摘要
目的分析2017-2021年我国妇幼保健卫生资源配置的基本情况及均衡性,为合理配置卫生资源提供依据。方法以2017-2021年我国妇幼保健机构数、床位数和卫生专业技术人员数为衡量指标,采用基尼系数与泰尔指数测算和分析卫生资源配置的均衡性。结果2017-2021年我国每万人口妇幼保健机构数、床位数、卫生专业技术人员数的年均增长率分别为-0.59%、3.91%、6.26%;观察期内我国各类妇幼保健卫生资源的基尼系数为0.1676~0.2426,泰尔指数为0.0607~0.1225,其均衡性由高到低依次为:卫生专业技术人员数、床位数、机构数;观察期内各类卫生资源区域内差异贡献率均高于区域间差异贡献率;观察期内各地区妇幼保健卫生机构数的平均泰尔指数最大的是西部,床位数和卫生专业技术人员数的平均泰尔指数最大的均是东北部。结论我国妇幼保健卫生资源配置均衡性总体较好,区域内应重点关注;妇幼保健机构数呈减少趋势,区域间差异贡献率最大,床位数和卫生专业技术人员数的区域间差异贡献率逐年递增。
Objective:To analyze the basic situation and balance of maternal and child health resources allocation in China from 2017 to 2021,and to provide a basis for rational allocation of health resources.Methods:Using the number of maternal and child health institutions,beds,and healthcare professionals in China from 2017 to 2021 as measurement indicators,the Gini coefficient and Theil index were applied to calculating and analyzing the balance of healthcare resource allocation.Results:The average annual growth rates of the number of maternal and child health institutions,beds,and healthcare technicians per 10000 population in China from 2017 to 2021 were-0.59%,3.91%,and 6.26%respectively.During the observation period,the Gini coefficient of various maternal and child health resources in China was 0.1676-0.2426,and the Theil index was 0.0607-0.1225.The equilibrium from high to low was as follows:number of health technical personnel,number of beds,and number of institutions.During the observation period,the differential contribution rates of various health resources within the regions were higher than those between regions.During the observation period,the western region had the highest average Theil index for the number of maternal and child health institutions,while the northeastern region had the highest average Theil index for the number of beds and the number of health technicians.Conclusion:The number of maternal and child health institutions has shown a decreasing trend.The overall balance of maternal and child health resources allocation in China is fairly good,and attention should be given within the regions.The contribution rates of regional differences in the number of maternal and child health institutions is the highest,while the contribution rate of regional differences in the number of beds and health technicians is kept increasing yearly.
作者
张其林
胡九英
刘学芳
甘晓敏
吴娟
ZHANG Qilin;HU Jiuying;LIU Xuefang;GAN Xiaomin;WU Juan(School of Health Management,Anhui Medical University,Hefei 230032,China;School of Humanistic Medicine,Anhui Medical University,Hefei 230032,China)
出处
《山东第一医科大学（山东省医学科学院）学报》
CAS
2024年第3期164-169,共6页
Journal of Shandong First Medical University ＆ Shandong Academy of Medical Sciences
基金
教育部人文社会科学青年项目(22YJCZH188)
安徽省优秀青年科研项目(2023AH030062)。
关键词
妇幼保健
卫生资源配置
均衡性
基尼系数
泰尔指数
maternal and child health care
allocation of health resources
balance
Gini coefficient
Theil index
