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目的通过对河南省各地区卫生服务能力分析,推进河南省卫生服务能力均衡性发展。方法利用熵值法测量2014年河南省各地区的卫生服务能力分值。结果各地区卫生服务能力综合评价平均分为0.0358分,郑州市得分是固始县得分的15.02倍;地级市的主要问题是资金不足,直管县的主要问题是医疗机构不足;得分在0.04~0.05分的地区主要集中在豫西、豫北和豫东地区,0.03~0.04分的地区主要集中在豫中地区,0.02~0.03分的地区主要集中在豫南地区,0.02分以下的地区主要为省直管县。结论河南省不同地区卫生服务能力不均衡问题突出,直管县整体服务能力低于城市,地级市与省直管县存在的主要问题各具特点;相近得分地区具有一定的空间集聚性,中心城市郑州对周边地区具有辐射效应。
Objective To analyze the health service capacity of all regions in Henan Province and promote the balanced development of health service capacity in Henan Province. Methods The entropy method was used to measure the scores of health services in all regions of Henan Province in 2014. Results The comprehensive evaluation of health service capacity in different regions averaged 0.0358 points and Zhengzhou City was 15.02 times of that of Gushi County. The main problem in prefecture-level cities was the lack of funds. The main problem in straight-line counties was the lack of medical institutions. The score was 0.04 ~ 0.05 points are mainly concentrated in the areas of western Henan, northern Henan and eastern Henan. The areas of 0.03 to 0.04 are mainly concentrated in the area of Central Henan, while the areas of 0.02 to 0.03 are mainly concentrated in the south of Henan. The areas below 0.02 are mainly For the province straight tube county. Conclusion The imbalance of health service capacity in different regions of Henan Province is outstanding. The main problems existing in the cities directly under the jurisdiction of counties are lower than those of cities, prefecture-level cities and provincial cities directly under the jurisdiction of counties. There are certain spatial agglomerations in the similar areas, The city of Zhengzhou has a radiation effect on the surrounding area.