医疗卫生服务府际与城际合作网络结构与效应测度——以京津冀区域为例

Structure and Effect Measurement of Inter-government and Inter-city Cooperation Network of Medical and Health Services:Taking Jingjinji Metropolitan Region as an Example

在基本公共服务均等化以及区域协同发展战略持续推进背景下,医疗卫生服务领域的不平等以及合作困境仍在加剧。基于府际和城际关系变量,利用社会网络分析方法可视化京津冀医疗卫生服务合作网络的结构形态,测度合作网络的结构属性与合作效果,证实京津冀区域府际网络联系较为松散,城际网络呈现积极紧密联系,并且城际政策网络与城际行动网络高度协同。从集体困境、交易成本、合作风险、合作机制以及合作收益等角度对京津冀区域医疗卫生服务合作发展给出解释和预判。

Under the background of continuous promotion of national basic public service equalization and regional coordinated development,inequality and cooperation dilemma in the field of medical and health services are still worsening.Based on the inter-government and inter-city relation variables,this paper uses social network analysis method,visualizes the structure and form of medical service cooperation network in Jingjinji Metropolitan region,and measures the structural attributes and cooperation effects of cooperation network.It is found that the inter-governmental network in Jingjinji Metropolitan region is relatively loose,the inter-city network is positively and closely linked,and the inter-city policy relationship matrix and inter-city action relationship matrix are highly synergistic.From such aspects as collective dilemma,transaction cost,cooperative risk,cooperative mechanism and cooperative benefit,explanations and predictions are given regarding medical service cooperation development in Jingjinji Metropolitan region.