聚类分析联合秩和比法评价中医类医疗卫生资源区域配置  

Assessment of regional allocation of medical and health resources in traditional Chinese medicine by cluster analysis and rank sum ratio method

作　　者：郑昕 戴力辉[1] 刘硕 王蜜源 郭贺 ZHENG Xin;DAI Lihui;LIU Shuo;WANG Miyuan;GUO He(School of Management,Beijing University of Chinese Medicine,Beijing 100029,China;School of Biological Science and Technology,Beijing Forestry University,Beijing 100083,China)

机构地区：[1]北京中医药大学管理学院,北京100029 [2]北京林业大学生物科学与技术学院,北京100083

出　　处：《中国医药导报》2020年第17期189-192,196,共5页China Medical Herald

基　　金：北京市医院管理局项目(2040071520093);北京中医药大学科研发展基金项目(2017-ZXFZJJ-014)。

摘　　要：目的通过聚类分析联合秩和比(RSR)法分析我国2017年30个省(自治区、直辖市)中医类医疗机构卫生资源配置公平性。方法通过《中国卫生健康统计年鉴2018》获取相关数据,利用聚类分析对2017年我国30个省市的中医类卫生资源进行Q型聚类,并通过RSR法对聚类结果进行效果判定。结果全国中医类医疗卫生资源可分为3档,各档间RSR值差异有统计学意义(P <0.05);四川、甘肃、重庆、新疆共4省(市)为第1档,RSR均值和标准差为(0.81±0.13),且均属西北地区;北京、安徽等17省(市)为第2档(较好),RSR均值和标准差为(0.53±0.19);上海、天津等9省(市)为第3档(一般),RSR均值和标准差为(0.37±0.10)。结论我国中医类医疗卫生资源配置各地区间差异较大,且与地区经济发展无确切关系,应加大人力物力投入,提高中医卫生资源配置效率,因地制宜合理制订区域中医药发展规划。Objective To analyze the equity of health resource allocation of traditional Chinese medicine medical institutions in 30 provinces(autonomous regions,municipalities directly under the central government)in 2017 by cluster analysis and rank sum ratio(RSR)method.Methods China Health Statistics Yearbook 2018 was used to obtain the relevant data,using cluster analysis in 201730 provinces and cities of Chinese medicine health resources was used for Q-cluster,and the RSR method was used to determine the effect of clustering results.Results The national medical and health resources of traditional Chinese medicine can be divided into three grades,and the difference of RSR value among the grades was statistically significant(P<0.05);Sichuan,Gansu,Chongqing and Xinjiang were the first grade,with the mean and standard deviation of RSR being(0.81±0.13),and all of them belong to the northwest region;17 provinces(cities)such as Beijing and Anhui were the second grade(better),with the mean and standard deviation of RSR being(0.53±0.19);9 provinces(cities)such as Shanghai and Tianjin were the third grade(general),with the mean and standard deviation of RSR being(0.37±0.10).Conclusion The allocation of medical and health resources of traditional Chinese medicine varies greatly among regions in China,and has no definite relationship with regional economic development.We should increase the input of human and material resources to improve the efficiency of allocation of medical and health resources of traditional Chinese medicine,and make a reasonable regional development plan of traditional Chinese medicine according to local conditions.

关 键 词：聚类分析 秩和比 中医药 卫生资源 

分 类 号：R242[医药卫生—中医临床基础]