| 乌昌地区医疗卫生资源失配度时空演化特征 |
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| 作者姓名： | 程兰花 杨德刚 |
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| 作者单位： | 1.中国科学院新疆生态与地理研究所, 乌鲁木齐 830011;2.中国科学院大学, 北京 100049 |
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| 基金项目： | 国家自然科学基金（41571159）资助 |
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| 摘 要： | 为有效整合利用乌昌地区医疗卫生资源,促进"乌昌一体化"深层次发展,从失配的角度,引入对医疗卫生资源失配度的认识,并将生态学中的健康距离模型应用到医疗卫生资源研究中。以新疆乌昌地区为研究区域,分析2005-2014年乌昌地区8个县市医疗卫生资源失配度时空演化特征及造成失配的作用机制。研究发现：2005-2014年乌昌地区医疗卫生资源失配度时序演化整体呈下降趋势且具有明显的阶段性特征,可以分为高度失配主导（2005-2006）、失配度平稳下降（2007-2009）、失配度波动下降（2010-2014）3个阶段,失配度区域差异呈扩大趋势;空间格局演化具有明显的方向性和结构性特征,整体由高度失配向适配方向发展,空间结构由"V "字形向" M"字形演化;地方经济社会发展基础（内部因素）、地方财政支出和行政能力（直接因素）和国家医疗卫生政策及宏观的区域发展战略（外部因素）相互影响,共同推动乌昌地区医疗卫生资源失配度时空演化。
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| 关 键 词： | 医疗卫生资源 乌昌地区 时空演化特征 失配度 |
| 收稿时间： | 2017-04-06 |
| 修稿时间： | 2017-06-12 |
Spatio-temporal evolution characteristics of health resources mismatch in Urumqi-Changji region |
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| Authors: | CHENG Lanhua YANG Degang |
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| Institution: | 1.Xinjiang Institute of Ecology and Geography, Chinese Academy of Sciences, Urumqi 830011, China;2.University of Chinese Academy of Sciences, Beijing 100049, China |
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| Abstract: | From the perspective of mismatch,this paper introduces the knowledge about the mismatch of health resources and uses healthy distance model in the ecology to study spatial-temporal evolution characteristics and mechanism of the mismatch of health resources in Urumqi-Changji region from 2005 to 2014 in order to make use of health resources and promote the development of Urumqi-Changji integration effectively. It is found that the mismatch degree of health resources is declining and has obvious characteristics of periodic and regional differences from 2005 to 2014. The mismatch degree can be divided into high mismatch dominated stage (2005-2006), smooth descent stage (2007-2009), and volatile descent stage (2010-2014). The differences in mismatch degree among the regions are expending during this period. The spatial pattern evolution of the mismatch has obvious directional and structural features, showing a trend from high mismatch to adaptation, and the structure evolution shows a trend from V-shaped pattern to M-shaped pattern. Local economic and social foundation (internal factors), local government fiscal spending and administrative ability (direct factors), and the national health policies and macro regional development strategies (external factors) influence each other and jointly promote the spatial-temporal evolution of health resources mismatch in Urumqi-Changji region. |
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| Keywords: | health resources Urumqi-Changji region spatio-temporal evolution characteristics mismatch degree |
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