摘要
目的通过对2014年广西壮族自治区各地级市卫生资源配置公平性和利用效率的评价,为卫生计生部门制定区域卫生规划提供依据。方法利用基尼系数对各市卫生资源配置公平性进行评价,采用数据包络分析法对各市卫生资源利用效率进行评价。结果卫生机构数、床位数和卫生技术人员数按人口分布的基尼系数分别为0.21、0.09和0.12,按地理面积分布的基尼系数分别为0.31、0.33和0.35;数据包络分析方法有效的地级市有6个,规模报酬递增的地级市有5个,规模报酬递减的地级市有1个。结论卫生计生部门在制定区域卫生规划时,不仅要考虑人口配置的公平性,还要考虑地理配置的公平性;优化卫生资源布局及结构,建立有效的双向转诊制度,合理管控各地级市卫生资源规模。
OBJECTIVE By evaluating the equity and efficiency of health resource in Guangxi, it provided references for regional health planning of health sector. METHODS The Gini coefficient was used to evaluate the fairness of health resource, and DEA model was used to evaluate the efficiency of health resource. RESULTS The Gini coefficient of health institution, beds, health technology personnel from the perspective of population were 0.21, 0.09, 0.12 respectively, and were 0.31, 0.33, 0.35 respectively from the perspective of geography. 6 cities were DEA effective. The returns to scale decreased in 1 cities and 5cities increased. CONCLUSION The health department should not only consider the fairness of the population configuration, but also consider the fairness of geography configuration, optimize the layout and structure of health resources, and establish effective two-way referral system; The health department was supposed to curb or enlarge the scale of health resources rationally.
出处
《中国初级卫生保健》
2016年第10期5-7,共3页
Chinese Primary Health Care
