Article(id=1241522926093135891, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1241522919977841545, articleNumber=null, orderNo=null, doi=10.20043/j.cnki.MPM.202310335, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1697817600000, receivedDateStr=2023-10-21, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1773931731961, onlineDateStr=2026-03-19, pubDate=1710000000000, pubDateStr=2024-03-10, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1773931731961, onlineIssueDateStr=2026-03-19, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1773931731961, creator=13701087609, updateTime=1773931731961, updator=13701087609, issue=Issue{id=1241522919977841545, tenantId=1146029695717560320, journalId=1227665162245664772, year='2024', volume='51', issue='5', pageStart='769', pageEnd='960', issueExtLink='null', onlineDate='null', pubDate='null', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1773931730503, creator=13701087609, updateTime=1773931880386, updator=13701087609, preIssue=null, nextIssue=null, ext={EN=IssueExt(id=1241523548695622547, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1241522919977841545, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1241523548695622548, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1241522919977841545, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null}, startPage=871, endPage=876, ext={EN=ArticleExt(id=1241522926902636596, articleId=1241522926093135891, tenantId=1146029695717560320, journalId=1227665162245664772, language=EN, title=Spatial distribution characteristics and efficiency evaluation of resources of pension institutions in Dongguan city based on GIS and three-stage DEA model, columnId=1228016567846367388, journalTitle=Modern Preventive Medicine, columnName=Health Policy and Management, runingTitle=null, highlight=null, articleAbstract=
Objective To analyze the spatial distribution characteristics, efficiency, and influencing factors of pension institutions in Dongguan, so as to provide reference for optimizing the resource allocation of pension institutions in Dongguan.
Methods The resource allocation data of pension institutions in Dongguan were obtained by questionnaire survey, and the spatial distribution characteristics and efficiency of pension institutions were analyzed and evaluated based on GIS and three-stage DEA model.
Results There was a good spatial coupling between the resources of pension institutions in Dongguan and the elderly population over 60 years old; the lowest occupancy rate was 12.50%, the highest was 100.005%, and the phenomenon of “difficulty in finding a bed” and “half of the beds were vacant” coexisted. In the third stage, the average comprehensive efficiency decreased from 0.679 to 0.635, and environmental factors had a great influence on the efficiency of resource allocation in Dongguan. There were great differences in the efficiency of pension institutions in different areas. The comprehensive efficiency of urban areas was 0.784, which exceeded the average level of the whole city (0.635). The comprehensive efficiency of the eastern industrial park was only 0.439, which did not reach the average level of the whole city. The per capita regional GDP and the level of aging had a negative impact on efficiency.
Conclusion It is suggested to rationally allocate the resources of pension institutions, optimize regional development planning, promote the upgrading of institutional pension services, improve the efficiency of resource allocation, and provide improved reference scheme for improving the service level of pension institutions in Dongguan.
