基于集聚度理念的四川省医疗卫生资源配置公平性分析  

Fairness analysis of health resources allocation in Sichuan province based on agglomeration degree

作　　者：张成 赵晓恒[1] 倪洁[1] 巫抑扬[1] 力晓蓉[1] ZHANG Cheng;ZHAO Xiao-heng;NI Jie;WU Yi-yang;LI Xiao-rong(Sichuan Provincial Institute of Health Policy and Medical Information,Chengdu,Sichuan 610041,China)

机构地区：[1]四川省卫生健康政策和医学情报研究所,四川成都610041

出　　处：《现代预防医学》2020年第19期3530-3535,共6页Modern Preventive Medicine

基　　金：四川省科技厅软科学项目(2019JDR0057)。

摘　　要：目的对新医改以来四川省医疗卫生资源按人口规模的公平性和地理面积的可及性的发展情况进行分析,为提高医疗卫生服务的公平、可及提供参考建议。方法采用集聚度对四川省医疗卫生资源配置进行评价。结果新医改以来,四川省医疗卫生资源配置的公平性在不同区域、区域内不同市州以及不同卫生资源类型上存在差异;甘孜、阿坝和凉山各卫生资源集聚度仍然远低于1,且卫生资源集聚度与人口集聚度比值小于1并逐渐减少;卫生人力资源配置公平性改善情况要弱于机构和设施。结论通过区域卫生规划协同发展区域间和区域内医疗卫生服务资源,缩小卫生资源配置的公平性差距;加强卫生人才队伍建设,推动卫生人力资源有序流转;重视地理因素对甘孜、阿坝和凉山卫生资源配置的影响,改善医疗卫生服务的公平、可及。Objective This paper analyzed the development of health resources allocation in Sichuan province according to the equity of population scale and accessibility of geographical area since the new medical reform,so as to provide some suggestions for improving the equity and accessibility of health services.Methods The agglomeration degree was used to evaluate the health resources allocation in Sichuan province.Results Since the new medical reform,the equity and accessibility of health resources allocation in Sichuan province varied from different regions,cities and resources.The health resource agglomeration degree in Ganzi,Liangshan and Aba were still far below 1,meanwhile the ratio of the health resource agglomeration degree to population agglomeration degree were less than 1 and gradually decreased.Equity improvement in health human allocation was weaker than health institution and health facility.Conclusion It is suggested that we should collaboratively develop health service resources in different regions and intra-regional by regional health planning to reduce the equitable gap of health resource allocation.We should strengthen the team construction of health human and promote the health human resources orderly flow in different regions,cities and organizations.We should pay attention to the influence of geographical factors on the health resources allocation and improve the equity and accessibility of health services in minority areas such as Ganzi,Liangshan and Aba.

关 键 词：集聚度 新医改 四川 医疗卫生资源配置 

分 类 号：R197[医药卫生—卫生事业管理]