北京市社区卫生资源配置人口分布的公平性评价  

Study on the equity of community health resources distribution in Beijing by population distribution

作　　者：庄倩[1] 蒋艳[1] 徐嘉颜 马灿 徐阅 程薇[1] ZHUANG Qian;JIANG Yan;XU Jiayan;MA Can;XU Yue;CHENG Wei(School of Administration,Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学管理学院,北京100029

出　　处：《中国医药导报》2018年第9期146-150,共5页China Medical Herald

基　　金：国家中医药管理局重点学科"中医药管理学"项目(2013-ZDXKKF-17)

摘　　要：目的对北京市社区卫生资源配置的公平性进行分析评价,为北京市社区卫生资源合理配置提供参考依据。方法数据来源于2016年度北京市社区卫生服务管理中心"北京市社区卫生服务常规监测资料"和2016年北京市统计局统计数据,绘制洛伦兹曲线并计算基尼系数从人口分布的角度分析北京市社区卫生机构数、卫生技术人员数、床位设备数、社区卫生服务经费投入等指标的均衡性和公平性。结果从人口分布的角度来看,卫生技术人员配置最为均衡,基尼系数为0.121,其中医生与专职防保人员的基尼系数分别0.167和0.159;其次为设备配置、机构配置和社区卫生服务经费投入,基尼系数分别为0.179、0.248和0.251;而社区卫生服务经费其中用于社区公共卫生服务经费的基尼系数为0.400,床位配置基尼系数为0.424,均表现出不公平性。结论北京市社区卫生资源从人口角度的配置上整体较为公平,其中用于社区公共卫生服务的经费投入差距较大,城6区投入高于远郊10区,应更多地考虑公共卫生服务经费投入的合理配置。Objective To analyze and evaluate the equity of community health resources distribution in Beijing,and to provide reference basis for the rational allocation of community health resources in Beijing.Methods Data sources came from 2016 Beijing Community Health Service Management Center"Beijing Community Health Service routine monitoring data"and 2016 Beijing Statistical Office’s statistics.Drew Lorenz curve and calculated the Gini coefficient,the balance and fairness of the indexes such as number of community health institutions,number of health technicians,number of beds,and expenditure for Community health Service are analyzed from the angle of population distribution.Results From the point of view of population distribution,the distribution of health technicians was the most balanced,Gini coefficient was 0.121,in which the Gini coefficient of doctors and allied insurance personnel was 0.167 and 0.159 respectively.The second was equipment allocation,organization allocation and expenditure for community health service,Gini coefficient was 0.179,0.248 and 0.251.While the Gini coefficient of expenditure for community public health services was 0.400,and the Gini coefficient of beds was 0.424,all of which show unfairness.Conclusion The community health resources distribution in Beijing are fairly fair by population distribution,among which the expenditure for community public health service is not fair enough,the investment of urban area is higher than that of suburb,and the reasonable allocation of public health service outlay should be considered more.

关 键 词：北京市社区卫生服务 资源配置 人口分布 公平性 基尼系数 

分 类 号：R197[医药卫生—卫生事业管理]