卫生健康现代化发展的多维测度、空间差异及收敛分析

Multidimensional Measurement,Spatial Difference and Convergence Analysis of Health Modernization Development

目的:聚焦“健康中国”战略核心目标,测度2018~2022年31个省份的卫生健康现代化水平。方法:借助层次分析法构建“卫生健康事业现代化评价指标体系”,分别采用空间自相关、泰尔指数和绝对β收敛等方法探索全国及东、中、西部地区卫生健康现代化水平的时空格局、区域差异及收敛性特征。结果:卫生健康现代化水平展现出明显稳定性与波动性上升的复合特征;不存在显著的空间自相关性,呈现随机分布的地理格局;总体差异显著且区域内差异为主要来源;存在绝对β收敛,且中部表现出更迅速的收敛趋势。结论:现代化进程的深入将逐步消弭空间差异,展现出卫生健康现代化的内在统一性与均衡化趋势。

Objective To concentrate on the fundamental objectives of the"Healthy China"strategy,and assess the level of healthcare modernization in 31 provinces from 2018 to 2022.Methods An evaluation index system for health and healthcare modernization was established by using the analytic hierarchy process(AHP).Spatial auto-correlation,Theil index,and absolute beta convergence analysis were employed to investigate the spatial pattern,regional disparities,and convergence characteristics of health and healthcare modernization at national and eastern,central,and western regional levels.Results The level of health and healthcare modernization demonstrated a composite feature characterized by significant stability with a fluctuating upward trend.There was no significant spatial auto-correlation.Instead,a random geographic distribution pattern was identified.Overall,substantial differences were detected with intra-regional variances being the primary source.Absolute beta convergence was evident with the central region displaying a more rapid convergence trend.Conclusion The ongoing process of modernization will gradually mitigate the spatial disparities,while revealing an inherent unity and balanced trend in health and healthcare modernization.