浙江省卫生资源配置的公平性分析  

An analysis on equity of health resource allocation in Zhejiang province

作　　者：孟强[1] 张雪海[1] 张新卫[1] 

机构地区：[1]浙江省疾病预防控制中心,浙江杭州310051

出　　处：《中国预防医学杂志》2013年第12期922-926,共5页Chinese Preventive Medicine

摘　　要：目的了解浙江省卫生资源配置的公平现状,发现其优势和不足,提出针对性的建议。方法对浙江省的医疗卫生机构数、医疗卫生机构床位数、卫生总人员数、卫生技术人员数、执业医师数和注册护士数等相关数据进行统计描述,用Gini系数和Lorenz曲线测量卫生资源配置的公平程度及其变化。结果 2011年,浙江省卫生资源Gini系数按人口分布在0.10~0.17之间,按地域面积分布在0.12~0.24之间;2006-2011年,浙江省医疗卫生机构的基尼系数最低,处于最佳公平状态,注册护士公平性分布的Gini系数有所上升。结论浙江省卫生资源配置公平性总体较好,卫生资源按人口配置的公平性优于按地域配置,其中,医疗卫生机构配置的公平性最好,注册护士配置的公平性有待优化。Objective To evaluate the equity of health resource allocation in Zhejiang province. Methods Statistics descriptive method,Lorenz curve,and Gini coefficient were applied to assess the equity of health resource allocation in Zhejiang based on the number of medical institutes,medical staff,technologists,doctors and registered nurses. Results The Gini coefficient ranged demographically and geographically from 0.100.18and from 0.07-0.26in 2011.The Gini coefficient was the lowest in the year of 2006to 2011 which showed a fairest condition,but the Gini coefficient of registered nurse showed an up ward trend. Conclusions The equity of health resource allocation in Zhejiang is relatively fair and rational,especially in demographical allocation,in which only the allocation of registered nurses needs to be optimized.

关 键 词：资源配置 基尼系数 洛伦茨曲线 公平性 

分 类 号：R197.1[医药卫生—卫生事业管理]