我国省际卫生资源系统脆弱性综合评价研究  

Comprehensive Evaluation on Vulnerability of Provincial Health Resource System in China

作　　者：薛乔丹 高力军[1,2] 宁宁 李熹[3] 张悦 李桐瑶[1] 邴婧莹 赵薇 刘晴 孙宏 XUE Qiao-dan;GAO Li-jun;NING Ning(School of Health Management,Harbin Medical University,Harbin,150081,China)

机构地区：[1]哈尔滨医科大学卫生管理学院,哈尔滨150081 [2]国民健康社会风险预警协同创新中心,上海200030 [3]中国医学科学院医学信息研究所,北京100730

出　　处：《中国卫生经济》2021年第8期41-45,共5页Chinese Health Economics

基　　金：国家自然科学基金面上项目(71774046,71874044)。

摘　　要：目的:探寻我国卫生资源脆弱性地区和导致脆弱性存在的关键性障碍因子,为降低我国卫生资源系统脆弱性提供决策参考依据。方法:利用熵权法确定评价指标权重,利用均值标准差法、秩和法对31个省份脆弱性等级及关键障碍性因子进行评价。结果:17个指标熵权基尼系数为0.52。卫生资源极度脆弱的省份为西藏和新疆。极为关键障碍因子是人均可支配收入、城镇化水平和婴儿死亡率3个指标。结论:我国卫生资源系统综合脆弱性是一种社会因素决定为主的压力主导型的,在空间分布上呈现一种"海拔效应",破解我国卫生资源系统脆弱性的核心在于促进和提高经济和社会发展水平。Objective:To explore the vulnerable regions of health resources in China and the key obstacles that lead to them,and to provide decision-making references for reducing the vulnerability of health resources system in China.Methods:Entropy weight method is used to determine the weight of evaluation index,and mean standard deviation method and rank method are used to evaluate the vulnerability level and key obstacle factors of 31 provinces.Results:Gini coefficient of entropy weight of 17 indexes was 0.52.The provinces with extremely vulnerable health resources are Tibet and Xinjiang.The key obstacle factors are per capita disposable income,urbanization level and infant mortality rate.Conclusion:The comprehensive vulnerability of China’s health resources system is a pressure-oriented one dominated by social factors,showing an "altitude effect" in spatial distribution.The core of solving the vulnerability of China’s health resources system lies in promoting and improving the level of economic and social development.

关 键 词：卫生资源 系统脆弱性 综合评价 熵权 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] F207[经济管理—国民经济]