海军8所医院医疗资源配置现状及公平性分析  

Analysis on Current Situation and Equity of Medical Resources Allocation in 8 Naval Hospitals

作　　者：徐振清 李佳惠 向晓皓 唐碧菡 汪博 张鹭鹭 XU Zhenqing;LI Jiahui;XIANG Xiaohao;TANG Bihan;WANG Bo;ZHANG Lulu(Department of Military Health Service,Faculty of Military Health Service,Naval Medical University,Shanghai200433;Department of General Surgery,No.952 Hospital of PLA,Golmud 816099;Clinical Department,Joint Logistics Department,Ji’nan Military Command,Ji’nan 250022)

机构地区：[1]海军军医大学卫生勤务学系卫生勤务学教研室,上海200433 [2]解放军第952医院普通外科,格尔木816099 [3]济南军区联勤部门诊部,济南250022

出　　处：《解放军医院管理杂志》2019年第9期809-811,共3页Hospital Administration Journal of Chinese People's Liberation Army

基　　金：国家自然科学基金项目(71233008,71804186);军队“十二五”重大项目(AWS12J002);上海市浦江人才计划资助(18PJC116)

摘　　要：目的通过分析8所海军医院3年间医疗资源配置公平性的变化趋势,为军队医院医疗资源配置优化提供决策依据。方法调研8所海军医院3年内收治基本情况资料。采用描述性分析、基于基尼系数及泰尔指数等定量研究方法分析8所海军医院医疗资源配置公平性。结果8所医院中,B医院基尼系数0.19,垂直公平性最好;H医院0.67,垂直公平性较差。A医院总泰尔系数0.0021,水平公平性最好;C医院总泰尔指数0.0229,水平公平性相对较差。结论与地方公立医院相比,军队医院资源配置公平性差,改革延迟滞后,应从多个角度优化均衡性,提升军人病床周转率和为兵服务质量。Objective By analyzing the changing trend of the equity of medical resource allocation in 8 naval hospitals during 3 years,it provides decision-making basis for the optimization of medical resources alloca-tion in military hospitals.Methods Investigate the basic information of the admission of 8 naval hospitals within 3 years.Descriptive analysis,based on the Gini coefficient and the Theil index,were used to analyze the equity of medical resource allocation in eight naval hospitals.Results Among the 8 hospitals,the Gini coefficient of hospi-tal B was 0.19,and the vertical equity was the best;H hospital was 0.67,and the vertical equity was poor.Hos-pital A had a total Theil index of 0.0021,and the level of equity was the best;hospital C had a total Theil index of 0.0229,and the level of equity was relatively poor.Conclusion Compared with local public hospitals,military hospitals have poor fairness in resource allocation and delays in reform.They should improve balance from multiple angles,pay attention to the bed turnover rate and the quality of service for soldiers.

关 键 词：基尼系数 泰尔指数 公平性 医疗资源配置 

分 类 号：R197.32[医药卫生—卫生事业管理]