通讯作者: 李颖, liyingccmu@126.com

DOI：10.12201/bmr.202409.00050

A study of spatial differences in the level of supply of public health resources in China and the factors affecting them

• 摘要：目的：探讨我国2012-2021年专业公共卫生资源供给水平的区域差异、空间相关性及其影响因素。方法：采用熵值法测度专业公共卫生资源供给水平综合得分，利用Dagum基尼系数法以及空间自相关模型分析供给水平的区域差异及空间相关性，结合面板数据回归模型探究影响供给水平的因素。结果：2012-2021年我国专业公共卫生资源供给水平总体呈上升趋势，但省际差异明显，呈现“ 东低西高” 的格局；区域间差异是全国供给水平不均衡的主要原因；空间自相关模型显示供给水平正相关性显著，呈现高高、低低集聚的分布特征；财政自主度的提升对专业公共卫生资源供给水平的提升有促进作用。结论：我国专业公共卫生资源供给水平应注重缩小区域间差异，改变“东低西高”的格局，促进区域内外协同发展。各地政府应提高财政自主度，根据地区实际情况决定公共卫生资源的分配和管理，从而提升专业公共卫生资源供给水平。

  关键词： 专业公共卫生资源；供给水平；区域差异；空间自相关；影响因素; ; ; ; 

   

  Abstract: Objective: To explore the regional differences, spatial correlation and influencing factors of the supply level of public health resources in China from 2012 to 2021., and to provide reference for optimising the allocation of public health resources. Methods: The entropy method was used to measure the comprehensive score of the level of supply of public health resources, and the Dagum Gini coefficient and spatial autocorrelation model were used to analyze the regional differences and spatial correlation of the supply level., and combined with the regression model of the panel data, the factors affecting the level of supply were explored. factors. Results: From 2012 to 2021, the supply level of public health resources in China showed an overall upward trend, but there were significant inter-provincial differences, presenting an east low, west high pattern. Regional disparities were the main reason for the national imbalance in supply levels. The spatial autocorrelation model showed a significant positive correlation in the supply level, with a distribution characterized by high-high and low-low agglomeration. The increase of financial autonomy has a promoting effect on the improvement of the supply level of public health resources. Conclusion: China should focus on narrowing the regional disparities in the supply level of professional public health resources, changing the pattern of east low, west high , and promoting the synergistic development within and outside the region. Local governments should increase their financial autonomy and decide on the allocation and management of public health resources according to the actual situation of the region, so as to improve the level of public health resource supply.

  Key words: public health resource; level of provision; regional differences; spatial autocorrelation; influencing factors

  提交时间：2024-09-23

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2024-05-09	bmr.202409.00050V1	下载

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