我国卫生资源配置状况及其空间变异分析  

Analysis of Health Resource Allocation and its Spatial Variation in China

作　　者：徐宁 胡琦 张丽虹 汤榕 XU Ning;HU Qi;ZHANG Li-hong;TANG Rong(School of Public Health and Management,Ningxia Medical University,Yinchuan 750004,Ningxia,China;Key Laboratory of Environmental Factors and Chronic Disease Control,Yinchuan 750004,Ningxia,China)

机构地区：[1]宁夏医科大学公共卫生与管理学院,宁夏银川750004 [2]宁夏环境因素与慢性病控制重点实验室,宁夏银川750004

出　　处：《医学信息》2021年第21期17-20,共4页Journal of Medical Information

基　　金：宁夏医科大学校级科研项目(编号:XM2020205);宁夏教育厅2018年产教融合人才培养专业建设项目(编号:2018SFZY08)。

摘　　要：目的通过测度我国卫生资源配置状况及其空间格局,为我国卫生资源配置和规划提供理论参考。方法利用2011-2015年我国各省市人均卫生总费用、每万人卫生技术人员数和每万人医疗卫生机构床位数的面板数据,运用熵权法、卫生资源分布指数、探索性空间分析法,了解2011-2015年我国卫生资源配置状况及空间分布特征。结果2011-2015年我国各省市卫生资源分布差距较大,其中北京市的卫生分布指数居全国首位(0.96),江西省的卫生资源分布指数处于全国末位(0.40)。同时,各省市卫生资源配置存在空间集聚现象,总体呈现中间低两端高的特征。结论国家应强化政府主导地位和作用,加强对卫生资源的统筹力度。不断调整政府财政投入,科学合理地进行卫生资源配置和卫生规划。同时,应严控医疗资源过度增长,加大卫生人才培养,缩小各地区卫生资源配置差异。Objective By measuring China's health resource allocation and its spatial pattern,to provides theoretical reference for China's health resource allocation and planning.Methods Based on the panel data of the total health expenditure per capita,the number of health technicians per 10000 people and the number of beds in medical and health institutions per 10000 people in China from 2011 to 2015,entropy weight method,health resource distribution index and exploratory spatial analysis method were used to understand the allocation and spatial distribution characteristics of health resources in China from 2011 to 2015.Results From 2011 to 2015,there was a large gap in the distribution of health resources among provinces and cities in China.The health distribution index of Beijing ranked first in China(0.96),and that of Jiangxi ranked last in China(0.40).At the same time,there was a spatial agglomeration phenomenon in the allocation of health resources in all provinces and cities,which generally presents the characteristics of low in the middle and high at both ends.Conclusion The state should strengthen the leading position and role of the government and strengthen the coordination of health resources.We will constantly adjust government financial input and make scientific and reasonable allocation of health resources and health planning.At the same time,we should strictly control the excessive growth of medical resources,increase the training of health personnel,and narrow the differences in the allocation of health resources in various regions.

关 键 词：熵权法 资源分布指数 卫生资源配置 空间分布 

分 类 号：R197[医药卫生—卫生事业管理]