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目的 分析东莞市养老机构资源空间分布特征、效率及其影响因素,为优化东莞市养老机构资源配置提供参考。
方法 通过问卷调查获取东莞市养老机构资源配置数据,基于GIS和三阶段DEA模型对养老机构资源进行空间分布特征分析和效率评价。
结果 东莞市养老机构资源与60岁以上老年人口空间耦合性较好;入住率最低为12.50%,最高达100.00%,“一床难求”与“一半空置”现象并存;第三阶段综合效率均值由0.679降至0.635,环境因素对东莞市资源配置效率影响较大;各片区养老机构效率差异大,城区片区综合效率为0.784,超过全市平均水平(0.635),东部工业园片区综合效率仅为0.439,未达全市平均水平;人均地区生产总值和老龄化水平对效率具有负向影响。
结论 合理配置养老机构资源,优化区域发展规划,推动机构养老服务智慧升级,提高资源配置效率,为提升东莞市养老机构服务水平提供更完善的参考方案。
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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=Vpf4YmovfX6zh7F921EqLg==, magXml=p+O2XIk9x5daKgZURl2P9A==, pdfUrl=null, pdf=PKUbdr9v5Fga1MqjjBOM/A==, pdfFileSize=910790, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=QbvcUmCvAf+TZvbXt7abHA==, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=O7oosXrsTUxJnr0Mfri9WA==, mapNumber=null, authorCompany=null, fund=null, authors=
郭珊珊(1997—),女,硕士在读,研究方向:卫生事业管理
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Spatial distribution of the elderly population and elderly care institutions in Dongguan, figureFileSmall=cJLpX+fJCX0S889e04iumQ==, figureFileBig=5DAGJes7gJwW861H2KvJwA==, tableContent=null), ArticleFig(id=1241678324762726910, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241522926093135891, language=CN, label=图1, caption=
东莞市老年人口和养老机构空间分布, figureFileSmall=cJLpX+fJCX0S889e04iumQ==, figureFileBig=5DAGJes7gJwW861H2KvJwA==, tableContent=null), ArticleFig(id=1241678324989219335, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241522926093135891, language=EN, label=Figure 2, caption=
Spatial distribution of elderly population and number of beds in elderly care institutions in Dongguan, figureFileSmall=9HhaTjEltA//xgNQ+ENEjg==, figureFileBig=fHNxNJODy0vKiCzXS6977g==, tableContent=null), ArticleFig(id=1241678325341540877, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241522926093135891, language=CN, label=图2, caption=
东莞市老年人口和养老机构床位数空间分布, figureFileSmall=9HhaTjEltA//xgNQ+ENEjg==, figureFileBig=fHNxNJODy0vKiCzXS6977g==, tableContent=null), ArticleFig(id=1241678326218150418, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241522926093135891, language=EN, label=Figure 3, caption=
Spatial distribution of the elderly population and the occupancy rate of elderly care institutions in Dongguan, figureFileSmall=Powp+Z9Pw+MsC9sf12AhHg==, figureFileBig=vD2QtKAV2I38I3QchTYU/Q==, tableContent=null), ArticleFig(id=1241678327015068188, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241522926093135891, language=CN, label=图3, caption=
