Article(id=1240738484835643396, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1240738480549065614, articleNumber=null, orderNo=null, doi=10.20043/j.cnki.MPM.202408408, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1724342400000, receivedDateStr=2024-08-23, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1773744706591, onlineDateStr=2026-03-17, pubDate=1746806400000, pubDateStr=2025-05-10, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1773744706591, onlineIssueDateStr=2026-03-17, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1773744706591, creator=13701087609, updateTime=1773744706591, updator=13701087609, issue=Issue{id=1240738480549065614, tenantId=1146029695717560320, journalId=1227665162245664772, year='2025', volume='52', issue='9', pageStart='1537', pageEnd='1728', issueExtLink='null', onlineDate='null', pubDate='null', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1773744705569, creator=13701087609, updateTime=1773744787657, updator=13701087609, preIssue=null, nextIssue=null, ext={EN=IssueExt(id=1240738824918192654, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1240738480549065614, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1240738824922386959, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1240738480549065614, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null}, startPage=1642, endPage=1647, ext={EN=ArticleExt(id=1240738485213130781, articleId=1240738484835643396, tenantId=1146029695717560320, journalId=1227665162245664772, language=EN, title=Research on the regional balance and temporal evolution characteristics of rehabilitation department bed resources in Chinese hospitals, columnId=1228016567846367388, journalTitle=Modern Preventive Medicine, columnName=Health Policy and Management, runingTitle=null, highlight=null, articleAbstract=
Objective To evaluate the balance of bed allocation in hospital rehabilitation departments across different regions of China, providing policy recommendations for establishing a rehabilitation health service system that aligns with socioeconomic development and public health needs.
Methods The number of rehabilitation department beds in hospitals across 31 provinces from 2012 to 2021 was selected. The Dagum Gini coefficient, concentration degree, and kernel density estimation methods were employed to measure the balance of bed allocation and analyze its temporal and spatial evolution characteristics.
Results From 2012 to 2021, the total number of rehabilitation department beds in Chinese hospitals increased by 196 120, with a growth rate of 270%. The concentration matching levels among provinces gradually narrowed, although there remained significant interprovincial allocation disparities within regions. The density estimation curve indicated a polarization phenomenon in the central region. The Dagum Gini coefficient results revealed that the differences in balance primarily stemmed from the contribution rates between regions, with the contribution rate within regions rising annually from 28.84% to 30.06% by 2021.
Conclusion The balance of rehabilitation department bed resource allocation in Chinese hospitals improved from 2012 to 2021,with significant impacts from both interregional and intraregional allocation disparities on overall balance. Therefore, it is recommended to scientifically plan the number of rehabilitation department beds in hospitals across regions, enhance the regional bed coordination and sharing mechanism through information technology, and optimize resource allocation patterns.Additionally, further coordinated efforts should be made to promote balanced bed distribution through targeted assistance and optimizing total capacity, thereby better meeting the health service needs of the public.
