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目的:对广东省21个地级市的医疗资源空间集聚特征进行分析,为促进广东省各区域医疗资源的合理配置提供参考。方法:从医疗人力资源、医疗服务设施和医疗业务效益3个方面共10个指标构建广东省医疗资源集聚特征评价指标体系,利用熵权TOPSIS法确定各指标权重和医疗资源集聚水平,同时借助GIS技术分析广东省各区域医疗资源的空间差异。结果:万元以上设备、房屋建筑面积和执业(助理)医师指标对广东省医疗资源集聚水平有重要影响;广州和深圳的医疗资源集聚水平超过0.6,汕尾、云浮、阳江、河源和潮州的医疗资源集聚水平低于0.1;珠三角地区的医疗资源集聚水平高于粤东、粤西和粤北地区。结论:广东省医疗资源集聚水平呈现出两极分化和区域差距的特征,提出应制定科学的区域卫生规划、加强卫生人力资源培养和放宽医疗卫生机构准入门槛,以缩小地区卫生资源差异。
OBJECTIVE: To analyze the spatial agglomeration characteristics of medical resources in 21 prefecture-level cities in Guangdong Province, and provide references for the rational allocation of medical resources in various regions of Guangdong Province. Methods: To construct the evaluation index system of medical resources agglomeration characteristics in Guangdong Province from 10 indexes including medical human resources, medical service facilities and medical service benefits, and to determine the weight of each index and the level of medical resources agglomeration by using entropy TOPSIS method. At the same time, Technical Analysis of Spatial Differences of Medical Resources in Various Regions of Guangdong Province. Results: The equipment with a building area of more than RMB10,000 and physicians practicing (assistant) had a significant impact on the level of agglomeration of medical resources in Guangdong Province. The concentration of medical resources in Guangzhou and Shenzhen exceeded 0.6, and medical care in Shanwei, Yunfu, Yangjiang, Heyuan and Chaozhou The level of agglomeration of resources is lower than 0.1. The level of agglomeration of medical resources in the PRD is higher than that in eastern Guangdong, western Guangdong and northern Guangdong. Conclusion: The concentration of medical resources in Guangdong Province shows the characteristics of polarization and regional disparity. It is suggested that a scientific regional health plan should be formulated to strengthen the training of human resources for health and to relax the access threshold for medical and health institutions so as to reduce the differences in regional health resources.