东莞市老年人口和养老机构入住率空间分布, figureFileSmall=Powp+Z9Pw+MsC9sf12AhHg==, figureFileBig=vD2QtKAV2I38I3QchTYU/Q==, tableContent=null), ArticleFig(id=1241678327711322662, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241522926093135891, language=EN, label=Table 1, caption=
Descriptive analysis of indexes and variables of three-stage DEA
, figureFileSmall=null, figureFileBig=null, tableContent=
| 分类 | 变量 | ( ) | 最小值 | 最大值 |
|---|
| 投入指标 | 床位数(张) | 180.355±149.834 | 40 | 581 |
| 职工数 | 56.387±64.089 | 10 | 304 |
| 产出指标 | 入住老人总数 | 91.548±92.950 | 11 | 417 |
| 失能半失能老人数 | 84.710±89.676 | 3 | 400 |
| 环境变量 | 人均地区生产总值(万元) | 9.797±2.590 | 5.86 | 17.60 |
| 60岁及以上老年人口占比(%) | 6.261±2.714 | 2.68 | 13.42 |
), ArticleFig(id=1241678328294330926, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241522926093135891, language=CN, label=表1, caption=
三阶段DEA各指标、变量描述性分析
, figureFileSmall=null, figureFileBig=null, tableContent=
| 分类 | 变量 | ( ) | 最小值 | 最大值 |
|---|
| 投入指标 | 床位数(张) | 180.355±149.834 | 40 | 581 |
| 职工数 | 56.387±64.089 | 10 | 304 |
| 产出指标 | 入住老人总数 | 91.548±92.950 | 11 | 417 |
| 失能半失能老人数 | 84.710±89.676 | 3 | 400 |
| 环境变量 | 人均地区生产总值(万元) | 9.797±2.590 | 5.86 | 17.60 |
| 60岁及以上老年人口占比(%) | 6.261±2.714 | 2.68 | 13.42 |
), ArticleFig(id=1241678328617292340, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241522926093135891, language=EN, label=Table 2, caption=
Spearman correlation test results of input and output indicators
, figureFileSmall=null, figureFileBig=null, tableContent=
| 指标 | 床位数 | 职工数 |
|---|
| 入住老人总数 | 0.878a | 0.872a |
| 失能半失能老人数 | 0.898a | 0.883a |
), ArticleFig(id=1241678329493901891, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241522926093135891, language=CN, label=表2, caption=
投入与产出指标的Spearman相关性检验结果
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| 指标 | 床位数 | 职工数 |
|---|
| 入住老人总数 | 0.878a | 0.872a |
| 失能半失能老人数 | 0.898a | 0.883a |
), ArticleFig(id=1241678329934303819, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241522926093135891, language=EN, label=Table 3, caption=
Comparison of resource allocation efficiency between the first stage and the third stage of elderly care institutions in Dongguan
, figureFileSmall=null, figureFileBig=null, tableContent=
| 地区 | | 第一阶段 | 第三阶段 |
|---|
| 综合效率 | 纯技术效率 | 规模效率 | 综合效率 | 纯技术效率 | 规模效率 |
|---|
| 城区片区 | 东城街道 | 0.873 | 1.000 | 0.873 | 1.000 | 1.000 | 1.000 |
| 南城街道 | 0.638 | 0.836 | 0.764 | 0.788 | 0.912 | 0.864 |
| 万江街道 | 1.000 | 1.000 | 1.000 | 1.000 | 1.000 | 1.000 |
| 莞城街道 | 0.714 | 0.849 | 0.841 | 0.887 | 0.910 | 0.974 |
| 石碣镇 | 0.635 | 0.770 | 0.824 | 0.422 | 0.828 | 0.510 |
| 高埗镇 | 0.600 | 1.000 | 0.600 | 0.462 | 1.000 | 0.462 |
| 石龙镇 | 0.638 | 0.836 | 0.764 | 0.928 | 0.994 | 0.934 |
| 均值 | 0.754 | 0.909 | 0.829 | 0.784 | 0.949 | 0.821 |