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目的 评价我国各区域医院康复科床位配置的均衡程度,为建立与社会经济发展和人民健康需求更相适应的康复卫生服务体系提供政策建议。
方法 选取2012—2021年我国31个省份的医院康复科床位数量,采用Dagum基尼系数、集聚度、核密度估计等方法,测度我国医院康复科床位配置的均衡性并分析其时空演化特征。
结果 2012—2021年,我国医院康复科床位数共计增加196 120张,增幅达270%。各省份间的集聚度匹配水平逐步缩小,但地区内省际配置差异较大。密度估计曲线显示,中部地区出现多极化现象。Dagum基尼系数结果表明均衡性差异主要来源于区域间的贡献率,且区域内的贡献率的逐年上升,由28.84%上升至2021年的30.06%。
结论 2012—2021年我国医院康复科床位资源配置的均衡性得到改善,区域间和区域内的配置差异对均衡性有显著的影响。因此,建议科学规划各地医院康复科床位数量,借助信息化建设完善区域床位协调共享机制,优化资源配置格局;通过对口帮扶、盘活总量等方式进一步统筹推进床位的均衡化布局,更好地满足人民群众的健康服务需求。
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本刊刊出的所有文章不代表中华预防医学会和本刊编委会的观点,除非特别声明。, copyrightOwner=中华预防医学会和四川大学华西公共卫生学院, extLink=null, articleAbsUrl=null, sourceXml=Ry47aUot0JY0O7SybTRTmw==, magXml=wr9sBzsCEWDsQ4md17FYjQ==, pdfUrl=null, pdf=t1ZgTHLMhE6grjND+6rY2g==, pdfFileSize=865309, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=OdsvagMfCMgx4w2eP5AU6g==, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=7MNOIsBMu850/5CDHvHOdg==, mapNumber=null, authorCompany=null, fund=null, authors=
朱晨婷(2000—),女,硕士在读,研究方向:卫生资源配置
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1.广西医科大学卫生与健康政策研究中心(广西高端智库建设培育单位),广西 南宁 530021
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朱晨婷(2000—),女,硕士在读,研究方向:卫生资源配置
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1.广西医科大学卫生与健康政策研究中心(广西高端智库建设培育单位),广西 南宁 530021
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1.广西医科大学卫生与健康政策研究中心(广西高端智库建设培育单位),广西 南宁 530021)]), AuthorCompany(id=1241081873238118969, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240738484835643396, xref=2., ext=[AuthorCompanyExt(id=1241081873246507578, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240738484835643396, companyId=1241081873238118969, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=
2.广西医科大学信息与管理学院,广西 南宁 530021)])]), Author(id=1241081874248946317, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240738484835643396, orderNo=2, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=null, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={EN=AuthorExt(id=1241081874366386841, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240738484835643396, authorId=1241081874248946317, language=EN, stringName=Ling-bo HUANG, firstName=Ling-bo, middleName=null, lastName=HUANG, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=
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1.广西医科大学卫生与健康政策研究中心(广西高端智库建设培育单位),广西 南宁 530021
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1.广西医科大学卫生与健康政策研究中心(广西高端智库建设培育单位),广西 南宁 530021)]), AuthorCompany(id=1241081873238118969, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240738484835643396, xref=2., ext=[AuthorCompanyExt(id=1241081873246507578, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240738484835643396, companyId=1241081873238118969, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=
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1.广西医科大学卫生与健康政策研究中心(广西高端智库建设培育单位),广西 南宁 530021
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1.广西医科大学卫生与健康政策研究中心(广西高端智库建设培育单位),广西 南宁 530021)]), AuthorCompany(id=1241081873238118969, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240738484835643396, xref=2., ext=[AuthorCompanyExt(id=1241081873246507578, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240738484835643396, companyId=1241081873238118969, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=
