成渝经济圈背景下成渝泸区域卫生资源配置公平性分析  

Analysis of equity of regional health resource allocation in Chengdu-Chongqing-Luzhou area in the context of Chengdu-Chongqing economic circle

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;不详)

机构地区：[1]泸州市人民医院行政办公室,四川泸州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,四川泸州646000 [3]西南医科大学附属医院信息与统计部,四川泸州646000

出　　处：《现代预防医学》2022年第12期2218-2222,共5页Modern Preventive Medicine

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

摘　　要：目的分析成都市、泸州市和重庆市卫生资源配置的公平性,为推动泸州市卫生健康事业融入成渝经济圈提供科学的依据。方法采用描述性分析法、集中指数和泰尔指数对成都市、泸州市和重庆市卫生资源配置公平性进行分析。结果2019年,成都市每千人口床位数、卫生技术人员、执业(助理)医师和注册护士为8.98张、11.16人、4.13人和5.30人,远远高于泸州市和重庆市的卫生资源配置情况。床位、卫生技术人员、执业(助理)医师和注册护士的集中指数均为正数,说明卫生资源倾向于经济水平较高的地区。成都市按人口配置的泰尔指数在0.0059~0.0574之间,泸州市按人口配置的泰尔指数在0.0054~0.0763之间,重庆市按人口配置的泰尔指数在0.0059~0.0305之间,成都市和重庆市不公平性主要来自于区域间,泸州市不公平性主要来自于区域内。成都市按地理配置的泰尔指数在0.1593~0.3893之间,泸州市按地理配置的泰尔指数在0.0852~0.2344之间,重庆市按地理配置的泰尔指数在0.1186~0.2841之间,成都市和泸州市不公平性主要来自于区域内,重庆市不公平性主要来自于区域间。结论卫生资源倾向于经济水平较高的地区,卫生人力资源比卫生物力资源更加不公平一些,要加强区域卫生资源规划建设,完善基本医疗卫生服务,加强卫生人才队伍建设。Objective To analyze the equity of health resource allocation in Chengdu,Luzhou and Chongqing,and to provide a scientific basis for promoting the integration of health and health care in Luzhou into the Chengdu-Chongqing economic circle.Methods Descriptive analysis,concentration index and Thiel index were used to analyze the equity of health resource allocation in Chengdu,Luzhou and Chongqing.Results In 2019,the number of beds,health technicians,licensed(assistant)physicians and registered nurses per 1000 population in Chengdu was 8.98,11.16,4.13,and 5.30,much higher than the health resource allocation in Luzhou and Chongqing.The concentration indices of beds,health technicians,practicing(assis-tant)physicians and registered nurses were all positive,indicating that health resources tended to favor areas with higher eco-nomic levels.The Thiel indexes for population-based allocation in Chengdu city ranged from 0.0059-0.0574,in Luzhou city from 0.0054-0.000.0763,and in Chongqing city from 0.0059-0.0305.The inequity in Chengdu and Chongqing city came mainly from inter-regional and the inequity in Luzhou city came mainly from intra-regional.The Thiel indices by geographic allocation ranged from 0.1593-0.3893 in Chengdu,0.0852-0.2344 in Luzhou,and 0.1186-0.2841 in Chongqing,with inequity mainly coming from intra-regional in Chengdu and Luzhou,and from inter-regional in Chongqing.Conclusion Health resources tend to favor regions with higher economic levels,and human resources for health are somewhat more inequitable than physical resources for health.It is necessary to strengthen regional health resources planning and construction,improve basic medical and health services,and strengthen the construction of health talent teams.

关 键 词：卫生资源 公平性 集中指数 泰尔指数 成渝经济圈 

分 类 号：R197.1[医药卫生—卫生事业管理]