摘要
京津冀医疗卫生一体化已经进入到加速推进阶段,而医疗资源配置仍存在较大的区域差异。在河北省、北京和天津的一些落后地区由于投入不足,使其面临着优质医疗短缺的问题,居住在该区域的居民需要采用"走出去"的方式来解决大病就医问题。为了解京津冀医疗资源配置基本情况,作者利用基尼系数、泰尔指数测算京津冀医疗资源配置的公平性程度和变动趋势。结果显示:京津冀按人口配置的医疗资源公平性呈逐年递增的趋势;医疗卫生资源配置区域间差异大于区域内的差异;天津市医疗资源配置公平性较差,河北省医疗资源配置公平性较好;医疗卫生机构床位的公平性高于卫生技术人员的公平性。
Beijing--Tianjin--Hebei has entered into the stage of accelerating the integration of health care, while there are still great regional differences in the allocation of health resources. In some backward areas, there is a shortage of high--quality health care because of inadequate investment in health. Residents need to adopt the ＂going out＂ ap- proach to solve their medical problems. Gini coefficient and Theil index were adopted to measure the degree of fairness and trend of change in Beijing--Tianjin-- Hebei medical resource allocation. The results indicated that the fairness of medical resources was increasing in recent years, the difference between the regions was greater than the difference within regions in the allocation of beds and nurses, fairness of health resource allocation was the worst in Tianjin and the best in Hebei,and fairness of bed configuration in health institutions was greater than the fairness of medical staff allocation.
出处
《中国农村卫生事业管理》
2016年第9期1089-1093,共5页
Chinese Rural Health Service Administration
基金
河北省社科联民生调研课题:京津冀医疗卫生资源配置的公平性研究(201501326)
河北省教育厅人文社会科学重大攻关项目:京津冀协同背景下的燕山-太行山特困区发展路径(ZD201405)
关键词
卫生资源
基尼系数
泰尔指数
公平性
health resources
Gini coefficient
Theil index
fairness
