【摘要】 目的 研究我国各省（区、市）大型医用设备配置数量的空间相关特征，以期为大型医用设备的配置优化提供相关参考依据。方法 运用莫兰指数、灰色关联度等方法对我国大型医用设备配置进行空间自相关性及其影响因素分析。结果 空间自相关分析结果显示，我国大型医用设备配置在空间上呈正相关，空间集聚性显著（全局莫兰指数值为0.392,P<0.05）。各省（区、市）的地区生产总值、年末常住人口数、面积、三级医院数、医疗机构床位数、执业（助理）医师数、年出院人数的灰色关联度分别为0.913、0.919、0.745、0.883、0.907、0.929、0.880。结论 我国大型医用设备配置存在空间自相关属性，分布在京津冀、长三角与西部地区的部分省（区、市）在大型医用设备配置水平上分别形成高值聚集区与低值聚集区。同时，设备配置具有优质卫生资源集聚、面向群众需求、兼顾经济社会发展等特点，建议进一步优化设备配置空间结构，将大型医用设备配置纳入区域卫生资源规划考量，增强各省（区、市）间的设备配置规划联动性。更多还原

【Abstract】 Objective To study the spatial correlation characteristics of the number of large medical equipment allocation in China’s provinces and cities,with a view to providing a reference basis for the optimization of the allocation of large medical equipment. Methods It analyzed the spatial autocorrelation of China’s large medical equipment allocation and its influencing factors by using the Moran’sⅠ,grey correlation and other methods. Results The results of the spatial autocorrelation analysis showed that the allocation of large medical equipment in China was positively correlated spatially,and the spatial agglomeration was significant(Global Moran’sⅠ index value was 0.392,P<0.05).The grey correlation of GDP,year-end resident population,geographic area,number of tertiary hospitals,number of beds in medical institutions,number of practicing(assistant)physicians,and annual discharges in each province and city were 0.913,0.919,0.745,0.883,0.907,0.929,0.880,respectively. Conclusion China’s large-scale medical equipment configuration of spatial autocorrelation properties, distributed in the eastern Beijing-Tianjin-Hebei,Yangtze River Delta region and some provinces and cities in the west of the large-scale medical equipment configuration level in the formation of high-value agglomeration and low-value agglomeration area respectively. At the same time,the equipment configuration has the characteristics of high-quality medical resources concentration,oriented to the needs of the masses,taking into account economic and social development,etc. It is recommended to further optimise the spatial structure of equipment allocation,incorporate the configuration of large-scale medical equipment into the consideration of regional health resource planning at all levels,and enhance the linkage of the equipment configuration planning between provinces and cities.更多还原