摘要
目的:分析山东省卫生资源配置情况,为进一步优化卫生资源配置提供决策依据。方法:采用洛伦兹曲线、基尼系数、泰尔指数对2015年山东省卫生资源配置公平性进行评价。结果:山东省卫生机构人员、卫生机构、床位数、医生、注册护士按人口配置的基尼系数分别为0.1155、0.1354、0.1221、0.1624、0.1613,按地域配置的基尼系数分别为0.1837、0.1802、0.1638、0.2070、0.2123;泰尔指数组间贡献率分别为31.03%、56.81%、60.39%、58.81%、56.65%,卫生机构配置的不公平主要由区域内的配置不公平引起,其他卫生资源配置不公平主要由区域间的差异引起。结论:山东省各地市之间卫生资源的人口公平性、地域公平性都处于最佳平均状态,但3个区域间的卫生资源配置存在一定差距。卫生资源按人口分布的公平性优于按地域分布的公平性,卫生资源在集中在经济发达地区,医生、注册护士的分布向发达城市倾斜。
Objective： To provide reference for the optimization of medical and health resources through the evaluation of equity of health resources allocation in Shandong Province. Methods： Lorenz curve,Gini coefficient and Theil index were used to evaluate the situation of medical and health resources allocation in Shandong of 2015. Results： The Gini coefficients of health institutions’ staff, the number of health institutions, beds, practicing（assistant）physicians and registered nurses were 0.1155, 0.1354, 0.1221, 0.1624 and 0.1613 respectively based on population distribution, and were 0.1837、0.1802、0.1638、0.2070 and 0.2123 respectively based on geographic configuration. The inter-group contribution rate of the Theil index were 31.03%, 56.81%, 60.39%, 58.81% and 56.65%. The unfairness of health institutions’ number was mainly caused by unfair allocation within the region, and the unfairness of other health resources’ allocation is mainly caused by regional differences. Conclusion： The allocation of the medical and health resources in Shandong Province is extremely fair whether based on the equity of population or geography, but there is a gap in the allocation of health resources between the three regions. The equity of health resources according to the population distribution is still superior to the equity according to geographical distribution, medical and health resources are concentrated in economic developed cities, The distribution of physicians and registered nurses is characterized by the tendency towards developed cities.
作者
玄春艳
亓爱杰
Xuan Chunyan(Affiliated Hospital of Taishan Medical University,Tai＇an,271000)
出处
《医学与社会》
北大核心
2018年第10期18-21,共4页
Medicine and Society
关键词
卫生资源
配置
公平性
山东
Medical and Health Resource
Allocation
Equity
Shandong