| 松山湖片区 | 茶山镇 | 0.930 | 0.940 | 0.990 | 0.788 | 1.000 | 0.788 |
| 大朗镇 | 1.000 | 1.000 | 1.000 | 0.891 | 0.975 | 0.914 |
| 大岭山镇 | 0.375 | 0.558 | 0.672 | 0.389 | 0.690 | 0.564 |
| 东坑镇 | 0.772 | 0.788 | 0.979 | 0.814 | 0.829 | 0.982 |
| 寮步镇 | 0.525 | 1.000 | 0.525 | 0.255 | 0.917 | 0.278 |
| 黄江镇 | 0.707 | 1.000 | 0.707 | 0.995 | 1.000 | 0.995 |
| 均值 | 0.718 | 0.881 | 0.812 | 0.689 | 0.902 | 0.754 |
| 东部工业园片区 | 常平镇 | 0.654 | 0.658 | 0.995 | 0.653 | 0.702 | 0.930 |
| 谢岗镇 | 0.518 | 0.671 | 0.772 | 0.482 | 0.915 | 0.527 |
| 桥头镇 | 0.830 | 1.000 | 0.830 | 0.501 | 1.000 | 0.501 |
| 横沥镇 | 0.639 | 0.754 | 0.848 | 0.426 | 0.816 | 0.522 |
| 石排镇 | 0.620 | 0.797 | 0.778 | 0.376 | 0.820 | 0.459 |
| 企石镇 | 0.281 | 0.597 | 0.471 | 0.198 | 0.815 | 0.242 |
| 均值 | 0.590 | 0.746 | 0.782 | 0.439 | 0.845 | 0.530 |
| 水乡新城片区 | 望牛墩镇 | 0.756 | 0.877 | 0.863 | 0.894 | 0.941 | 0.950 |
| 道滘镇 | 0.543 | 0.558 | 0.973 | 0.515 | 0.877 | 0.587 |
| 洪梅镇 | 0.886 | 0.888 | 0.997 | 0.944 | 1.000 | 0.944 |
| 中堂镇 | 0.564 | 0.804 | 0.701 | 0.460 | 1.000 | 0.460 |
| 均值 | 0.687 | 0.782 | 0.884 | 0.703 | 0.955 | 0.735 |
| 滨海片区 | 沙田镇 | 0.459 | 0.571 | 0.803 | 0.456 | 0.847 | 0.538 |
| 长安镇 | 0.370 | 0.870 | 0.425 | 0.231 | 0.845 | 0.273 |
| 厚街镇 | 0.868 | 0.913 | 0.951 | 0.694 | 0.882 | 0.786 |
| 虎门镇 | 0.538 | 0.550 | 0.979 | 0.501 | 0.680 | 0.736 |
| 均值 | 0.559 | 0.726 | 0.790 | 0.471 | 0.814 | 0.583 |
| 东南临深片区 | 樟木头镇 | 1.000 | 1.000 | 1.000 | 1.000 | 1.000 | 1.000 |
| 凤岗镇 | 0.595 | 0.763 | 0.780 | 0.558 | 0.834 | 0.669 |
| 塘厦镇 | 1.000 | 1.000 | 1.000 | 0.868 | 1.000 | 0.868 |
| 清溪镇 | 0.347 | 0.602 | 0.576 | 0.318 | 0.769 | 0.413 |
| 均值 | 0.736 | 0.841 | 0.839 | 0.686 | 0.901 | 0.738 |
| 全市均值 | 0.679 | 0.823 | 0.820 | 0.635 | 0.897 | 0.699 |
), ArticleFig(id=1241678330395677267, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241522926093135891, language=CN, label=表3, caption=
东莞市养老机构资源配置效率第一阶段和第三阶段对比
, figureFileSmall=null, figureFileBig=null, tableContent=
| 地区 | | 第一阶段 | 第三阶段 |
|---|
| 综合效率 | 纯技术效率 | 规模效率 | 综合效率 | 纯技术效率 | 规模效率 |
|---|
| 城区片区 | 东城街道 | 0.873 | 1.000 | 0.873 | 1.000 | 1.000 | 1.000 |
| 南城街道 | 0.638 | 0.836 | 0.764 | 0.788 | 0.912 | 0.864 |
| 万江街道 | 1.000 | 1.000 | 1.000 | 1.000 | 1.000 | 1.000 |
| 莞城街道 | 0.714 | 0.849 | 0.841 | 0.887 | 0.910 | 0.974 |
| 石碣镇 | 0.635 | 0.770 | 0.824 | 0.422 | 0.828 | 0.510 |
| 高埗镇 | 0.600 | 1.000 | 0.600 | 0.462 | 1.000 | 0.462 |
| 石龙镇 | 0.638 | 0.836 | 0.764 | 0.928 | 0.994 | 0.934 |
| 均值 | 0.754 | 0.909 | 0.829 | 0.784 | 0.949 | 0.821 |
| 松山湖片区 | 茶山镇 | 0.930 | 0.940 | 0.990 | 0.788 | 1.000 | 0.788 |
| 大朗镇 | 1.000 | 1.000 | 1.000 | 0.891 | 0.975 | 0.914 |
