西部地区医疗投入缺口、医疗发展指数及影响因素研究

Research on the Medical Investment Gap, Medical Development Indexes and the Influencing Factors of the Western Region

目的:重点分析西部地区医疗卫生发展的影响因素并对其发展状况进行综合评价。方法:构建因子模型(FAM)及空间滞后模型(SLM),采用西部城市群省会城市医疗机构及相关卫生健康数据,提出"医疗投入缺口和医疗发展指数"的概念。结果:总体上,我国西部地区的医疗投入缺口较大,并且医疗指数处于较低水平。结论:城镇化的推进、地方财政支出的扩大、居民平均收入的提高均对医疗投入具有促进作用。西部城市群需进一步推进新型城镇化,提高医疗投入在财政支出的比例,更好地改善居民生活水平,提高医疗投入的利用效率。

Objective:To analyze the influencing factors of medical health development in western regions and to make a compre-hensive evaluation for its development status.Methods:Use the factor analysis model(FAM) and the spatial lag model(SLM) to put for-ward a new innovation concept 'medical investment gap and medical development index' via the data from medical institutions andrelated health data in western cities.Results:Generally, the gaps of medical investment in western regions were large and the medicaldevelopment indexer were at low level.Conclusion:The propulsion of urbanization, the expansion of local fiscal expenditure and theincrease of residents' average income had positive effects on medical development. It needed to push on the urbanization, raise themedical investment in the proportion of fiscal expenditure, improve the residents' living standard and increase the medical invest-ment efficiency.