2017-2021年深圳市卫生资源配置的公平性研究  

Research On Equity Of Health Resource Allocation In Shenzhen From 2017 to 2021

作　　者：张玉丹 李霜梅[1] 钟银生 邓榆苹 王彤[1,2] ZHANG Yu-dan;LI Shuang-mei;ZHONG Yin-sheng;DENG Yu-ping;WANG Tong(Department of Emergence Medicine,The Eighth Affiliated Hospital of Sun Yat-sen University,Shenzhen,5180332.General Medicine Teaching and Research Department,School of Medicine,Sun Yat-sen University,Shenzhen)

机构地区：[1]中山大学附属第八医院急诊科,518033 [2]中山大学医学院全科医学教研室

出　　处：《岭南急诊医学杂志》2023年第5期446-450,共5页Lingnan Journal of Emergency Medicine

基　　金：国家自然科学基金(81070125,81270213,81670306);广东省自然科学基金(2017A030313503);高校基本科研业务费中山大学资助计划(13ykzd16,17ykjc18);深圳市福田区卫生公益性科研项目(FTWS2021016,FT-WS2022026,FTWS2023064);深圳市科创委基金(JCYJ20210324115003008,JCYJ20220530144404009)。

摘　　要：目的:分析2017-2021年深圳市各区主要卫生资源配置状况及公平性,为优化卫生资源配置提供参考依据。方法:通过《深圳市卫生统计年鉴》等资料收集2017-2021年深圳市卫生资源相关数据,采用基尼系数、集聚度分析深圳市卫生资源配置的公平性,并分析其变化趋势。结果:2017-2021年深圳市医疗卫生机构数、床位数、卫生工作人员数、执业(助理)医师数、注册护士数年均增长率分别为10.68%、9.90%、7.58%和9.41%和8.05%。2021年深圳市医疗卫生资源按人口分布的基尼系数约为0.3,分布较为平均;按地理分布的基尼系数接近0.5,分布差距过大。2021年原关内地区除盐田区外卫生资源较为丰富,卫生服务公平性和可及性较好;原关外地区卫生资源的集聚度大多<1,提示应重点完善原关外地区影响指标。结论:2017-2021年深圳市卫生资源总量呈增长的趋势,但涨速过缓,难以和迅速增长的人口相匹配,需要加大卫生资源投入力度,进一步提高卫生资源总量,缩小与其他一线城市的差距;深圳市卫生资源配置地理维度的均衡性欠佳,需要进一步调控全区医疗卫生资源,促进全区卫生服务能力均衡提升。Objective:To analyze the allocation status and fairness of main health resources in various districts of Shenzhen from 2017 to 2021,and provide reference for optimizing the allocation of health resources.Methods:The data of health resources in Shenzhen from 2017 to 2021 were collected through the Shenzhen Health Statistical Yearbook and other data,and the fairness of health resources allocation in Shenzhen was analyzed by Gini coefficient and agglomeration degree,and its changing trend was analyzed.Results:From 2017 to 2021,the annual growth rates of the number of medical and health institutions,the number of beds,the number of health workers,the number of practicing(assistant)doctors and the number of registered nurses in Shenzhen are 10.68%,9.90%,7.58%,9.41%and 8.05%,respectively.In 2021,the Gini coefficient of Shenzhen's medical and health resources distribution by population is about 0.3,which is relatively average.The Gini coefficient of geographical distribution is close to 0.5,and the distribution gap is too large.In 2021,the health resources in the former Guan area except Yantian District will be abundant,and the health service equity and accessibility will be better;The concentration degree of health resources is mostly in the former areas outside the pass.1.It suggests that we should focus on improving the influence indicators of the original areas outside the customs.Conclusion:The total amount of health resources in shenzhen was growing from 2017 to 2021,but it was too slow to be matched by a rapidly growing population,and increased health resources,further increased the total number of health resources,and narrowed the gap with the firsttier cities.In shenzhen,the geographical dimension of health resources in shenzhen is poor in equilibrium,and further regulation of medical and health resources in the whole area is needed to promote the balanced improvement of health services in the whole area.

关 键 词：卫生资源配置 公平性 基尼系数 集聚度 

分 类 号：R197.1[医药卫生—卫生事业管理]