| 大岭山镇 | 0.375 | 0.558 | 0.672 | 0.389 | 0.690 | 0.564 |
| 东坑镇 | 0.772 | 0.788 | 0.979 | 0.814 | 0.829 | 0.982 |
| 寮步镇 | 0.525 | 1.000 | 0.525 | 0.255 | 0.917 | 0.278 |
| 黄江镇 | 0.707 | 1.000 | 0.707 | 0.995 | 1.000 | 0.995 |
| 均值 | 0.718 | 0.881 | 0.812 | 0.689 | 0.902 | 0.754 |
| 东部工业园片区 | 常平镇 | 0.654 | 0.658 | 0.995 | 0.653 | 0.702 | 0.930 |
| 谢岗镇 | 0.518 | 0.671 | 0.772 | 0.482 | 0.915 | 0.527 |
| 桥头镇 | 0.830 | 1.000 | 0.830 | 0.501 | 1.000 | 0.501 |
| 横沥镇 | 0.639 | 0.754 | 0.848 | 0.426 | 0.816 | 0.522 |
| 石排镇 | 0.620 | 0.797 | 0.778 | 0.376 | 0.820 | 0.459 |
| 企石镇 | 0.281 | 0.597 | 0.471 | 0.198 | 0.815 | 0.242 |
| 均值 | 0.590 | 0.746 | 0.782 | 0.439 | 0.845 | 0.530 |
| 水乡新城片区 | 望牛墩镇 | 0.756 | 0.877 | 0.863 | 0.894 | 0.941 | 0.950 |
| 道滘镇 | 0.543 | 0.558 | 0.973 | 0.515 | 0.877 | 0.587 |
| 洪梅镇 | 0.886 | 0.888 | 0.997 | 0.944 | 1.000 | 0.944 |
| 中堂镇 | 0.564 | 0.804 | 0.701 | 0.460 | 1.000 | 0.460 |
| 均值 | 0.687 | 0.782 | 0.884 | 0.703 | 0.955 | 0.735 |
| 滨海片区 | 沙田镇 | 0.459 | 0.571 | 0.803 | 0.456 | 0.847 | 0.538 |
| 长安镇 | 0.370 | 0.870 | 0.425 | 0.231 | 0.845 | 0.273 |
| 厚街镇 | 0.868 | 0.913 | 0.951 | 0.694 | 0.882 | 0.786 |
| 虎门镇 | 0.538 | 0.550 | 0.979 | 0.501 | 0.680 | 0.736 |
| 均值 | 0.559 | 0.726 | 0.790 | 0.471 | 0.814 | 0.583 |
| 东南临深片区 | 樟木头镇 | 1.000 | 1.000 | 1.000 | 1.000 | 1.000 | 1.000 |
| 凤岗镇 | 0.595 | 0.763 | 0.780 | 0.558 | 0.834 | 0.669 |
| 塘厦镇 | 1.000 | 1.000 | 1.000 | 0.868 | 1.000 | 0.868 |
| 清溪镇 | 0.347 | 0.602 | 0.576 | 0.318 | 0.769 | 0.413 |
| 均值 | 0.736 | 0.841 | 0.839 | 0.686 | 0.901 | 0.738 |
| 全市均值 | 0.679 | 0.823 | 0.820 | 0.635 | 0.897 | 0.699 |
), ArticleFig(id=1241678330806719067, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241522926093135891, language=EN, label=Table 4, caption=
SFA regression results of relaxation variables of investment index of elderly care institutions in Dongguan
, figureFileSmall=null, figureFileBig=null, tableContent=
| 环境变量 | 床位数 | 职工数 |
|---|
| 常数项 | -93.559a | -12.614a |
| 人均地区生产总值 | 3.382a | 1.316b |
| 60岁以上老年人口占比 | 7.472a | -0.300 |
| Sigma-squared | 3 958.719a | 387.875a |
| Gamma | 0.999a | 0.999a |
| LR | 12.338a | 23.241a |
), ArticleFig(id=1241678331066765918, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241522926093135891, language=CN, label=表4, caption=
东莞市养老机构投入指标松弛变量SFA回归结果
, figureFileSmall=null, figureFileBig=null, tableContent=
| 环境变量 | 床位数 | 职工数 |
|---|
| 常数项 | -93.559a | -12.614a |
| 人均地区生产总值 | 3.382a | 1.316b |
| 60岁以上老年人口占比 | 7.472a | -0.300 |
| Sigma-squared | 3 958.719a | 387.875a |
| Gamma | 0.999a | 0.999a |
| LR | 12.338a | 23.241a |
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