2.广西医科大学信息与管理学院,广西 南宁 530021)])], figs=[ArticleFig(id=1241081880469099367, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240738484835643396, language=EN, label=Figure 1, caption=
Heat map of the matching level of bed resource agglomeration in rehabilitation departments of hospitals in all provinces (municipalities and autonomous regions), figureFileSmall=xIqnL8qOnlI1aCkK0Mcc7A==, figureFileBig=rQDd+LgTtl5PK4+ZImvQfA==, tableContent=null), ArticleFig(id=1241081880590734193, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240738484835643396, language=CN, label=图1, caption=
全国各省(自治区、直辖市)医院康复科床位资源集聚度匹配水平结果热图, figureFileSmall=xIqnL8qOnlI1aCkK0Mcc7A==, figureFileBig=rQDd+LgTtl5PK4+ZImvQfA==, tableContent=null), ArticleFig(id=1241081880758506360, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240738484835643396, language=EN, label=Figure 2, caption=
Kernel density estimate of bed resource allocation agglomeration in national and regional hospital rehab departments, figureFileSmall=pluWm3c8LDCG6O01AhdlJw==, figureFileBig=2ZlOx7YmXV5u1CNIVviHyw==, tableContent=null), ArticleFig(id=1241081880863363966, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240738484835643396, language=CN, label=图2, caption=
全国及各地区医院康复科床位资源配置集聚度匹配水平的核密度估计图, figureFileSmall=pluWm3c8LDCG6O01AhdlJw==, figureFileBig=2ZlOx7YmXV5u1CNIVviHyw==, tableContent=null), ArticleFig(id=1241081880968221569, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240738484835643396, language=EN, label=Table 1, caption=
Distribution of resources in rehabilitation hospitals in China
, figureFileSmall=null, figureFileBig=null, tableContent=
年份 (年) | 全国 | 东部 | 中部 | 西部 |
|---|
床位数 (张) | 增长床位 数(张) | 环比增速 (%) | 床位数 (张) | 增长床位 数(张) | 环比增速 (%) | 床位数 (张) | 增长床位 数(张) | 环比增速 (%) | 床位数 (张) | 增长床位 数(张) | 环比增速 (%) |
|---|
| 2012 | 72 626 | — | — | 34 315 | — | — | 22 200 | — | — | 16 111 | — | — |
| 2013 | 90 763 | 18 137 | 25.0 | 42 646 | 8 331 | 24.3 | 27 863 | 5 663 | 25.5 | 20 254 | 4 143 | 25.7 |
| 2014 | 109 198 | 18 435 | 20.3 | 51 017 | 8 371 | 19.6 | 33 974 | 6 111 | 21.9 | 24 207 | 3 953 | 19.5 |
| 2015 | 129 275 | 20 077 | 18.4 | 58 897 | 7 880 | 15.4 | 41 572 | 7 598 | 22.4 | 28 806 | 4 599 | 19.0 |
| 2016 | 149 016 | 19 741 | 15.3 | 70 012 | 11 115 | 18.9 | 44 924 | 3 352 | 8.1 | 34 080 | 5 274 | 18.3 |
| 2017 | 175 747 | 26 731 | 17.9 | 82 091 | 12 079 | 17.3 | 50 288 | 5 364 | 11.9 | 43 368 | 9 288 | 27.3 |
| 2018 | 201 481 | 25 734 | 14.6 | 93 957 | 11 866 | 14.5 | 59 810 | 9 522 | 18.9 | 47 714 | 4 346 | 10.0 |
| 2019 | 223 505 | 22 024 | 10.9 | 104 724 | 10 767 | 11.5 | 66 537 | 6 727 | 11.2 | 52 244 | 4 530 | 9.5 |
| 2020 | 246 907 | 23 402 | 10.5 | 113 071 | 8 347 | 8.0 | 77 377 | 10 840 | 16.3 | 56 459 | 4 215 | 8.1 |
| 2021 | 268 746 | 21 839 | 8.9 | 119 744 | 6 673 | 5.9 | 85 908 | 8 531 | 11.0 | 63 094 | 6 635 | 11.8 |
), ArticleFig(id=1241081881081467780, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240738484835643396, language=CN, label=表1, caption=
我国医院康复科床位资源配置现状
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年份 (年) | 全国 | 东部 | 中部 | 西部 |
|---|
床位数 (张) | 增长床位 数(张) | 环比增速 (%) | 床位数 (张) | 增长床位 数(张) | 环比增速 (%) | 床位数 (张) | 增长床位 数(张) | 环比增速 (%) | 床位数 (张) | 增长床位 数(张) | 环比增速 (%) |
|---|
| 2012 | 72 626 | — | — | 34 315 | — | — | 22 200 | — | — | 16 111 | — | — |
| 2013 | 90 763 | 18 137 | 25.0 | 42 646 | 8 331 | 24.3 | 27 863 | 5 663 | 25.5 | 20 254 | 4 143 | 25.7 |
