基于多水平模型的卫生资源配置方法研究

发布时间：2018-11-28 11:19

【摘要】：随着社会经济的发展，人们更加关注卫生服务的公平性和有效性，它们取决与卫生资源的合理配置。如何高效科学地利用有限的卫生资源，优化卫生资源配置，促进社会经济与卫生事业协调发展，是我国当前迫切任务之一。本研究从宏观上分析探讨影响我国卫生资源配置各种因素，进一步了解我国卫生资源配置与区域人口总量、人均国内生产总值(GDP)、人口出生率等的直接、间接关系，，探索如何优化卫生资源配置，探讨有效解决问题的途径。由于医疗服务利用受医疗需要、服务供给和社会经济学因素影响,卫生服务供给在影响医疗服务利用的同时,也回受到社会经济学因素的影响。通过构建联立方程组模型，综合分析医疗服务利用、服务需要、服务供给和社会经济学因素的关系,找到了反映服务需要变量——标化人口死亡率。再用系统聚类分析方法，依据社会经济学将研究区域划分成3个层次。然后利用多水平模型,拟合服务利用与需要的关系模型,得出各市区需要变量系数。最后将需要变量系数与人口加权后,得到各个区域权重人口占总人口的比例,依此作为各区域医疗资源配置的标准和调整依据
[Abstract]:With the development of social economy, people pay more attention to the fairness and effectiveness of health services, which depend on the rational allocation of health resources. How to efficiently and scientifically utilize the limited health resources, optimize the allocation of health resources and promote the coordinated development of social economy and health undertakings is one of the urgent tasks at present in China. In this study, the factors affecting the allocation of health resources in China were analyzed from a macro perspective, and the direct and indirect relationships between the allocation of health resources and the regional population total, the per capita (GDP), population birth rate, etc., were further understood. To explore how to optimize the allocation of health resources and how to solve the problem effectively. Because the utilization of medical service is influenced by medical demand, service supply and social economic factors, health service supply is influenced by social economic factors as well as medical service utilization. By constructing the model of simultaneous equations and synthetically analyzing the relationship among the factors of medical service utilization, service demand, service supply and social economics, this paper finds out the variable reflecting service demand, which is the standardized population mortality rate. Then the study area is divided into three levels according to the social economics by the method of systematic cluster analysis. Then, the multi-level model is used to fit the relationship between service utilization and demand, and the coefficient of each urban need variable is obtained. Finally, the ratio of population to total population of each region is obtained after the coefficient of need variable and population are weighted, which is used as the standard and basis of adjustment for the allocation of medical resources in each region.
【学位授予单位】：辽宁师范大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：C81;O212.4

【共引文献】