摘要
目的:分析2021年河南省中医儿科医疗资源配置公平性及效率。方法:采用洛伦兹曲线、基尼系数与数据包络分析(DEA)法对河南省2021年中医儿科医疗资源按人口及地域面积的分布进行公平性和效率研究。结果:2021年河南省千儿童中医儿科床位数为0.214张,千平方米中医儿科床位数为0.028张。中医儿科床位数、中医儿科执业(助理)医师数、中医儿科护士数按人口分布的基尼系数分别为0.27、0.25、0.25,处于公平状态;按地域面积分布的基尼系数分别为0.41、0.41、0.40,处于不公平状态。全省有5个(27.8%)地级行政区DEA综合效率为1.000。结论:河南省各地级行政区中医儿科医疗资源配置差异明显,资源投入过剩与产出不足同时存在,资源配置效率有待提高。
Aim:To analyze the fairness and efficiency of the medical resource allocation in pediatrics of Chinese medicine in Henan Province in 2021.Methods:Lorentz curve,Gini coefficient,and DEA method were used to study the fairness and efficiency of the distribution by population and geographical area of all the medical resources in pediatrics of Chinese medicine in Henan Province in 2021.Results:In Henan Province in 2021,the number of beds per thousand population in the pediatrics of Chinese medicine was 0.214,and the number of beds per thousand square meters was 0.028.Gini coefficients of population distribution of the number of beds,medical practitioners(and assistant physicians),and nurses were 0.27,0.25,and 0.25,respectively,which was in a fair state;Gini coefficients of geographical area distribution were 0.41,0.41,and 0.40,respectively,which was not in a fair state.Among all the prefecture level administrative regions in Henan,5 regions(27.8%)had a DEA comprehensive efficiency of 1.000.Conclusion:There are significant differences in the allocation of traditional Chinese medicine pediatric medical resources among different administrative regions in Henan Province.There are both excessive input and insufficient output of resources,therefore the efficiency of resource allocation needs to be improved.
作者
王恪辉
曹园园
曹雪东
赵文
沈博
WANG Kehui;CAO Yuanyuan;CAO Xuedong;ZHAO Wen;SHEN Bo(The Office of Longzihu Branch Campus,the First Affiliated Hospital,Henan University of Chinese Medicine,Zhengzhou 450000;School of Nursing,Henan University of Chinese Medicine,Zhengzhou 450046;Department of Nursing,the First Affiliated Hospital,Henan University of Chinese Medicine,Zhengzhou 450000;Department of Legal Practice Supervision,the First Affiliated Hospital,Henan University of Chinese Medicine,Zhengzhou 450000;The First College for Clinical Medicine,Henan University of Chinese Medicine,Zhengzhou 450000)
出处
《郑州大学学报（医学版）》
CAS
北大核心
2024年第1期103-108,共6页
Journal of Zhengzhou University(Medical Sciences)
基金
河南省中医药文化与管理研究项目(TCM2020012)
河南省新型特色智库中医药与经济社会发展研究中心2022年重大项目。
关键词
中医儿科
医疗资源配置
河南省
pediatrics of Chinese medicine
medical resource allocation
Henan Province
