摘要
目的了解黑龙江省医疗卫生资源配置的公平性及其影响因素,为优化医疗卫生资源配置和实施黑龙江省“十四五”发展规划及达成2035远景目标提供参考。方法对各项医疗卫生资源配置情况进行现况分析;计算基尼系数和泰尔指数进行医疗卫生资源配置公平性评价。结果哈尔滨市拥有全省最多的医疗卫生资源配置;按人口配置的基尼系数处于0.06~0.14区间,总泰尔指数处于0.003~0.013区间,区域内差异贡献率60.76%~97.21%区间;地理面积配置的基尼系数0.38~0.47区间;总泰尔指数处于0.189~0.250区间,区域间差异贡献率为71.96%~77.33%。结论黑龙江省医疗卫生资源存在整体公平而地理分布不均衡的情况,优质医疗卫生资源主要集中在现代化都市圈。
Objective To know about the fairness and influencing factors of health resource allocation in Heilongjiang Province and to provide reference for optimizing the allocation of health resources,implementing the 14th Five-Year Plan of Heilongjiang Province and achieving the long-term goals of 2035.Methods The current situation of health resource allocation was analyzed.The Gini coefficient and Theil index were calculated to evaluate the fairness of health resource allocation.Results Harbin has the maximum allocation of health resources in the province.The Gini coefficient according to population allocation was in the range of 0.06 and 0.14,the total Theil index was in the range of 0.003 and 0.013,and the contribution rate of inter-regional difference was between 60.76%and 97.21%.The Gini coefficient according to geographical area configuration was in the range of 0.38 and 0.47,the total Theil index was in the range of 0.189 and 0.250,and the contribution rate of inter-regional difference was between 71.96%and 77.33%.Conclusions Health resource allocation in Heilongjiang Province is fair on the whole but unbalanced geographically with high-quality health resources mainly in the modern metropolitan area.
作者
刘冰冰
周健
LIU Bingbing;ZHOU Jian(School of Public Health,Jiamusi University,Jiamusi,Heilongjiang 154007,China)
出处
《中国农村卫生事业管理》
2024年第8期559-564,共6页
Chinese Rural Health Service Administration
关键词
卫生资源配置
公平性
洛伦兹曲线
基尼系数
泰尔指数
黑龙江
Allocation of health resources
Fairness
Lorenz curve
Gini coefficient
Theil Index
Heilongjiang
