“十五”期间中国地区人均卫生消费的空间分析

The spatial research on average health consumption in China during fifteen period

目的研究中国各地区农村和城镇人均卫生消费的空间分布特征。方法以全国31个省市地区的农村和城镇人均年卫生消费数据为基础,省域为基本单元,基于探索性空间分析全局和局部空间自相关分析,从空间相互作用角度对"十五"期间全国区域经济差异的时空变化特征进行了分析。结果中国城镇的人均卫生消费在"十五"期间空间聚集性并不是很突出,但存在进一步加剧的趋势;而农村的空间聚集性则明显降低;局部相关系数与人均卫生消费支出呈正相关。结论农村合作医疗制度的推行和中西部地区开发力度的增加,使得近几年农村卫生发展的不平衡得到了较大改善,而城镇医疗改革的相对滞后和区域经济发展的不平衡,使地区差异有进一步拉大的趋势。

Objective To study the spatial distribution of per capita health expenditure in urban and rural areas of China. Methotis Based on the data of 31 provinces and cities, we made whole and spatial autocorrelation analysis and correlation analysis through ESDA. The spatial characteristics of the regional economy difference were analyzed on the aspect of spatial reciprocity during the ＂Tenth Five-Year Plan＂ period in China. Results The spatial clustering of per capita health expenditure in urban during the ＂Tenth Five-Year Plan＂ period wasn＇t quite distinct, but it might become worse. While the spatial clustering of per capita health expenditure in rural fell significantly, Partial correlation was positively correlated with per capita health expenditure. Conclusion The policies of rural cooperative medical care system and the regional development in the middle and west of China brings the improvements of imbalance of rural health development. But the urban regional difference will become more significant because of the relative delay of medical reform in urban and the imbalance of the regional economy development.