我国主要乙类大型医用设备配置公平性分析  

Analysis on the equity of the configuration of large class B medical equipment in China

作　　者：郭文菡 范锟[1] 刘梦[1] 崔俊丹 孙梦恬[2] 程敬亮[2] 郭启勇[3] 田庆丰[1] GUO Wen-han FAN Kun LIU Meng CUI Jun-dan SUN Meng-tian CHENG Jing-liang GUO Qi-yong TIAN Qing-feng(Department of Social Medicine and Health Service Management, College of Publie Health, Zhengzhou University, Zhengzhou Henan 450001, China Department of MRI, the First Affiliated Hospital of Zhengzhou University, Zhengzhou Henan 450052, China Department of Radiology, Shengjing Hospital of China Medical University, Shenyang Liaoning 110001, China)

机构地区：[1]郑州大学公共卫生学院社会医学与卫生事业管理教研室,河南郑州450001 [2]郑州大学第一附属医院磁共振科,河南郑州450052 [3]中国医科大学附属盛京医院放射科,辽宁沈阳110001

出　　处：《中国卫生资源》2017年第4期296-299,共4页Chinese Health Resources

基　　金：国家重点研发计划课题"MRI设备及其临床应用评价研究"(2016YFC0106907)

摘　　要：目的 :了解我国乙类大型医用设备在各地区、各省分布的公平性,为政府卫生计生部门制定大型医用设备配置规划提供依据。方法 :对我国乙类大型医用设备现状进行调查,利用基尼系数从人口和地理2个角度对大型医用设备配置的公平性和科学性进行分析评价,用泰尔指数衡量地区间、区域内公平性,分析影响因素。结果 :我国乙类大型医用设备按人口分布的基尼系数均在0.3以下,配置处于公平状态;按照地理分布的基尼系数,计算机断层扫描(CT)、磁共振成像(MRI)、数字减影血管造影(DSA)的配置在0.6以上,为高度不公平。CT、MRI、DSA的泰尔指数分别为0.015 3、0.017 1、0.030 5,总体配置公平性较好。结论 :我国大型医用设备按人口配置的资源公平性优于按地理配置的公平性;不同省份乙类大型医用设备配置公平性受其地区内部影响。应采取宏观调控策略科学合理配置乙类大型医用设备。Objective： To understand the equity of the configuration of large class B medical equipment in several regions and provinces, and to provide the basis for the departments of health and family planning and develop the allocation plan of large medical equipment. Methods： An investigation was conducted on the current status of large class B medical equipment. Gini coefficient was used to analyze and evaluate the equity and rationality about the allocation of the large class B medical equipment from the aspects of population and geography. Theft index was used to measure regional and cross-regional fairness, and analyze the relevant factors. Results： The Gini coefficient of large class B medical equipment allocation based on population in our country was below 0.3, and the allocation fairness was quite satisfying. According to the geographical distribution of the Gini coefficient, the configurations of CT, MRI and DSA were more than 0.6, which indicated a highly inequity. The Theil index of CT, MRI, DSA were 0.015 3, 0.017 1 and 0.030 5, respectively, which indicated satisfying equity in general. Conclusion： The equity of the configuration of large class B medical equipment is better in terms of population than of geography. The equity of the allocation of large class B medical equipment in different provinces is varied among different areas. It is suggested to take policy measures and design scientific strategies on the macro level to allocate large class B medical equipment.

关 键 词：大型医用设备 资源配置 公平性 

分 类 号：R19[医药卫生—卫生事业管理] R445[医药卫生—公共卫生与预防医学]