我国卫生资源配置公平性现状及“十四五”期间公平性预测研究  

Researches on the Status of Equity of Health Resources Allocation and the Equity Prediction during The 14th Five Year Plan Period in China

作　　者：张文天 孔凡悦 王权 李慧[1,2] Zhang Wentian(Shandong University,Cheeloo College of Medicine,Jinan,P.R.China)

机构地区：[1]山东大学齐鲁医学院公共卫生学院卫生管理与政策研究中心,山东济南250012 [2]国家卫生健康委员会卫生经济与政策研究重点实验室(山东大学)

出　　处：《中国卫生事业管理》2022年第3期161-165,207,共6页Chinese Health Service Management

基　　金：国家卫生健康委规划与信息司委托研究课题“‘十四五’时期卫生健康需求与供给状况研究”。

摘　　要：目的:分析新医改后我国卫生资源配置的公平性,预测“十四五”期间我国卫生资源配置的公平性,发现其中存在的问题,提出改善建议。方法:描述目前卫生资源的配置情况,采用趋势外推法预测“十四五”期间卫生资源配置情况,采用卫生资源集聚度(HARD)以及卫生资源集聚度和人口集聚度的比值(HARD/PAD)评估卫生资源配置公平性。结果:目前我国卫生资源按地理面积配置的公平性,东部地区>中部地区>西部地区;按人口配置的公平性,中、西部优于东部地区。“十四五”期间公平性略有改善,但仍存在卫生资源相对地区人口不足的情况。结论:“十四五”期间我国政府应充分考虑地理和人口两方面因素,进一步缩小提高卫生资源配置公平性的地区差异;完善卫生人员激励机制,优化卫生人力资源配置。Objective To analyze the fairness of Chinas health resource allocation after the new medical reform,predict the fairness of Chinas health resource allocation during the 14th Five Year Plan,explore the existing problems,and put forward improvement suggestions.Methods The status of health resources allocation was described.The allocation of health resources during the 14th Five Year Plan was predicted by trend extrapolation method,and the fairness of health resource allocation was evaluated by the health resource concentration(HARD)and the ratio of concentration degree of health resources to population concentration(HARD/PAD).Results In view of geographical area,the fairness of present health resources allocation in China was ranked as eastern region>central region>western region.And in view of population allocation,the fairness of central and western regions was better than the eastern region.During the 14th Five Year Plan period,equity was improved slightly,but there was still a shortage of health resources relative to the regional population.Conclusion During the 14th Five Year Plan period,Chinese government should fully consider the geographical and demographic factors to further reduce the regional differences in improving the fairness of health resource allocation,improve the incentive mechanism for health personnel,and optimize the allocation of health human.

关 键 词：卫生资源配置 公平性 集聚度 

分 类 号：R197.1[医药卫生—卫生事业管理]