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长三角地区医疗服务供给水平的时空差异及驱动力

Spatio-Temporal Disparity and Driving Forces of the Supply Level of Healthcare Service in the Yangtze River Delta.

机构信息

Research Institute of Central Jiangsu Development, Yangzhou University, Yangzhou, China.

College of Tourism and Culinary Science, Yangzhou University, Yangzhou, China.

出版信息

Front Public Health. 2022 Apr 21;10:863571. doi: 10.3389/fpubh.2022.863571. eCollection 2022.

Abstract

The equalization of healthcare supply is not only related to the people's need for a better life, but can also provide a strong guarantee for the high-quality and sustainable development of the Yangtze River Delta integration. By using exploratory spatial analysis techniques, this study analyzed the spatio-temporal evolution characteristics and heterogeneous influence effects of the supply level of healthcare service in the Yangtze River Delta from 2007 to 2019. It was found that the supply level of healthcare service in the Yangtze River Delta had improved significantly. The differences in the supply level of healthcare service between cities had tended to narrow without polarization, and the supply level of healthcare service generally showed a high spatial pattern in the south delta and low spatial pattern in the north delta. The higher the supply level of healthcare service was, the weaker the interannual variability was. The supply level of healthcare service in the Yangtze River Delta region presented obvious spatial association and differentiated tendency of local high and low spatial clusters. The relative length and curvature of the supply level of healthcare service in the Yangtze River Delta generally presented a spatial pattern with low values in the northeast and high values in the southwest. Population density and urban-rural income gap generally exhibited negative spatio-temporal impact on the supply level of healthcare service across most cities. On the other hand, urbanization level and per capita disposable income generally had positive spatio-temporal impact on the supply level of healthcare service across most cities. Per capita gross domestic product (GDP) showed an increasingly positive spatio-temporal impact on the supply level of healthcare service across most cities. While per capita fiscal expenditure exhibited significantly negative impact on the supply level of healthcare service across most cities in space.

摘要

医疗服务供给均等化不仅关系到人民群众对美好生活的需要,也为长三角一体化的高质量可持续发展提供了有力保障。本研究运用探索性空间分析技术,分析了 2007-2019 年长三角地区医疗服务供给水平的时空演变特征及其异质影响效应。结果表明,长三角地区医疗服务供给水平显著提高,城市间医疗服务供给水平差异呈缩小趋势而无极化,医疗服务供给水平总体呈现南高北低的空间格局。医疗服务供给水平越高,年际变化越弱。长三角地区医疗服务供给水平呈现明显的空间关联和局部高低集聚的分化趋势。长三角地区医疗服务供给水平的相对长度和曲率总体呈现出东北低、西南高的空间格局。人口密度和城乡收入差距普遍对大多数城市的医疗服务供给水平表现出负向的时空影响。另一方面,城市化水平和人均可支配收入普遍对大多数城市的医疗服务供给水平表现出正向的时空影响。人均国内生产总值(GDP)对大多数城市的医疗服务供给水平表现出越来越强的正向时空影响。而人均财政支出在空间上对大多数城市的医疗服务供给水平表现出显著的负向影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e14/9068963/c1aa4978001a/fpubh-10-863571-g0001.jpg

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