| 2014 | 109 198 | 18 435 | 20.3 | 51 017 | 8 371 | 19.6 | 33 974 | 6 111 | 21.9 | 24 207 | 3 953 | 19.5 |
| 2015 | 129 275 | 20 077 | 18.4 | 58 897 | 7 880 | 15.4 | 41 572 | 7 598 | 22.4 | 28 806 | 4 599 | 19.0 |
| 2016 | 149 016 | 19 741 | 15.3 | 70 012 | 11 115 | 18.9 | 44 924 | 3 352 | 8.1 | 34 080 | 5 274 | 18.3 |
| 2017 | 175 747 | 26 731 | 17.9 | 82 091 | 12 079 | 17.3 | 50 288 | 5 364 | 11.9 | 43 368 | 9 288 | 27.3 |
| 2018 | 201 481 | 25 734 | 14.6 | 93 957 | 11 866 | 14.5 | 59 810 | 9 522 | 18.9 | 47 714 | 4 346 | 10.0 |
| 2019 | 223 505 | 22 024 | 10.9 | 104 724 | 10 767 | 11.5 | 66 537 | 6 727 | 11.2 | 52 244 | 4 530 | 9.5 |
| 2020 | 246 907 | 23 402 | 10.5 | 113 071 | 8 347 | 8.0 | 77 377 | 10 840 | 16.3 | 56 459 | 4 215 | 8.1 |
| 2021 | 268 746 | 21 839 | 8.9 | 119 744 | 6 673 | 5.9 | 85 908 | 8 531 | 11.0 | 63 094 | 6 635 | 11.8 |
), ArticleFig(id=1241081881194713993, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240738484835643396, language=EN, label=Table 2, caption=
Gini coefficient and its decomposition for the allocation equilibrium of bed resources in the rehabilitation departments of hospitals in China from 2012 to 2021
, figureFileSmall=null, figureFileBig=null, tableContent=
| 年份(年) | 总体基尼 系数 | 贡献率(%) | 区域内基尼系数 | 区域间基尼系数 |
|---|
| 区域内Gw | 区域间Gb | 超变密度Gt | 东部 | 中部 | 西部 | 东部&中部 | 东部&西部 | 西部&中部 |
|---|
| 2012 | 0.438 | 28.84 | 40.79 | 30.38 | 0.413 | 0.262 | 0.424 | 0.364 | 0.552 | 0.476 |
| 2013 | 0.438 | 29.30 | 40.20 | 30.50 | 0.424 | 0.274 | 0.419 | 0.374 | 0.543 | 0.465 |
| 2014 | 0.449 | 29.45 | 39.12 | 31.42 | 0.434 | 0.280 | 0.440 | 0.385 | 0.549 | 0.480 |
| 2015 | 0.447 | 29.66 | 37.53 | 32.81 | 0.430 | 0.288 | 0.453 | 0.385 | 0.541 | 0.478 |
| 2016 | 0.443 | 29.95 | 39.00 | 31.05 | 0.415 | 0.283 | 0.468 | 0.380 | 0.540 | 0.464 |
| 2017 | 0.440 | 30.71 | 36.20 | 33.10 | 0.416 | 0.296 | 0.465 | 0.388 | 0.528 | 0.443 |
| 2018 | 0.441 | 30.56 | 37.46 | 31.98 | 0.420 | 0.289 | 0.471 | 0.381 | 0.535 | 0.448 |
| 2019 | 0.438 | 30.34 | 38.46 | 31.20 | 0.425 | 0.281 | 0.451 | 0.385 | 0.534 | 0.438 |
| 2020 | 0.431 | 29.91 | 38.35 | 31.74 | 0.425 | 0.269 | 0.431 | 0.376 | 0.530 | 0.439 |
| 2021 | 0.422 | 30.06 | 36.48 | 33.47 | 0.412 | 0.273 | 0.431 | 0.365 | 0.513 | 0.437 |
), ArticleFig(id=1241081881303765907, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240738484835643396, language=CN, label=表2, caption=
2012—2021年我国医院康复科床位资源配置均衡性的基尼系数及其分解
, figureFileSmall=null, figureFileBig=null, tableContent=
| 年份(年) | 总体基尼 系数 | 贡献率(%) | 区域内基尼系数 | 区域间基尼系数 |
|---|
| 区域内Gw | 区域间Gb | 超变密度Gt | 东部 | 中部 | 西部 | 东部&中部 | 东部&西部 | 西部&中部 |
|---|
| 2012 | 0.438 | 28.84 | 40.79 | 30.38 | 0.413 | 0.262 | 0.424 | 0.364 | 0.552 | 0.476 |
| 2013 | 0.438 | 29.30 | 40.20 | 30.50 | 0.424 | 0.274 | 0.419 | 0.374 | 0.543 | 0.465 |
| 2014 | 0.449 | 29.45 | 39.12 | 31.42 | 0.434 | 0.280 | 0.440 | 0.385 | 0.549 | 0.480 |
| 2015 | 0.447 | 29.66 | 37.53 | 32.81 | 0.430 | 0.288 | 0.453 | 0.385 | 0.541 | 0.478 |
| 2016 | 0.443 | 29.95 | 39.00 | 31.05 | 0.415 | 0.283 | 0.468 | 0.380 | 0.540 | 0.464 |
| 2017 | 0.440 | 30.71 | 36.20 | 33.10 | 0.416 | 0.296 | 0.465 | 0.388 | 0.528 | 0.443 |
| 2018 | 0.441 | 30.56 | 37.46 | 31.98 | 0.420 | 0.289 | 0.471 | 0.381 | 0.535 | 0.448 |
| 2019 | 0.438 | 30.34 | 38.46 | 31.20 | 0.425 | 0.281 | 0.451 | 0.385 | 0.534 | 0.438 |
| 2020 | 0.431 | 29.91 | 38.35 | 31.74 | 0.425 | 0.269 | 0.431 | 0.376 | 0.530 | 0.439 |
| 2021 | 0.422 | 30.06 | 36.48 | 33.47 | 0.412 | 0.273 | 0.431 | 0.365 | 0.513 | 0.437 |
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