全国中医药服务能力的区域差异、动态演进及收敛性

Regional Differences,Dynamic Evolution and Convergence of Traditional Chinese Medicine Service Capacity in China

目的:分析全国中医药服务能力的空间差异、动态演进及收敛性,为相关部门制定中医药发展规划提供依据。方法:基于2012—2021年31个省份面板数据,运用Dagum基尼系数、核密度估计、马尔科夫链分析及空间收敛模型等方法进行分析。结果:2012—2021年全国中医药服务能力稳步提升;全国和西部的核密度曲线出现右拖尾现象,呈现微弱多极化趋势;各省中医药服务能力相对稳定,且具有正向溢出效应;全国和区域中医药服务能力具有不同程度的β收敛性特征。结论:继续致力于推进中医药服务能力的提升,结合地区发展差异、人口差异以及卫生需求等实际情况,制定中医药差异化发展政策,加快均衡布局;重视中医药服务能力的溢出效应,发挥高水平地区中医药服务能力的辐射作用,推动区域协同发展。

Objective To explore the spatial differences,dynamic evolution and convergence of the service capacity of traditional Chinese medicine across the country,and to provide a basis for relevant departments to formulate the development plan of traditional Chinese medicine.Methods Based on the panel data of 31 provinces from 2012 to 2021,the analysis was conducted by Dagum Gini coefficient,kernel density estimation,Markov chain analysis,and spatial convergence model.Results From 2012 to 2021,the service capacity of traditional Chinese medicine in China maintained an increasing trend.The nuclear density curves of the whole country and the western region showed a right tailed phenomenon and a weak multipolar trend.The service capacity of traditional Chinese medicine in each province was relatively stable and had a positive spillover effect.National and regional traditional Chinese medicine service capacity was characterized by varying degrees of β-convergence.Conclusion It is necessary to continue to promote the improvement of traditional Chinese medicine service capacity.Based on the actual situation of regional development differences,population differences,and health demands,differentiated development policies for traditional Chinese medicine should be formulated to accelerate balanced layout.We should attach importance to the spillover effect of traditional Chinese medicine service levels,give full play to the radiation effect of traditional Chinese medicine service capacity of high-level regions,and promote regional collaborative development.