新疆医疗资源供需耦合协调发展状况及空间相关性分析OA

Objective To explore the coordinated development and spatial distribution of coupled supply and demand of healthcare resources in 14 prefectures of Xinjiang,and to provide reference for promoting balanced development of medical resources.Method On the basis of constructing the medical resources supply and demand index system,the coupled coordination degree model,relative development degree,and spatial autocorrelation and other analytical methods are comprehensively applied to examine the coupled coordination of medical resources supply and demand and the degree of spatial agglomeration of medical resources in Xinjiang's prefectures and cities in 2023.Results The overall level of coupling coordination between medical resource supply and demand in Xinjiang was relatively low,with most(12)prefectures and cities at a low level of coordination(D＜0.4),and only two at a moderate level(D≥0.4).Three regions showed synchronized development of supply and demand,seven had supply ahead of demand,and four lagged behind in supply.The Moran's I was-0.257(P=0.121,Z=-1.149),indicating a random spatial distribution of the two subsystems—supply and demand.Conclusions Medical resource supply and demand are imbalanced across Xinjiang's 14 prefectures and cities,with poor coordination,insufficient demand-side development,and weak spatial agglomeration.It is recommended to strengthen government leadership and implement macro-level regulation to restructure the system;adhere to demand-oriented strategies,leverage medical assistance programs for Xinjiang,and promote expansion and equitable allocation of high-quality medical resources;enhance resource utilization efficiency through integrated supply-demand coordination,and advance regional medical collaboration.