健康中国视角下我国政府卫生支出的区域公平性评价  

Regional equity of Chinese government health expenditure based on the perspective of Healthy China

作　　者：周明华[1] 谭红 何思长 ZHOU Ming-hua;TAN Hong;HE Si-zhang(Administration office,Luzhou People’s Hospital,Luzhou,Sichuan 646000,China)

机构地区：[1]泸州市人民医院行政办公室,四川646000 [2]西南医科大学口腔颌面修复重建与再生实验室/西南医科大学附属口腔医院牙周粘膜病科 [3]西南医科大学附属医院信息与统计部

出　　处：《现代预防医学》2022年第1期83-87,共5页Modern Preventive Medicine

基　　金：泸州市人民政府-西南医科大学科技战略合作项目(2020LZXNYDR10);泸州市哲学社会科学研究规划课题(LZ21A060)。

摘　　要：目的对我国政府卫生支出的区域公平性进行评价,为促进基本公共卫生服务均等化提供科学的依据。方法采用集中指数、泰尔指数和集聚度对我国政府卫生支出进行公平性分析。结果我国、东部地区和西部地区的政府卫生支出的集中指数为正数,说明倾向于经济水平较高的地区。我国政府卫生支出人口分布的泰尔指数在0.0090~0.0112之间,不公平性主要来自于区域间;地理分布的泰尔指数在0.4055~0.4107之间,不公平性来自于区域内。从卫生资源集聚度来看,东部地区大于4,中部地区大于2,说明政府卫生支出按地理配置的公平性过高;东北地区小于0.9,西部地区小于0.4,表明政府卫生支出地理配置相对不足。从卫生资源集聚度/人口集聚度来看,东部地区和西部地区大于1,说明政府卫生支出相对于集聚人口过剩;东北地区和中部地区小于1,说明政府卫生支出相对于集聚人口不足。结论我国政府卫生支出整体倾向于经济水平较高的地区,中部、西部和东北地区存在不同程度的不足。政府财政要继续对中西部和东北地区的转移支付力度,各地区要发展地区经济,提升卫生健康事业的供给能力。Objective To evaluate the regional equity of Chinese government health expenditures,so as to provide a scientific basis for promoting the equalization of basic public health services.Methods Concentration index,Theil index and agglomeration degree were used to analyze the fairness of government health expenditure in China.Results The concentration index of government health expenditure of the eastern region and the western region in China were positive,indicating a preference for regions with higher economic levels.The Theil index of the population distribution of government health expenditure in my country was between 0.0090 and 0.0112,and the unfairness mainly came from the region.The Theil index of the geographical distribution was 0.4055-0.4107,and the unfairness came from within the region.The health resources agglomeration degrees were more than 4 in the eastern region and more than 2 in the central region,indicated that the fairness of government health expenditure according to geographic allocation was too high.The agglomeration degree of the northeast region was less than 0.9 and the western region was less than 0.4,indicated that the geographic allocation of government health expenditure was relatively insufficient.From the perspective of health resources agglomeration degree/population agglomeration degree,the eastern and western regions were more than 1,indicating that the government health expenditure was surplus relative to the agglomeration population,.While the northeast and central regions were less than 1,indicating that the government health expenditure was insufficient relative to the agglomeration population.Conclusion The overall government health expenditure in our country tends to incline to areas with higher economic levels,and degrees of deficiencies vary in the central,western and northeastern regions.The government’s finances should continue to transfer payments to the central region,the west and the northeast,and all regions should boost regional economies and improve the supply cap

关 键 词：政府卫生支出 公平性评价 集中指数 泰尔指数 集聚度 

分 类 号：R197.1[医药卫生—卫生事业管理]