Abstract
Elite hospitals represent the highest level of Chinese hospitals in medical service and management, medical quality and safety, technical level and efficiency, which are also one of the important indicators reflecting high-quality medical resources in the region, and their spatial allocation is directly related to the fairness of health resource allocation. We explored the allocation pattern of high-quality resources and its influencing factors in the development of China's health system using geographic weighted regression (GWR), Multi-scale Geographically Weighted Regression (MGWR), GWR and MGWR with Spatial Autocorrelation(GWR-SAR and MGWR-SAR), spatial lag model (SLM), and spatial error model (SEM). The results of OLS regression showed that city level, number of medical colleges, urbanization rate, permanent population and GDP per capita were its significant variables. And spatial auto-correlation of elite hospitals in China is of great significance. Further, its spatial agglomeration phenomenon was confirmed through SLM and SEM. Among them, the city level is the most important factor affecting the spatial allocation of elite hospitals in China. Its action intensity shows a solid and weak mosaic trend in the Middle East, relatively concentrated in some areas with medium intensity and concentrated in the West China. Obviously, China's elite hospitals are unevenly distributed and have evident spatial heterogeneity. Therefore, we suggest that we should pay attention to the spatial governance of high-quality medical resources, attract medical elites in the region, increase investment in medical education in the scarce areas of elite hospitals and develop tele-medicine service.
Highlights
Health is the universal desire and basic needs of human beings (1)
Based on the above considerations, on the basis of using the Exploratory Spatial Data Analysis (ESDA) method to study the spatial pattern of Chinese elite hospitals, this paper focuses on the analysis of their influencing factors and spatial heterogeneity from the scale of prefectural administrative units
Spatial Allocation of Elite Hospitals in China As of December 31, 2017, a total of 705 elite hospitals had been included in the Chinese hospital ranking query system
Summary
Health is the universal desire and basic needs of human beings (1). Everyone has a healthier right (2). With the continuous improvement of people’s living standards, people’s demand for high-quality medical resources becomes more and more urgent. We focus on the top medical institution in China, namely Elite hospital (Class III C-level hospital), as the top medical institution in China, which has great strategic significance for medical and health allocation. China is pursuing the reform of the medical system (6–9). It is of great significance for achieving health equity and protecting citizens’ right to health to taking China as an example to study the spatial allocation of elite hospitals, which can provide a reference for other countries
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