摘要
目的:探索医疗服务价格区域空间聚集性特征,为推进医疗服务价格区域协调、推动区域医疗服务均质化发展提供依据。方法:以长三角地区41个城市的三级医疗机构门诊诊查费为样本,运用地理信息系统进行空间可视化分析,采用空间自相关分析医疗服务价格的空间聚集性。结果:长三角地区门诊诊查费Moran’s I=0.284 (Z=3.334,P=0.000 8),具有空间正相关性。嘉兴市、绍兴市、南通市、苏州市存在高-高聚集;蚌埠市、亳州市、池州市、铜陵市、芜湖市存在低-低聚集;舟山市存在低-高聚集(P<0.05);其他地区无显著聚集现象(P>0.05)。结论:长三角地区三级医疗机构门诊诊查费存在集聚性,该地区应进一步加强区域医疗服务价格协调发展,构建合理的比价关系,推动区域卫生健康一体化进展。
Objective:To explore the regional spatial clustering of medical service prices,so as to provide references for government to promote the regional coordination of medical service price and the homogenization of cross-region medical services.Methods:Taking outpatient consultation fees of tertiary hospitals in 41 cities in the Yangtze River Delta Region as samples,the geographic information system was used for spatial visual description,and spatial autocorrelation method was adopted to analyze the spatial clustering of medical service prices.Results:For the outpatient costs in the tertiary hospital in the Yangtze River Delta Region,Global Moran’s I=0.284(Z=3.334,P=0.000 8),there was positive spatial autocorrelation.There were high-high aggregation in Jiaxing,Shaoxing in Zhejiang Province and Nantong,Suzhou in Jiangsu Province,low-low aggregation in Bengbu,Bozhou,Chizhou,Tongling and Wuhu in Anhui Province,low-high aggregation in Zhoushan in Zhejiang Province(P<0.05),and no significant aggregation in other regions(P> 0.05).Conclusion:The spatial clustering had been found in outpatient costs in the tertiary hospital in the Yangtze River Delta Region.It was recommended to strengthen the regional coordination of medical service prices,construct rational price ratio,and promote regional health integration.
作者
张晨曦
王海银
楚天舒
韩雅慧
金春林
ZHANG Chen-xi;WANG Hai-yin;CHU Tian-shu;HAN Ya-hui;JIN-Chun-lin(Weifang Medical University,Weifang,Shandong,261053,China;不详)
出处
《中国卫生经济》
北大核心
2023年第1期62-64,共3页
Chinese Health Economics
基金
上海市2021年度“科技创新行动计划”自然科学基金项目(21ZR1458800)。
关键词
医疗服务价格
空间聚集性
门诊
长三角地区
medical service price
spatial autocorrelation
Yangtze River Delta
