2019年我国中医类卫生医疗机构公平性分析  

Analysis of the Equity of Traditional Chinese MedicineHealthcare Institutions in 2019

作　　者：赵子兆 杨光 杨雅淇 董蓬玉 赵曜 陈红雨 杨松旺 何国忠 贺锋 ZHAO Zizhao;YANG Guang;YANG Yaqi;DONG Pengyu;ZHAO Yao;CHEN Hongyu;YANG Songwang;HE Guozhong;HE Feng(School of Public Health,Kunming Medical University,Kunming,650500,China;不详)

机构地区：[1]昆明医科大学公共卫生学院,云南昆明650500 [2]山东省疾病预防控制中心,山东济南250014 [3]云南省第一人民医院,云南昆明650034 [4]南昌大学第一附属医院,江西南昌330006 [5]临沧市疾病预防控制中心,云南临沧677099 [6]深圳市宝安区沙井预防保健所疾控科,广东深圳518104

出　　处：《中国社会医学杂志》2022年第1期85-88,共4页Chinese Journal of Social Medicine

基　　金：国家自然科学基金项目(71964020)。

摘　　要：目的了解我国中医类卫生医疗机构发展现状与公平性,为中医类卫生医疗机构深化改革提供智囊支撑。方法以《2020年中国卫生健康统计年鉴》为基础数据,绘制全国31个省、自治区、直辖市中医类医院、中医类门诊部、中医类诊所、中医类研究机构在人口和面积维度上的洛伦茨曲线,并计算其基尼系数。结果在人口方面,中医类医院、中医类门诊部、中医类诊所的配置较为公平(G<0.4);中医类研究机构(G=0.52744)已超过警戒线。在面积方面,中医类医院(G=0.35791)的分布相对合理;中医类诊所(G=0.46653)的配置处于警戒状态;中医类门诊部(G=0.70678)、中医类研究机构(G=0.73186)的分布处于高度不公平的危险状态。结论2019年中医类卫生医疗机构在人口维度的公平性上要优于地理维度的公平性,中医类卫生医疗机构按地理分布处于危险状态。政府应进一步改善顶层设计,兼顾经济因素和地理特征,并结合中医特色优势,提高中医类卫生医疗机构资源配置的公平性与可及性。Objective To grasp the status quo and equity of the development of Traditional Chinese Medicine(TCM)institutions,and to provide think tank support for the deepening of reforms of TCM institutions.Methods Based on the basic data of the"China Health Statistics Yearbook 2020",the population and area dimensions of TCM hospitals,TCM outpatient department,TCM clinics,and TCM research institutions in 31 provinces,autonomous regions,and municipalities across the country were drawn and Lenz curve and its Gini coefficient were calcula-ted.Results According to the cumulative percentage of the population,the configuration of TCM hospitals,TCM outpatient departments,and TCM clinics was relatively fair(G<0.4);TCM research institutions(G=0.52744)had exceeded the warning line.According to the cumulative percentage of area,the distribution of TCM hospitals(G=0.35791)was relatively reasonable;the configuration of TCM clinics(G=0.46653)was in a state of alert;TCM cli-nics(G=0.70678),TCM research institutions(G=0.73186)was in a highly unfairly dangerous state.Conclusion In 2019,the equity of TCM institutions in the population dimension is better than that in the geographic dimension.And the TCM institutions are in a dangerous state according to the geographical distribution.The government should further improve the top-level design,take into account economic factors and geographic characteristics,and combine the advantages of TCM to improve the equity and accessibility of the allocation of resources in TCM institutions.

关 键 词：中医院 卫生资源 公平性 洛伦茨曲线 基尼系数 

分 类 号：R197.4[医药卫生—卫生事业管理]