医改进程中县级市卫生空间博弈研究

Study on the Spatial Game of Healthcare Resources in Chinese County-level Cities in Medical Reform

目的:探讨地区间空间互动对医改的推动作用。方法:选取全国2007年县级市的医院密度数据为样本,运用空间计量经济学分析方法分析影响地区医院密度的因素。结果:县级市医院密度与年末人口数、中学密度、小学密度、每平方公量GDP产值、每平方公里水果产值都相关。若周围邻近的县级市在医院密度上平均提高1%,那么,目标县级市就会提高0.249%作为回应。结论:中央政府关于医改的"顶层设计",要更多包容地方政府间的区域均衡。

Objective： To investigate the effect of local interaction on China Medical reforms. Method： Based on data of hospital density at city level in 2007, regional hospital density is calculated by applying spatial econometrics models. Result： It is shown that population, primary and secondary school, GDP density and fruit density affect the allocation of heahhcare resources. When the average hospital density of neighbors increased 1%, the hospital density of target city will increase 0.249%. Conclusion： The top level design of China medical reform should include regional balance among local govemments.