中国八大综合经济区医疗卫生服务效率的区域差异与空间收敛性研究

Regional differences and spatial convergence of medical and health service efficiency in eight comprehensive economic zones of China

基于超效率SBM模型,测度2010—2019年中国八大综合经济区医疗卫生服务效率的区域差异与空间相关性特征,考察其空间收敛趋势。研究发现:其一,中国八大综合经济区医疗卫生服务效率呈现南高北低的空间格局,除南部沿海以外的七大综合经济区均呈现稳步提升趋势,总体区域差距逐渐下降。其二,中国八大综合经济区的医疗卫生服务效率具有明显的空间集聚特征,东部沿海、南部沿海和西南地区高-高集聚,而东北、黄河中游和西北地区低-低集聚;随着时间推移,高-高集聚特征加强,低-低集聚特征降低,逐渐形成了全局性以高带低的发展格局。其三,北部沿海、东部沿海、南部沿海、黄河中游、长江中游和西南六大综合经济区的医疗卫生服务效率存在显著的空间收敛特征;经济水平、财政制度、人口结构和医疗结构是影响中国八大综合经济区医疗卫生服务效率的主要因素,但不同因素对各综合经济区的影响程度各不相同。因此,应因地制宜制定医改方案,强化医疗卫生资源的合理配置,通过交流合作促进区域医疗事业协同发展。

Based on the Super-Efficiency SBM,this study measures regional differences and spatial correlation characteristics of medical and health service efficiency in China’s eight comprehensive economic zones from 2010 to 2019,and investigates its spatial convergence trend.The findings are as follows:First,the medical and health service efficiency in China’s eight comprehensive economic zones showed a spatial pattern of being higher in the south and lower in the north,and the seven comprehensive economic zones except the southern coastal areas showed a steady improvement trend,and the overall regional gap gradually decreased;Second,the medical and health service efficiency in China’s eight comprehensive economic zones has obvious spatial agglomeration characteristics,with high-high agglomeration in eastern coastal,southern coastal and southeast regions,and low-low agglomeration in northeast,middle Yellow River and northwest regions.With the passing of time,the high-high agglomeration characteristics are strengthened,and the low-low agglomeration characteristics are reduced,and the overall development pattern with high leading low is gradually formed;Third,the efficiency of medical and health services in the six comprehensive economic zones,namely,the northern coastal coast,the eastern coastal area,the southern coastal area,the middle Yellow River,the middle Yangtze River and the Southwest area,showed significant spatial convergence.Economic level,financial system,population structure and medical structure are the main factors affecting the efficiency of medical and health services in China’s eight comprehensive economic zones,but the impact of different factors on each zones,but the impact of different factors on each comprehensive economic zone is different.Therefore,we should formulate medical reform plans according to local conditions,strength the reasonable allocation of reasonable allocation of medical and health resources,and promote the coordinated development of regional medical undertakings through exchange and cooperation.