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Alternative TitleSpatial equity and influences of two-level public healthcare resources: A background to hierarchical diagnosis and treatment reform in China
宋雪茜1; 邓伟2,3; 周鹏2,3; 张少尧2,3; 万将军2,3; 刘颖2,3
Source Publication地理学报
Contribution Rank2
Other AbstractIn present-day China, the unequal distribution of public healthcare resources across different levels and regions is problematic. Hierarchical diagnosis and treatment (HDT) reform is of great significance for optimising the distribution of healthcare resources and promoting fairness across health services. In this study, exploratory spatial data analysis (ESDA) was applied to evaluate spatial patterns at the lower and upper levels of healthcare resources. The Geodetector model was used to analyse the influences of the healthcare system at the municipal and county levels during 2015. The results show that there is significant spatial clustering in the distribution of the two-level healthcare resources. Influences on upper-level healthcare resources are more significant than those on lower levels. The dominant influencing factors of the two-level healthcare resources differ across spatial scales and regions. In terms of upperlevel healthcare resources, urbanisation, population density and the level of economic development are the dominant global factors, in addition to the regional factors of population aging, topography and the morbidity of epidemic and endemic diseases. In the case of lowerlevel healthcare resources, urbanisation is an important influencing factor, while economic development, population aging and morbidity have local effects. Ultimately, population density was the dominant factor. Finally, this paper suggests that, aiming for HDT reform, decision makers should allocate healthcare resources among different regions and levels in consideration of relevant global and local factors, united and targeted policies, and top-down and bottom-up decision-making mechanisms. This could promote the overall function of the healthcare system and enhance the equity and coordination of multi-level healthcare resources.
Keyword公共医疗资源 分级诊疗 空间均衡 地理探测器 中国
Indexed ByEI ; CSCD
EI Accession NumberAccession number: 20193407357462
Citation statistics
Cited Times:7[CSCD]   [CSCD Record]
Document Type期刊论文
Corresponding Author邓伟
Corresponding Author Affilication中国科学院水利部成都山地灾害与环境研究所
Recommended Citation
GB/T 7714
宋雪茜,邓伟,周鹏,等. 两层级公共医疗资源空间均衡性及其影响机制--以分级诊疗改革为背景[J]. 地理学报,2019,74(6):1178-1189.
APA 宋雪茜,邓伟,周鹏,张少尧,万将军,&刘颖.(2019).两层级公共医疗资源空间均衡性及其影响机制--以分级诊疗改革为背景.地理学报,74(6),1178-1189.
MLA 宋雪茜,et al."两层级公共医疗资源空间均衡性及其影响机制--以分级诊疗改革为背景".地理学报 74.6(2019):1178-1189.
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