广东省医疗资源供给与利用耦合协调度分析

Analysis of coupling coordination degree between supply and utilization of medical resources in Guangdong Province

目的 对比分析广东省5年来医疗资源供给与利用的耦合协调性及其变化,为广东优化资源供给与空间布局、促进供给与利用协调发展提供理论支撑。方法 通过耦合协调模型以及GIS空间分析对2018年至2022年广东省21个地市的医疗资源供给与利用水平进行分析。结果 广东省医疗资源供给综合水平从0.37上升至0.45,医疗资源利用综合水平由0.48下降至0.39。2018年与2022年医疗资源供给与利用子系统均处于高水平耦合状态,均值分别为0.97和0.96;但耦合协调度均值变化不大,分别为0.64和0.63,处于中度协调状态,呈现西高东低、北高南低趋势,具有空间聚集性。结论 广东省医疗资源供给与利用2个子系统耦合协调程度不高且区域差异明显,在制定优化医疗资源布局政策时,应注重2系统协同发展,依据各地市不同的耦合协调程度与滞后类型、着眼地区的异质性提出相应策略,同时借助粤港澳大湾区优势,加强区域间的合作,实现各地区的资源优化配置。

Objective To analyze the coupling coordination of medical resources supply and utilization in Guangdong Province in the past five years,and to provide theoretical support for optimizing resources supply and spatial distribution and promoting the coordinated development of supply and utilization in Guangdong Province.Methods The supply and utilization level of medical resources in 21 cities in Guangdong Province in 2018 and 2022 were analyzed by coupling coordination model and GIS spatial analysis.Results The comprehensive level of medical resource supply in Guangdong Province increased from 0.37 to 0.45,and the comprehensive level of utilization decreased from 0.48 to 0.39.In 2018 and 2022,the medical resources supply subsystem and utilization subsystem were in a high-level coupling state,with the mean values of 0.97 and 0.96,respectively.However,the mean values of the coupling coordination degree did not change much in the past five years,0.64 and 0.63 respectively,and were in a moderate coordination state,showing a trend of high in the west and low in the east,and high in the north and low in the south,with spatial aggregation.Conclusion The coupling coordination degree between medical resource supply and utilization is not high,and the regional differences are obvious.In formulating policies to optimize the distribution of medical resources,attention should be paid to the coordinated development of the two subsystems,and corresponding strategies should be proposed according to the different coupling coordination degrees and lagging types of different cities and regional heterogeneity.At the same time,the advantages of the Guangdong-Hong Kong-Macao Greater Bay Area should be taken into account to strengthen inter-regional cooperation and realize the optimal allocation of resources in different regions.