摘要
目的:探讨我国妇幼保健服务资源在各省间配置的均衡性和公平性。方法:收集2009年全国各省妇幼卫生保健服务资源配置相关数据,包括各省的妇幼保健机构数,妇幼机构医师数、护士数、床位数,其他医院的妇科床位数、儿科床位数。应用洛仑茨曲线和基尼系数进行资源配置的均衡性和公平性分析。结果:各省的妇幼保健卫生资源配置的公平性较好,6个指标的基尼系数均在0.3以下,且妇幼保健机构数在人口稀少的边远贫困地区配置较高,而妇幼保健拥有量较低的多为人口密集的东部经济发达地区。结论:我国妇幼保健服务的资源配置充分考虑了各地的人口数量和卫生服务的可及性,边远地区的每万人妇幼保健机构占有量高于其他地区。今后应适当增加边远地区妇幼保健服务的医护人员数和床位数。
Objective:To explore the balance and fairness of distribution of maternal and child health care resources among different provinces in China.Methods:The related data of distribution of maternal and child health care resources in China in 2009 were collected,including the number of maternal and child health care institutions,the number of doctors,the number of nurses,the number of beds,the number of gynecological beds and the number of obstetric beds in other hospitals.Lorenz curve and Gini coefficients were used to analyze the balance and fairness of distribution of maternal and child health care resources.Results:The fairness of distribution of maternal and child health care resources in China was good,the Gini coefficients of 6 indexes were all below 0.3,and the number of maternal and child health care institutions in poor remote regions with small population was high,while the number of maternal and child health care institutions in eastern developed areas was low.Conclusion:The distribution of maternal and child health care resources in China fully concerns about the population size and accessibility of health services in different provinces,the number of maternal and child health care institutions per 10 000 persons in remote regions is higher than those in the other regions.In the future,the numbers of doctors,nurses and beds in remote regions should be increased appropriately.
出处
《中国妇幼保健》
CAS
北大核心
2011年第12期1772-1774,共3页
Maternal and Child Health Care of China
关键词
妇幼保健
资源配置
均衡性
基尼系数
洛仑茨曲线
Maternal and child health
Distribution of resources
Balance
Gini coefficient
Lorenz curve