 HTML全文浏览 |
| 付媛山1,2, 陈南希1,2, 吴绍棠1,2 |
1. 武汉大学公共卫生学院 湖北武汉 430071;
2. 武汉大学全球健康研究中心 湖北武汉 430072 |
| 摘要:构建健康发展水平评价指标体系，采用均差法计算2020年湖北省17个地区健康发展指数进行综合评价，用空间自相关分析方法刻画湖北省健康发展水平的空间格局特征。研究发现：湖北省健康发展较高水平地区连片分布在江汉平原，水平不高地区连片分布在鄂东和鄂西北；健康环境、健康人群分别呈现“西高，中、东低”“中间高四周低”的空间分布特征，健康服务低水平地区连片分布在狭长的鄂西；健康文化、健康服务存在显著空间负相关，并分别存在高值区域的塌陷单元、低值区域的中心单元。健康人群存在显著空间正相关，局部空间的热点区域与塌陷区域并存。最后，紧扣空间格局特征，提出了湖北省区域健康平衡协调发展的对策建议。 |
| 关键词:健康发展水平 指标体系 综合评价 空间自相关 |
| 基金项目:湖北省卫生健康委项目(250071440)；湖北省自然科学基金项目(2022CFB263) |
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| Evaluation of health developmentleveland spatial pattern in Hubei Province |
| FU Yuan-shan1,2, CHEN Nan-xi1,2, WU Shao-tang1,2 |
1. School of Public Health, Wuhan University, Wuhan Hubei 430071, China;
2. Global Health Institute, Wuhan University, Wuhan Hubei 430072, China |
| Abstract:An evaluation index system for the level of health development is constructed, and the mean difference method is used to calculate the health development indexes of 17 regions in Hubei Province in 2020 for comprehensive evaluation, and the spatial auto-correlation analysis method is used to characterize the spatial pattern characteristics of the level of health development in Hubei Province. It was found that the areas with a high level of healthy development in Hubei Province are continuously distributed in the Jianghan Plain, areas with low level are distributed in the east and northwest of Hubei. The healthy environment and healthy population show the spatial distribution characteristics of “high in the west and low in the middle and the east ” and “high in the middle and low around” respectively, and areas with low level of health services are continuously distributed in the narrow western part of Hubei;. There is a significant spatial negative correlation between health culture, health services, and there are collapse units in high-value areas and central units in low-value areas respectively. There is a significant spatial positive correlation in healthy individuals, with hot spot areas of local space coexisting with collapse areas. Finally, based on the characteristics of spatial pattern, countermeasures and suggestions for the healthy and coordinated development of Hubei Province are put forward. |
| Key words:Level of health development Indicator system Comprehensive evaluation Spatial auto-correlation |
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