基尼系数和泰尔指数在卫生资源配置公平性研究中的应用  

Application of Gini Coefficient and Theil Index in Study on Equity of Health Resources Distribution

作　　者：张彦琦[1] 唐贵立 王文昌[1] 刘岭[1] 赵增炜[1] 郭波涛[1] 伍亚舟[1] 易东[1] 

机构地区：[1]第三军医大学军事预防医学院卫生统计教研室,400038 [2]重庆市卫生局,400020

出　　处：《中国卫生统计》2008年第3期243-246,共4页Chinese Journal of Health Statistics

摘　　要：目的探讨Gini系数和Theil指数在卫生资源配置公平性研究中的应用。方法计算重庆市1997～2005年医院，卫生院床位、执业（助理）医师、注册护士按人口配置的Gini系数和Theil指数，并对Theil指数进行分解。结果重庆市卫生资源人均拥有量低于全国水平。床位、医生和护士的Gini系数分别为0．30～0．34、0．21～0．28和0．40～0．45。Gini系数和Theil指数变动趋势一致。经济圈间差异对总Theil指数的贡献率高于经济圈内差异，有下降的趋势。都市发达经济圈内部卫生资源配置的公平性最差。结论在卫生资源配置公平性评价中，Gini系数与Theil指数可结合应用进行综合评价。Objective To explore the application of Gini coefficient and Theil index in study on equity of health resources distribution. Methods The Gini coefficients and Tbeil indexes of hospital bed, physician and nurse during 1997 ～2005 were calculated. And the Theil indexes were also decomposed. Results The level of the health resources in Chongqing city was still low and the distribution of the health resources was not reasonable. The Gini coefficients of hospital bed, physician and nurse were respectively 0.30 ～ 0.34,0.21 ～0.28 and 0.40 ～ 0.45. The fluctuant tendency of the Gini coefficients and Theil indexes were accordant. The difference between the economic areas contributed to the Theil index more than the difference within the economic areas and it showed a descending tendency. The health resources distribution of urban economic area had the best equity. Conclusion In the study on equity of health resources distribution, Gini coefficient and Theil index could be used together to make synthetical evaluation.

关 键 词：GINI系数 THEIL指数 卫生资源 公平性 

分 类 号：R197.1[医药卫生—卫生事业管理]