上海市医疗资源配置状况分析  

Shanghai Medical Resource Allocation Analysis

作　　者：罗娟[1] 汪泓[1] 崔开昌[1] 

机构地区：[1]上海工程技术大学上海社会保障问题研究中心,201620

出　　处：《中国卫生统计》2009年第5期466-469,472,共5页Chinese Journal of Health Statistics

基　　金：上海工程技术大学研究生创新项目资助(项目编号:08yjs01)

摘　　要：目的通过对上海市医疗资源状况的调查,从人口和地域面积分布角度,分析上海市医疗资源配置的公平性,为合理配置医疗资源提供决策依据。方法运用洛伦茨曲线和基尼系数指标以及连环比例法。结果上海市医疗资源在人口配置上比较公平,公平性趋势将会加强;在地域面积配置上存在较不公平现象,公平性将会减弱;用连环比例法来分析上海市医疗资源配置公平性。结论上海市医疗资源在人口配置上城乡差距不大,达到了比较公平的状态,但在地域分配上城乡差距较大,医疗资源大部分集中在中心城区的大型医院,应该在全市范围内合理配置医疗资源,完善医疗卫生服务体系,提高医疗卫生服务的可及性。Objective Through investigating the situation of health care resources in Shanghai, from the point of population and geographical area distribution, the article analyze the fair allocation of medical resources in Shanghai to provide the basis of decision-making in rational allocation of medical resources. Methods Use Lorenz curve and the Gini coefficient indicators, as well as Chain Proportion Method. Results The allocation of medical resources in population of Shanghai is fairly,and the trend of fairness will be enhanced. In the geographical allocation in space is more unfairness in Shanghai ,and the fairness will be reduced. Conclusion The allocation of medical resources Municipal Population has few gap between urban and rural areas in the Shanghai which reached a fair comparison,but in the geographic distribution of has a larger gap between urban and rural areas. Most of the medical resources concentrated in large hospitals in the urban centers. The distribution of Medical resources should be rational and the health service system should be improved to improve medical and health service accessibility.

关 键 词：医疗资源 基尼系数 洛伦茨曲线 连环比例法 

分 类 号：R197.1[医药卫生—卫生事业管理]