新医改前后山东省卫生资源配置的对比研究  

Comparative research on health resources allocation in Shandong Province before and after new medical reform

作　　者：韩志琰[1] 温楠[1] 宋奎勐[1] 宋燕[1] 窦伟洁[1] 孙经杰 HAN Zhi-yan;WEN Nan;SONG Kui-meng;SONG Yan;DOU Wei-jie;SUN Jing-jie(Shandong Institute of Medicine and Health Information/Soft Sciences Research Base of Shandong Province/Shandong Academy of Medical Sciences/Jinan Shandong 250062,China;Shandong Health and Family Planning Information Center,Jinan Shandong 250000,China)

机构地区：[1]山东省医药卫生科技信息研究所/山东省软科学研究基地/山东省医学科学院,山东济南250062 [2]山东省卫生和计划生育信息中心,山东济南250000

出　　处：《卫生软科学》2019年第4期22-28,共7页Soft Science of Health

基　　金：国家自然科学基金项目(71503149;71503150);山东省自然科学基金(ZR2015YL050;BS2015SF008);山东省医药卫生科技发展计划项目(2016WS0534)

摘　　要：[目的]对比新医改前后山东省17个地市卫生资源的空间配置水平的差异与变化,为地方政府制定和调整区域卫生资源规划提供决策参考。[方法]采用统计描述、基尼系数、层次分析法分析山东省各地市人均卫生资源的空间配置情况。[结果]山东省每千人口卫生机构数、每千人口床位数、每千人口卫生技术人员数、每千人口医师数和每千人口护士数方面分别提高了0. 63个、1. 96张、3. 41人、1. 14人和1. 65人;人均卫生机构、人均实际开放床位、人均卫生技术人员、人均执业(助理)医师和人均注册护士的Gini系数分别下降了0. 16、0. 05、0. 19、0. 20和0. 18;经济发达地区与经济欠发达地区的差距由医改前的4. 32倍逐渐缩小至1. 76倍。[结论]新医改大幅提升了山东省区域卫生资源配置整体水平;促进了人均卫生资源配置公平性提升,人均资源配置的各项指标均达最佳公平状态;区域卫生资源配置总体趋于优化,但区域间配置不公平问题依然严重。Objective To compare the difference and change of health resources spatial allocation in 17 prefectures and cities of Shandong province before and after new medical reform so as to provide decision reference for government formulating and adjusting regional health resources planning.Methods It analyzed per capita health resources spatial allocation in various regions in Shandong province by descriptive statistics,the Gini coefficient and analytic hierarchy process.Results The health institute,bed,health worker,physician and nurse number of per thousand population was 0.63,1.96,3.41, 1.14 and 1.65 respectively.The Gini index of health institute,bed, health worker,physician and nurse number of per capita fell by 0.16 ,0.05,0.19,0.20 and 0.18 respectively.The gap between developed area and undeveloped shrunk from 4.32 times before medical reform to 1.76 times gradually.Conclusions New medical reform substantially promote overall level of regional health resource allocation in Shandong Province.Promote the fairness of per capita health resource allocation.Various indexes of per capita spatial allocation reach best fairness status.The overall of regional health resources allocation tend to optimization,but the problem of unfair distribution among regions is still serious.

关 键 词：新医改 卫生资源 空间配置 对比 

分 类 号：R197[医药卫生—卫生事业管理]