通讯作者: 饶克勤, uab12345@qq.com

DOI：10.12201/bmr.202209.00014

Spatio-temporal evolution of the coordinated development of Eldercare resources and utilization in China: Based on a hierarchical analysis framework.

• 摘要：目的 评价我国养老资源配置与服务利用协调发展的时空演化，为制定养老资源配置决策提供参考。方法 基于机构分层分析框架，应用卫生资源密度指数、熵值法、耦合协调评价模型对2015-2020年中国31个省、市、自治区的养老机构、社区养老服务机构和设施数据进行分析，探讨养老资源配置与服务利用协调发展的时空演化特征。结果 我国养老机构和社区养老服务机构和设施的资源配置整体呈上升态势，但综合发展水平指数不高，各省市之间存在较大差异。两类机构的耦合协调度均呈东高西低的空间分布格局，且整体呈下降趋势。2020年养老机构的总耦合协调度水平略高于社区养老服务机构和设施，但后者的各省市耦合协调度平均状况优于前者，且改善情况更为明显。整体来看，两类机构的相对发展度均由资源配置滞后型向服务利用滞后型方向发展。结论 未来，在制定养老资源配置决策过程中，应关注地区老年人口数量和分布情况，提高资源配置的精准性。注重养老资源配置的地区公平性，加强区域内的资源配置规划和区域之间的资源共享。结合地区养老资源配置与服务利用的相对发展度情况，动态调整资源配置策略。

  关键词： 养老资源配置；养老服务利用；耦合协调; ; 

   

  Abstract: Objective To evaluate the spatio-temporal evolution of the coordinated development of eldercare resource and utilization in China, and to provide reference for the decision making of eldercare resource allocation. Methods Based on the hierarchical analysis framework, the health resource density index, entropy method, and coupling coordination evaluation model were used to analyze the data of eldercare institutions, community eldercare institutions and facilities in 31 provinces, municipalities and autonomous regions in China from 2015 to 2020. Results The resource allocation of eldercare institutions and community eldercare institutions and facilities in China showed an upward trend, but the comprehensive development level index was not high, and there were relatively large differences between provinces. The coupling coordination degree of the two types of institutions was in a spatial distribution pattern of high in the east and low in the west, and the overall trend was decreasing. The total coupling coordination level of eldercare institutions was slightly higher than that of community eldercare institutions and facilities, but the latter had a better average condition across provinces than the former, and the improvement was more obvious. The relative development degrees of two types of institutions has developed from a resource-allocation-lag type to a service-utilization-lag type. Conclusion In the future, in the process of making eldercare resource allocation decisions, attention should be paid to the number and distribution of the regional elderly population to improve the accuracy of resource allocation. Furthermore, it is necessary to focus on the regional fairness of eldercare resource allocation. Based on the relative development of regional eldercare resource and service utilization, the resource allocation strategy should be dynamically adjusted.

  Key words: eldercare resource allocation; eldercare service utilization; coupling coordinative

  提交时间：2022-09-19

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• 序号	提交日期	编号	操作
  1	2022-05-05	bmr.202209.00014V1	下载

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