我国PET-CT配置公平性研究  

Research on the Equity of PET-CT Allocation in China

作　　者：卢建龙[1] 吕力琅[1] 曹志刚[1] 赵东阳[2] 应晓华[3] 

机构地区：[1]复旦大学附属肿瘤医院,上海200032 [2]山东大学第二医院,济南250033 [3]复旦大学公共卫生学院,上海200032

出　　处：《中国卫生经济》2017年第11期47-50,共4页Chinese Health Economics

摘　　要：目的:测量我国PET-CT配置公平性,探索分布公平性的影响因素,为提高分布公平性提供政策建议。方法:收集当前我国PET-CT配置数据,采用集中指数和泰尔指数测算PET-CT在全国各省市及东中西区域间配置的公平性。结果:当前我国各省市PET-CT配置的集中指数为0.32,其公平性较配置规划实施前有明显提升;各省市公立医院拥有PET-CT的集中指数为0.318,略低于全部PET-CT分布集中指数;我国东、中、西部区域内PET-CT分布泰尔指数为0.109,是影响分布公平性的主要因素,且东部地区内分布差异高于中部和西部地区。结论:我国PET-CT配置公平性有所提高;配置规划有利于提高PET-CT分布公平性;东、中、西部地区内部的分布差异是造成整体不公平的主要因素。Objective： To measure the equity of PET-CT allocation in China, and explore the influence factors of distributional fairness and provide policy recommendations for improving the fairness of distribution. Methods： The PET-CT allocation data of China were collected, and the equity of PET-CT distribution was measured by the concentration index and the Theil index. Results： At present, the concentration index of PET-CT distribution among the provinces was 0.32, and the equity of the PET-CT allocation was significantly higher than that before the implementation of the allocation planning. The concentration index of PET-CT in public hospi- tals was 0.318, which was slightly lower than that of all PET-CT distribution. The internal Theil index of PET-CT was 0.109 in east-central-west region, which is the main factor affecting the distributional equity. The distribution difference of PET-CT was bigger in the eastern region than the central and western regions. Conclusion： The allocation equity of PET-CT was improved. The alloca- tion planning was propitious to improve the equity of PET-CT distribution. The distributional differences in the eastern, central and western regions were the main factors leading to the inequity.

关 键 词：PET—CT 公平性 集中指数 泰尔指数 配置规划 

分 类 号：R197.1[医药卫生—卫生事业管理]