浙江省卫生资源配置公平性评价：基于Gini系数和Theil指数  

Equity assessment of health resource configuration in Zhejiang：based on Gini Coefficient and Theil Index

作　　者：高启胜[1] 陈定湾[1] 刘盼盼[1] 

机构地区：[1]310053杭州,浙江医学高等专科学校浙江省基层卫生研究中心

出　　处：《中华医学科研管理杂志》2014年第2期159-161,194,共4页Chinese Journal of Medical Science Research Management

基　　金：2012年浙江省社科联重点研究课题成果（2012Z36）

摘　　要：目的 评价浙江省卫生资源配置公平性程度,为政府区域卫生规划提供参考依据.方法 采用Lorenz曲线、Gini系数和Theil指数进行计算分析.结果 2009-2011年浙江省卫生资源按人口密度配置的基尼系数在0.330～0.343之间,处于比较合理的范围;区域间差异是导致床位和护士配置不公平的主要原因.结论 Theil指数能够弥补Gini系数不能反映总体不公平是由区域间或是区域内差异导致的缺点;卫生资源配置应以人群健康需要和卫生服务需求为依据.Objective To assess the equity of health resources configuration in Zhejiang, and provide references for regional health planning. Methods The Lorenz curve, Gini coefficient and Theil index were used to calculate and analyze. Results The Gini coefficient in 2009--2011 calculated by population density was between 0. 330-0. 343, which meant comparatively rational. The main reason of inequity configuration for hospital beds and nurses was inter-regional difference. Conclusion The Theil index could remedy the disadvantage that Gini coefficient could not reflex the total inequity was brought up by inter-regional or intra-regional difference. The health resource configuration should based on population health need and health service demand.

关 键 词：卫生资源 公平性 GINI系数 THEIL指数 

分 类 号：R197.1[医药卫生—卫生事业管理]