| 引用本文：郭莉娜,郗月明,朱玉,等.医疗服务供给—经济—社会三系统协同发展研究——基于浙江共同富裕示范区的分析[J].中国卫生政策研究,2025,18(2):30-38 |
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| 医疗服务供给—经济—社会三系统协同发展研究——基于浙江共同富裕示范区的分析 |
| 投稿时间：2025-01-14 PDF全文浏览 HTML全文浏览 |
| 郭莉娜,郗月明,朱玉,秦上人 |
| 杭州师范大学公共管理学院 浙江杭州 311121 |
| 摘要:目的:探索浙江共同富裕示范区医疗服务供给—经济—社会三系统协调发展状况,为制定三系统高效协调发展政策提供参考。方法:基于2013—2022年面板数据,对浙江省11个地市开展研究。首先,构建医疗服务供给—经济—社会三系统评价指标体系,使用熵值法确定各指标权重,并计算综合评价指数。其次,引入三角模型刻画三系统间相对关系,并采用耦合协调度模型揭示三系统协调程度。最后,用空间自相关分析法探究三系统耦合协调度的空间自相关。结果:(1)整体上三系统发展状况随时间改善,但综合发展水平有待提高。(2)各地市在整体上均从医疗服务供给—社会主导向医疗服务供给—经济—社会三系统均衡协调发展过渡。三系统耦合协调度从2013的0.468(濒临失调)到2022年的0.609(初级协调),总体呈现上升态势,但协调水平有待提高且地区间存在不均衡现象。(3)浙江省三系统耦合协调度具有显著的正空间相关性,且空间分布特征较稳定。结论:浙江省医疗服务供给—经济—社会三系统耦合协调度有待进一步提升,浙江省应提供良好的政策支持,合理规划医疗资源布局,推动经济社会高质量发展。各地级市要结合自身发展水平,因地制宜制定医疗服务供给、经济、社会发展策略,加强地市间联动合作,进而提升三系统协调发展水平。 |
| 关键词:医疗服务供给 耦合协调 熵值法 三角模型 空间自相关 |
| 基金项目:国家社科基金一般项目(23BGL286) |
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| Research on coordinated development of medical service supply-economic-social tri-system:Based on the analysis of Zhejiang Common Prosperity Demonstration Zone |
| GUO Li-na, XI Yue-ming, ZHU Yu, QIN Shang-ren |
| School of Public Administration, Hangzhou Normal University, Hangzhou Zhejiang 311121, China |
| Abstract:Objective:To explore the coordinated development status of the medical service supply-economy-society trinity systems in Zhejiang Common Prosperity Demonstration Zone, and to offer references for formulating policies conducive to the efficient and coordinated development of these three systems. Methods:Based on the panel data from 2013 to 2022, this research was conducted on the 11 prefectural-level cities in Zhejiang Province. Firstly, an evaluation index system for the three systems was established, and the entropy method was employed to determine the weights of each index and calculate the comprehensive evaluation index. Secondly, a triangular model was introduced to delineate the relative relationships among the three systems, and the coupling coordination degree model was utilized to disclose the coordination degree of the three systems. Finally, the spatial autocorrelation analysis method was applied to investigate the spatial autocorrelation of the coupling coordination degree of the three systems. Results:(1) On the whole, the development status of the three systems has improved over time, yet the comprehensive development level remains to be improved. (2) Overall, each prefectural-level city has transited from a medical service supply-society-dominated development to a balanced and coordinated development of the medical service supply-economy-society trinity systems. The coupling coordination degree of the three systems has risen from 0.468 (on the verge of imbalance) in 2013 to 0.609 (primary coordination) in 2022, presenting an upward trend in general. However, the coordination level remains to be improved and there exist imbalances among regions. (3) The coupling coordination degree of the three systems in Zhejiang Province exhibits a significant positive spatial correlation, and the spatial distribution characteristics are relatively stable. Conclusion:The coupling coordination degree of the medical service supply-economy-society trinity systems in Zhejiang Province awaits further enhancement. At the level of Zhejiang Province, favorable policy support should be provided,the layout of medical resources should be rationally planned, and high-quality economic and social development should be promoted. Each prefectural-level city should formulate strategies for medical service supply, economic, and social development in accordance with its own development level and local conditions, strengthen inter-city linkage and cooperation, and thereby elevate the coordinated development level of the three systems. |
| Key words:Medical service delivery Coupling coordination Entropy method Triangular model Spatial autocorrelation |
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