天津市社区医疗机构卫生技术人员分布公平性研究  

Equity of Medical Workers Allocation in Community Medical Institutions in Tianjin

作　　者：周娟[1] 李强[2] 张立[3] 陈璐[2] 高洁[4] 周玲玲[2] 杜智[1] 

机构地区：[1]天津市第三中心医院办公室,300170 [2]天津市第三中心医院医务处,300170 [3]天津市第三中心医院信息处,300170 [4]天津市第三中心医院人事处,300170

出　　处：《中国全科医学》2014年第13期1474-1476,共3页Chinese General Practice

基　　金：天津市科技发展战略研究计划专项(12ZLZLZF05200)

摘　　要：目的探讨洛伦兹曲线和基尼系数对社区医疗机构卫生技术人员分布公平性评价的效果,为社区卫生资源合理分配提供实践依据。方法 2011年1—12月利用天津市及全国的卫生统计资料,研究天津市社区医疗机构卫生技术人员配置现状,采用洛伦茨曲线和基尼系数测量社区医疗机构卫生技术人员按人口和地理分布的公平性。结果天津市社区医疗机构卫生技术人员按地理分布的洛伦兹曲线较按人口分布的洛伦兹曲线明显偏离绝对公平线,二者基尼系数分别为0.41和0.13。结论社区医疗机构卫生技术人员按人口分布的公平性优于按地理分布的公平性,政府在制定卫生政策时应综合考虑地域因素,在卫生人力资源总体不足的情况下,需通过制度创新优化配置,达到卫生系统效率最优化。Objective To investigate the evaluation effect by the Lorenz curve and Gini coefficient on fair allocation of medical workers in community medical institutions,and to provide practical basis for reasonable distribution of community health resources. Methods Health statistics of Tianjin and other provinces were used to study the current deployment of medical workers in community medical institutions in Tianjin from January to December in 2011. Lorenz curve and Gini coefficient were utilized to measure the demographic and geographic equity of medical workers in community medical institutions. Results The Lorenz curve of geographical distribution deviated from the absolute equality line more than that of population distribution,the Gini coefficients of the two being 0. 41 and 0. 13 respectively. Conclusion The equity of population distribution is better than that of geographical distribution. The government should consider the regional factors in the formulation of health policies,and given the inadequate health human resources optimize the allocation through the health system innovation so as to make it being optimized to the largest degree.

关 键 词：社区卫生服务 卫生人力资源 公平性 

分 类 号：R197[医药卫生—卫生事业管理]