甘肃省医疗卫生资源配置的公平性研究  

Study on equity of allocation of medical resources in Gansu

作　　者：李习平[1,2] 刘薇薇[1,2] 

机构地区：[1]湖北中医药大学管理学院,湖北省武汉市430065 [2]湖北省人文社会科学重点研究基地中医药发展研究中心

出　　处：《中国医院统计》2015年第3期161-164,共4页Chinese Journal of Hospital Statistics

基　　金：国家自然科学基金资助项目(71473075)

摘　　要：目的：分析甘肃省不同市州医疗卫生资源配置的公平性。方法选取甘肃省14个市州卫生资源配置数据,利用洛伦兹曲线、基尼系数和泰尔指数分析卫生资源配置的公平性。结果通过计算基尼系数得出,全省各市州在财政补贴、医疗机构的床位数配置和卫技人员的配置上都低于0.2,说明甘肃省卫生主管部门对全省不同区域的政策具有公平性,不因地理位置的不同而采取不同的政策。泰尔指数综合分析得出在甘肃省各类卫生资源中,财政补助和医疗机构人数的泰尔指数值均是0.1117,且是最高,床位配置最不公平,泰尔指数值为0.0933。总的来看,与全国相比较,甘肃省医疗机构的财政补助、机构人数、床位数、卫技人员数配置具有较大的公平性,这个研究结论与基尼系数得到的研究结论是一致,说明政府对医疗卫生事业的投入不断增加。结论将市场调节和政府调控相结合,加强各市州医疗机构的布局和建设,明确基层医疗服务机构的性质和职能。Objective To analyze the equity of health resource allocation in different cities of Gansu province. Methods The health resource allocation data of 14 cities of Gansu Province were selected and the equity of health resource allocation by using the Lorenz curve, Gini coefficient and Theil index. Results Through calculation, the Gini coefficient of the allocation in fiscal subsidies, medical bed allocation and health personnel was lower than 0. 2, showing that there was equity in the policy for different regions, and the health department of Gansu Province didn’t adopt different policies for different geographical position. Comprehensive analysis of Theil index showed that Theil index of financial assistance and medical institutions in the health re-sources of Gansu Province was 0. 111 7, which was the highest, but the allocation of beds was the most unfair, with the Theil in-dex 0. 093 3. On the whole, compared with the whole country, the allocation of financial subsidies, the number of beds and number of health personnel in Gansu Province medical institutions was fair, which was consistent with the research conclusion of the Gini coefficient. Conclusion We should combine the market regulation with government regulation, strengthen the layout and construction of medical institutions in cities, and make clear the nature and function of basic medical services.

关 键 词：医疗卫生资源 公平性 基尼系数 泰尔指数 

分 类 号：R199.2[医药卫生—卫生事业管理]