运用集中指数评价法对我国省域卫生资源配置的公平性分析  

Equity analysis of health resources allocation with the concentration index method for provinces in China

作　　者：张馨予[1] 赵临[1] 夏青[1] 王耀刚[1] 

机构地区：[1]天津医科大学公共卫生学院,300070

出　　处：《中华医院管理杂志》2014年第1期2-5,共4页Chinese Journal of Hospital Administration

基　　金：国家自然科学基金（71273187）

摘　　要：目的分析我国卫生资源配置和卫生服务利用现状，评价我国卫生资源配置和卫生服务利用公平性。方法采用集中曲线和集中指数（concentration index，CI）对我国31个省、自治区、直辖市卫生技术人员、医疗机构床位、医疗卫生机构、门诊诊疗人次、住院人次等卫生资源进行公平性评价。结果卫生资源配置集中指数分别为卫生技术人员0．038，医疗机构床位-0．012，医疗卫生机构-0．116。卫生服务利用集中指数分别为门诊诊疗人次0．111，住院人次-0．023。结论我国卫生技术人员、医疗机构床位配置和住院服务利用较为公平，医疗卫生机构配置和门诊服务利用公平性有待改善。Objective To analyze allocation of health resources and utilization of health services, and evaluate the equity of health resources allocation and health services utilization. Methods Concentration curve and concentration index（CI）were used to evaluate the equity of health resources allocation in terms of health professionals, hospital beds, medical institutions, outpatient visits and hospitalizations in China Results The CI for health professionals, hospital beds, and medical institutions is 0. 038, -0. 012, and-0. 116 respectively. That for outpatient visits and hospitalizations is 0. 111 and -0. 023 respectively. Conclusion Health resources allocation in hospital beds and health professionals is fair,while the equity of medical institutions and outpatient service utilization needs to be improved.

关 键 词：集中指数 卫生资源配置 卫生服务利用 公平性 

分 类 号：R197.1[医药卫生—卫生事业管理]