老龄化视角下粤港澳大湾区珠三角九市医疗资源分布合理性研究OA

Objective To study the rationality of medical resources distribution among the nine pearl river delta cities in the Guangdong-Hong Kong-Macao Greater Bay Area from the perspective of aging.Methods The study firstly selected indicators to measure the regional medical resources and the degree of aging,such as the number of hospitals per thousand people,the total number of beds per thousand people,the number of beds per thousand people,the number of hospitals per thousand people,the number of tertiary hospitals per thousand people,the number of practicing(assistant)physicians per thousand people,the number of registered nurses per thousand people,the number of practicing(assistant)physicians per thousand people,the number of registered nurses per thousand people,the number of registered nurses per thousand people,the health care expenditure per thousand people,the population over 60 years old and the proportion of the population over 65 years old,to study the distribution of medical resources and the distribution characteristics of aging degree.Spearman rank correlation coefficient was used to analyze the correlation degree and direction of the above two aspects,and to judge the rationality of the distribution of medical resources.Results The extreme value ratios of the nine indicators for measuring the medical resources of the nine cities in the Guangdong-Hong Kong-Macao Greater Bay Area were all higher than 1.5,and there were 5 indicators higher than the average number of cities less than 4(excluding 4).There were 7 indicators with the highest value city being Guangzhou.Among the two indicators for measuring aging,the extreme value ratios were 3.41 and 4.04,respectively,which were higher than the average number of cities 3.In addition to the positive correlation between the total number of beds per thousand health institutions and the degree of regional aging,there is no statistically significant correlation between other statistical indicators of medical resources and the degree of regional aging,and there is no significant evidence that the distribution of medical resources matches the distribution of aging.Conclusion The concentration of medical resources distribution in the nine pearl river delta cities of the Guangdong-Hong Kong-Macao Greater Bay Area is relatively obvious,and the dominant cities are relatively leading in many aspects;the distribution concentration of aging degree in the nine pearl river delta cities is more obvious.The supply and demand of medical resources have formed a certain mismatch between regions.It is suggested to realize the rational distribution of medical resources by strengthening the allocation of medical resources in areas with a high degree of population aging and the construction of medical resource sharing mechanism in different regions.