山东省地市级结核病防治专项经费投入公平性研究  

RESEARCH ON EQUITY OF TB CONTROL EXPENDITURE IN PREFECTURE LEVEL OF SHANDONG PROVINCE

作　　者：李曙光[1] 张妮[2] 李莉 金瑾[1] 刘志敏[1] 

机构地区：[1]山东省结核病防治中心,济南250013 [2]日照市精神卫生中心 [3]山东省妇幼保健所

出　　处：《现代预防医学》2008年第15期2896-2899,2903,共5页Modern Preventive Medicine

摘　　要：[目的]掌握山东省17地市结核病防治经费(地市级)的投入情况,对结核病防治经费投入的公平性进行分析和评价,旨在为改善结防经费投入结构、优化卫生资源配置提供科学依据。[方法]采用国际通用的公平性分析指标Lorenz曲线和Gini系数对地市级结防经费投入的现状进行阐释;用Spearman等级相关回归分析17地市结防经费投入的合理性。[结果]2005年地市级结防经费人口、地理、疫情基尼系数分别为0.8425、0.8035、0.8435;17地市投入经费与人口、地理面积、疫情以及人均GDP的等级相关系数分别为0.397、0.267、0.097、-0.018。[结论]目前山东省地市结核病防治经费投入存在不公平现象,卫生资源有待更合理的配置。[Objective] To grasp the input situation of TB control expenditure in 17 prefectures of Shandong province, and to analyze and evaluate the equity of TB control expenditure, so as to provide scientific basis for improvement of the investment structure of TB control expenditure and optimize the allocation of health resources. [Methods] lorenz curve and Gini coefficient were adopted to clarify the current status of the TB control expenditure. The rationality of the TB control expenditure in 17 prefectures were analyzed with Spearsman correlation from ranks analysis. [ Results] Gini coefficient on population, geography, prevalence reached to 0.8909, 0.8663 and 0.8901, respectively; Spearman regressive coefficient of TB control expenditure with population, geography, epidemic situation and GDP per capita were 0.197, 0.198, 0.079 and 0.090, respectively. [Conclusion] TB control expenditure shows to be unbalance for 17 prefectures of Shandong province, and the health resources require more reasonable allocation in the future.

关 键 词：卫生资源 公平性 LORENZ曲线 GINI系数 等级相关 

分 类 号：R52[医药卫生—内科学]