两层级公共医疗资源空间均衡性及其影响机制——以分级诊疗改革为背景

宋雪茜,邓伟,周鹏,张少尧,万将军,刘颖

Spatial equity and influences of two-level public healthcare resources:A background to hierarchical diagnosis and treatment reform in China

SONG Xueqian,DENG Wei,ZHOU Peng,ZHANG Shaoyao,WAN Jiangjun,LIU Ying

表2 两尺度两层级医疗资源莫兰指数

Tab. 2 Moran's I indexes of two-level healthcare resources on two scales

空间尺度 医疗层级 人均指标 地均指标 混合指标 全国地级 市域 上层医疗资源 基层医疗资源 0.278 (P = 0.000, Z = 23.353) 0.209 (P = 0.000, Z = 17.578) 0.192 (P = 0.000, Z = 16.257) 0.227 (P = 0.000, Z = 19.464) 0.174 (P = 0.000, Z = 14.658) 0.128 (P = 0.000, Z = 11.109) 四川县域 上层医疗资源 基层医疗资源 0.283 (P = 0.000, Z= 11.312) 0.747 (P = 0.000, Z = 29.360) 0.261 (P = 0.000, Z = 111.944) 0.321 (P = 0.000, Z = 14.698) 0.192 (P = 0.000, Z = 7.951) 0.181 (P = 0.000, Z = 7.490)