上海市不同层级医疗资源空间配置均衡性研究

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英文篇名：Study on the Equilibrium of Spatial Allocation of Medical Resources at Different Levels in Shanghai 作者：张录法 ; 李林青 英文作者：ZHANG Lufa;LI Linqing; 关键词：上海市 ; 医疗资源配置 ; 层级 ; 均衡性 ; 泰尔指数 英文关键词：Shanghai;;Medical Resource Allocation;;Hierarchy;;Balance;;Theil Index 中文刊名：CSFY 英文刊名：Urban Development Studies 机构：上海交通大学国际与公共事务学院;上海交通大学中国城市治理研究院; 出版日期：2019-06-26 出版单位：城市发展研究 年：2019 期：v.26;No.214 基金：国家社科基金项目“分级诊疗导向的纵向整合医疗服务体系研究”(17BGL185);; 国家自然科学基金项目“医保支付约束激励公立医院优化递送体系研究”(71573175);; 中国工程院咨询研究项目“养老服务供给侧结构性改革与创新研究”(2018-XY-059) 语种：中文; 页：CSFY201906018 页数：6 CN：06 ISSN：11-3504/TU 分类号：147-152

摘要

运用泰尔指数法和综合评价法,分析了新医改以来上海市不同层级医疗资源空间配置均衡性及变化状况。结果表明上海市不同层级各类医疗资源持续增长,医疗资源的供给更加充分。总体上,医疗资源的配置依然呈现"中心城区强、郊区弱"的不均衡状况,其中社区层面医疗资源配置的均衡性要高于医院层面,但由于社区层面总体上占有的医疗资源非常有限,所以该均衡处于低水平状态。基于上述分析,为进一步提高上海市不同层级医疗资源的配置均衡性,要适度的对医院有所规束,加大向基层倾斜力度,加快推进医疗资源在层级分布的均衡性;限制医备竞赛,适度增加人力资源供给;通过机制优化和技术创新,促进医疗资源的高效利用和流转。
        By using the Theil index method and the comprehensive evaluation method, this paper analyzed the equilibrium and change of the spatial allocation of medical resources at different levels in Shanghai since the new medical reform. The results show that the medical resources at different levels in Shanghai have continued to grow and the supply of medical resources is more adequate. In general, the allocation of medical resources is still unbalanced: the efficiency of resource allocation in suburbs is lower than that in urban centers. The balance of medical resource allocation at community level is better than that at hospital level. However, due to the limited medical resources occupied by the community level, it is less balanced. Based on the above analysis, in order to further improve the balance of medical resources allocation in Shanghai, it is necessary to moderately restrict hospitals, increase grass-roots support, and accelerate the balance of medical resources distribution at different levels; limit the competition of medical equipment, increase the supply of medical staff appropriately; promote the efficient utilization and circulation of medical resources through mechanism optimization and technological innovation.

引文

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