新医改前后我国城镇人均医疗保健支出空间分布变化研究

Study on the Spatial Distribution of Per Capita Health Care Expenditure in Chinese Urban Cities before and after the New Medical Reform

目的:分析新医改前后我国城镇人均医疗保健支出空间自相关性差异,为我国城镇卫生事业发展提出政策建议。方法:基于stata14.1与arcgis10.5软件,采用空间自相关分析的全局莫兰指数和局部莫兰指数,分析我国城镇人均医疗保健支出的空间相关性。结果:新医改前,我国城镇居民人均医疗保健支出年均增长率为10.08%,新医改后年均增长率为11.44%;全局莫兰指数均为正值,且具有统计学意义(P<0.01);局部空间自相关性显示,局部莫兰指数在部分地区有所上升,部分地区有所下降。结论:我国城镇人均医疗保健费用增长过快,我国31省份城镇人均医疗保健费用存在空间相关性,且新医改对不同省份间的城镇医疗保健费用支出影响不同,即各省份间的空间变化各不相同。

Objective:Analyzing the spatial autocorrelation difference in per capita health care expenditure in China’s urban before and after the new medical reform,and put forward policies or suggestions for the development of urban health in the future.Methods:Based on stata14.1 and arcgis10.5 software,we use the global and local Moran’s I of spatial autocorrelation analysis method to analyze the spatial correlation of per capita health care expenditures in China’s urban.Results:The average annual growth rate of per capita health care expenditure of urban residents in China was 10.08% before the new medical reform,and the average annual growth rate after the new medical reform was 11.44%;the global Moran’s I was positive and statistically significant(P<0.01).The local spatial autocorrelation showed that the local Moran’s I increased in some areas and decreased in some areas.Conclusion:China’s urban per capita health care expenditure has grown too fast.There is a spatial correlation between China’s 31 provinces’ urban per capita health care expenditure,and the new medical reform has different effects on urban health care expenditures among different provinces,that is,the spatial changes vary from province to province.