南京市2012年卫生资源配置现状及公平性研究  

Study on the Equality of Health Resource Allocation in Nanjing,2012

作　　者：邹卉[1] 胡万进[1] 刘蕾[1] 徐璇[1] 

机构地区：[1]南京医科大学医政学院,南京210029

出　　处：《医学与社会》2014年第4期17-19,共3页Medicine and Society

基　　金：南京市卫生局重点项目;编号为ZDX12017

摘　　要：目的:探讨南京市卫生资源配置的现状和公平性,进一步优化卫生资源布局,为居民提供更高质量的医疗卫生服务。方法:运用Lorenz曲线和基尼系数对南京市2012年11个区卫生机构及床位、卫技人员等卫生资源指标按人口和地理配置的公平性进行评价。结果:南京市2012年卫生机构及床位、卫技人员、执业(助理)医师、注册护士、财政拨款和万元以上设备台数的地理公平性基尼系数分别为0.59、0.73、0.74、0.73、0.69、0.81、0.80,人口公平性基尼系数分别为0.08、0.25、0.28、0.26、0.32、0.42、0.39。结论:南京市2012年11个区卫生资源人口配置公平性较好,地理配置公平性不够理想。各项指标中以卫生机构配置公平性最好,财政拨款公平性最低。Objective： To evaluate the status and equality of health resource allocation in Nanjing, so as to optimize the health resource allo- cation and improve quality of health service for residents. Methods： Adopting Lorenz curve and Gini Coefficient to evaluate demographic and geo- graphic equity of resource allocation in Nanjing 2012. Results： In the aspect of geographic distribution, the Gini Coefficient of organization num- ber, bed number, medical worker number, doctor number, nurse number, and the amount of equipment valued over 10 thousand were 0.59, 0.73, 0.74, 0.73, 0.69, 0.81 and 0.80, respectively. In the aspect of demographic distribution, the Gini Coefficients were 0.08, 0.25, 0.28, 0.26, 0.32, 0.42 and 0.39, respectively. Conclusion： Thedemographic distribution of health resource allocation is more reasonable than the geographic distribution in Nanjing 2012. The allocation of organization is more reasonable than the other indexes and the index of government devoting outlay is the least one.

关 键 词：卫生资源 公平性 基尼系数 

分 类 号：R197.2[医药卫生—卫生事业管理]