| 引用本文：王雨晨,杨万金,曾婧婷,等.2012—2022年中医药服务需求、资源配置与利用效率的耦合协调分析[J].中国卫生政策研究,2025,18(6):66-73 |
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| 2012—2022年中医药服务需求、资源配置与利用效率的耦合协调分析 |
| 投稿时间：2025-04-16 修订日期：2025-06-06 PDF全文浏览 HTML全文浏览 |
| 王雨晨1，杨万金1，曾婧婷1，聂瀚林2，石学峰1 |
| 1.北京中医药大学管理学院 北京 100029;2.北京中医药大学中医学院 北京 120488 |
| 摘要:目的 分析中医药服务需求、资源配置与利用效率之间的耦合协调关系及其空间相关性，为实现各省中医药系统的协调运行，促进省域间中医药事业协调发展提供理论支撑与优化策略。方法 使用2013—2017年《中国卫生和计划生育统计年鉴》、2018—2023年《中国卫生健康统计年鉴》数据，通过熵值法确立评价指标权重并计算综合得分，使用耦合协调度模型和空间计量模型分析各省中医药系统的耦合协调值及其空间相关性。结果 2022年，研究省份的平均耦合协调值为0.603，东、中、西部地区的耦合协调值分别为0.648、0.577和0.563，西部地区“失调”省份的数量最多。30个研究省份的耦合协调度存在空间集聚效应。结论 各省中医药资源配置稳中向好，但中医药服务需求与利用效率呈下降态势；耦合协调度呈“东—中—西”梯度递减，并存在显著的空间效应，应建立起区域间的中医药协同发展机制。 |
| 关键词:中医药 服务需求 资源配置 利用效率 耦合协调 空间自相关 |
| 基金项目:国家中医药管理局课题（BUCM-2023-KJ-GL-0010） |
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| Analysis on the coupling and coordination relationship between Traditional Chinese Medicine healthcare demand， resource allocation and service utilization efficiency between 2012 and 2022 |
| WANG Yu-chen1, YANG Wan-jin1, ZENG Jing-ting1, NIE Han-lin2, SHI Xue-feng1 |
| 1.School of Management， Beijing University of Chinese Medicine， Beijing 100029， China;2.School of Traditional Chinese Medicine， Beijing University of Chinese Medicine， Beijing 120488， China |
| Abstract:Objective To analyze the coupling coordination relationship and spatial correlation among the service demand， resource allocation and utilization efficiency of Traditional Chinese Medicine （TCM）， aiming to provide theoretical support and optimization strategies for achieving the coordinated operation of the TCM systems in various provinces and promoting the coordinated development of TCM in different provinces.Methods The data were collected from the China Health and Family Planning Statistical Yearbook （2013-2017） and the China Health Statistics Yearbook （2018-2023）， the entropy method was employed to determine the weight of each evaluation index within the subsystems. A coupling coordination degree model and spatial econometric model were applied to assess the coupling coordination values and spatial correlations of the TCM system across various provinces in China.Results In 2022， the national average coupling coordination degree was 0.603， with values of 0.648， 0.577， and 0.563 for the eastern， central， and western regions， respectively. The western region had the highest number of provinces classified as "disordered type". A spatial clustering effect of the coupling coordination degree across 30 provinces.Conclusions While the allocation of TCM resources has shown steady improvement， the demand for TCM services and utilization efficiency have exhibited a declining trend. The coupling coordination degree follows a decreasing gradient from east to west and exhibits significant spatial effects， a regional collaborative development mechanism for TCM should be established. |
| Key words:Traditional Chinese Medicine （TCM） Services demand Resource allocation Utilization efficiency Coupling coordination Spatial autocorrelation |
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