A Study On The Spatial Spillover Effect Of Urban Medical Resource Allocation In China

The global epidemic of major infectious diseases and the strategic requirements of the 20th National Congress for a healthy China both reflect the importance of research on issues related to the allocation of medical resources.In addition,through literature research on the level of medical resource allocation,it was found that there is spatial heterogeneity in medical resource allocation.This article innovatively applies the standard paradigm of spatial panel lag model research.After establishing a spatial panel lag model through variable selection,the variable parameters are estimated to obtain the total effect of spatial spillover effects.Then,it is decomposed to obtain direct effects and spillover effects.This article first selects the data on the number of hospitals,doctors,and beds in 284 cities across the country from 2006 to 2020 in the "China Urban Statistical Yearbook",and uses the entropy weight method to calculate the comprehensive index of medical resource allocation level.It analyzes the trend of changes in the comprehensive index of medical resource allocation level in cities across the country and major urban agglomerations under the influence of policies.On this basis,the article selects city level panel data from corresponding years and cities across the country,including urban population,government financial capacity,PM2.5 environmental situation(sourced from satellite data),and urban sprawl degree data from the "China Urban Construction Statistical Yearbook".The spatial panel lag model is used to measure the overall effects of the comprehensive index of medical resource allocation level,environmental quality,government financial capacity,and urban sprawl degree,And decompose the total effect of the allocation level of environmental medical resources to obtain direct effects and spillover effects.The article analyzes national data and data from major urban agglomerations,and through empirical analysis methods,elaborates on the direct and spillover effects of environmental quality,government financial capacity,and urban sprawl level on the level of medical resource allocation.That is,nationwide,environmental quality,government financial capacity,and urban sprawl level have a positive direct and spillover effect on the level of medical resource allocation.In the Beijing Tianjin Hebei urban agglomeration,the middle reaches of the Yangtze River urban agglomeration,and the Harbin Changsha urban agglomeration,environmental quality and urban sprawl have a negative impact on the level of medical resource allocation;In the Yangtze River Delta urban agglomeration and the Chengdu Chongqing urban agglomeration,environmental quality and urban sprawl have a positive impact on the level of medical resource allocation;In the Pearl River Delta urban agglomeration,environmental quality has a positive effect on the level of medical resource allocation,while urban sprawl has a negative effect on medical resource allocation.Regarding government financial capacity,the goverment financial capacity of the Beijing Tianjin Hebei urban agglomeration,the Pearl River Delta urban agglomeration,the middle reaches of the Yangtze River urban agglomeration,and the Harbin Great Wall urban agglomeration has a positive effect on the level of medical resource allocation,while the government financial capacity of the Yangtze River Delta urban agglomeration and the Chengdu Chongqing urban agglomeration has a negative effect on the level of medical resource allocation.Based on the measurement results of spatial spillover effects,the article explains the actual situation of these phenomena through policies and examples.Based on empirical analysis results,this article elaborates on the direct and spillover effects of environmental quality level,government financial capacity,and urban sprawl level on the allocation level of medical resources.Based on this discovery,it can indirectly provide a foundation for the develoPMent of medical resource allocation level by improving environmental quality,government financial capacity,and urban sprawl.Due to the fact that the research on spatial panel lag models is based on panel data,this method focuses on discussing overall trends across the country and urban agglomerations.Therefore,the policy recommendations in this article are based on the national level and urban agglomeration level,and do not involve specific urban policy recommendations.Therefore,the article provides some policy suggestions for the national and urban agglomeration levels:at the national level,policy suggestions are proposed to improve the level of environmental quality,reasonably allocate financial expenditures for medical resource allocation,and accelerate the urbanization process to indirectly promote the improvement of the level of medical resource allocation.From the perspective of urban agglomerations,this article proposes personalized policy recommendations for each urban agglomeration based on the spillover effects of medical resource allocation in each urban agglomeration.