我国全科医生配置与居民利用服务现状评价研究  

Evaluation study of the current deployment of general practitioners and service usage by residents in China

作　　者：吴倩倩[1] 尹文强[1] 林经纬[1] 陈钟鸣[1] 马赫[1] 宋春燕[1] 朱丽丽[1] 尹予婧 侯艳杰 王柯新 Wu Qianqian;Yin Wenqiang;Lin Jingwei;Chen Zhongming;Ma He;Song Chunyan;Zhu Lili;Yin Yujing;Hou Yanjie;Wang Kexin.(School of Public Health and Management, Weifang Medical University, Weifang 261053, China)

机构地区：[1]潍坊医学院公共卫生与管理学院健康相关重大社会风险预警协同创新中心“健康山东”重大社会风险预测与治理协同创新中心,261053

出　　处：《中华医院管理杂志》2018年第7期547-551,共5页Chinese Journal of Hospital Administration

基　　金：国家自然科学基金（71373182）;山东省本科高校教学改革研究面上项目（2015M205）;2011年教育部“新世纪优秀人才支持计划”项目（NCET-11-1032）

摘　　要：目的综合评价目前我国全科医生配置与居民利用服务情况，为全科医生在全国各地区的合理配置提供参考。方法运用卫生资源密度指数（HRDI）及TOPSIS法，对我国全科医生配置与居民利用服务情况进行综合评价。结果我国全科医生总量不足，每千人口全科医生数的全国平均水平为0．1371人，且地域分布不均衡；居民对全科医生服务的利用水平总体较低，且地域水平不均；从综合评价结果来看，全科医生配置与服务利用存在问题的地区占全国的87．10％，且以“低资源，低利用”型为主。结论东、中、西部地区资源配置与服务利用情况尚存在较大差距，政府应针对不同地区的问题，从人口、地理、卫生服务需求与利用等多角度合理配置全科医生在各地区的分布，努力缩小地区间的差距。Objective To evaluate the current deployment of general practitioners and residents＇ utilization of services in China, for reference of their optimal allocation across the country. Methods The methods of HRDI and TOPSIS were used to comprehensively evaluate their deployment and residents＇ utilization of their services in China. Results General practitioners fall short of demand in general, averaging 0. 137 1 GP per 1 000 population in China, with unbalanced regional distribution as well. Utilization of residents of general practitioners service remains at a low level, with unbalanced regional distribution as well. As shown in the comprehensive evaluation results, 87. 10% of the regions were found with defective deployment and service utilization, featuring ＂low resources, low utilization＂. Conclusions Sizable gapes are found between the eastern, the central and the western regions, in terms of allocation of resources and service utilization. The government should rationalize deployment of general practitioners and minimize such gaps among different regions, in view of local population, geography and health service needs.

关 键 词：卫生人力 全科医生 配置 居民利用 综合评价 

分 类 号：R197.1[医药卫生—卫生事业管理]