南昌市区(县)疾病预防控制体系资源配置的公平性研究  

Equity evaluation of resource allocation for district/county disease prevention and control system in Nanchang

作　　者：李春玫 韩斌[2] 胡茂红[2] 杨维 袁兆康[1] / LI Chun-mei;HAN Bin;HU Mao-hong;YANG Wei;YUAN Zhao-kang(School of Public Health,Nanchang University,Nanchang 330006,Jiangxi China;Department of Science and Education Information,Nanchang Center for Disease Control and Prevention,Nanchang 330038,Jiangxi China)

机构地区：[1]南昌大学公共卫生学院,南昌330006 [2]南昌市疾病预防控制中心科教信息科,南昌330038

出　　处：《中国卫生资源》2018年第3期246-250,共5页Chinese Health Resources

基　　金：2016年江西省研究生创新专项资金资助(省级项目)(YC2016-S109);江西省卫生计生委-普通科技计划类(20166034)

摘　　要：目的对南昌市区(县)疾病预防控制体系的卫生资源配置的公平性进行评价,为卫生行政部门优化卫生资源配置提供科学依据。方法运用洛伦兹曲线和基尼系数按人口和地理面积分布对南昌市区(县)疾病预防控制体系的在岗人员、财政拨款、实验设备、实验项目和单位用房面积5项指标进行公平性评价。结果 2016年在岗人员、财政拨款、实验设备、实验项目和单位用房面积按人口分布的基尼系数分别是0.29、0.39、0.28、0.28和0.32,按地理面积分布的基尼系数分别是0.49、0.60、0.56、0.57和0.57。2010年、2013年、2016年每隔3年的数据显示,南昌市区(县)疾病预防控制体系的卫生资源按人口和地理面积分布的基尼系数总体上呈缓慢增长趋势。结论南昌市区(县)疾病预防控制体系的卫生资源按人口分布公平性优于按地理面积分布的公平性,卫生资源配置的公平性有下降趋势。应加强卫生资源的投入,调整资源的内部结构,提高卫生资源配置在人口和地理面积分布上的公平性。Objective To evaluate the equity of the allocation of health resources in Nanchang district/county-level centers for disease control and prevention（CDCs）,and to provide a scientific basis for the health administration to optimize the allocation of health resources. Methods Using the Lorenz curve and Gini coefficient according to the distribution of population and geographical area,the fairness of the staff of the district/county-level CDCs in Nanchang City,fiscal allocation,experimental facilities,experimental projects,and work place were evaluated. Results Based on population distribution,Gini coefficient of incumbents,fiscal allocation,experimental facilities,experimental projects and work place in 2016 were 0.29,0.39,0.28,0.28 and 0.32,respectively. The Gini coefficients by geographical area were 0.49,0.60,0.56,0.57,and 0.57,respectively. The data for every three years in 2010,2013,and 2016 showed that Gini coefficient of the distribution of health resources according to population and geographic area of Nanchang district/county-level CDCs showed a slowly increasing trend. Conclusion The health resources in district/county-level CDCs in Nanchang were more equally distributed from the perspective of demography than the perspective of geography,and the distribution equity of health resources demonstrated a downtrend tendency. It is suggested that more health resources be provided,the internal structure of these resources be adjusted and the distribution equity of health resources be enhanced demographically and geographically.

关 键 词：疾病预防控制体系 卫生资源 配置 公平性 洛伦兹曲线 基尼系数 

分 类 号：R197.21[医药卫生—卫生事业管理]