山西省乡村医疗卫生资源配置公平性及趋势预测  

Fairness and trend forecast of rural medical and health resource allocation in Shanxi Province

作　　者：荣芳[1] 郭建如[2] 哈巍[2] 王维民 RONG Fang;GUO Jianru;HA Wei;WANG Weimin(Medical School,Shanxi Datong University,Datong,Shanxi 037009,China;Institute of Educational Economics,PekingUniversity,Bejing 100871,China;Peking University Health Science Center,Beijing 100191)

机构地区：[1]山西大同大学医学院,山西大同037009 [2]北京大学教育经济研究所,北京100871 [3]北京大学医学部,北京100191

出　　处：《中国农村卫生事业管理》2022年第12期859-865,共7页Chinese Rural Health Service Administration

基　　金：国家社会科学基金重点项目(AIA210011)。

摘　　要：目的通过对山西省乡村医疗卫生资源配置及发展趋势的分析,为调整乡村医疗服务政策提供参考。方法以山西省11个城市乡村医疗卫生资源为研究对象,采用卫生资源集聚度、集中指数、基尼系数、泰尔指数、灰度预测等方法对数据进行统计分析。结果山西省乡村医疗卫生资源规模逐年减少,数量配置较均衡,但集中在经济欠发达地区,地区间差距明显,未来几年资源短缺现象进一步加重。结论政府应完善合理的乡村医疗政策,缩小地区差距,缓解资源短缺,提高乡村医疗的服务能力。Objective To provide reference for the adjustment of rural health service policies through the analysis of rural medical and health resource allocation and development trends in Shanxi Province.Methods Rural health resources in 11 cities of Shanxi Province were chosen as the research objects.The data were statistically analyzed by using health resource agglomeration,concentration index,Gini coefficient,Thiel index,and gray-scale prediction.Results The scale of rural medical and health resources in Shanxi Province had been decreasing year by year,with a relatively balanced quantity allocation.The resource allocation is concentrated in economically underdeveloped areas,with obvious disparities among regions.The shortage of resources would be aggravating in the coming years.Conclusions The government should improve rural health policies to narrow regional disparities,alleviate resource shortages,and improve the service capacity of rural medical care.

关 键 词：乡村医疗 村级卫生室 乡村医生 配置公平性 趋势预测 健康中国 

分 类 号：R197[医药卫生—卫生事业管理]