川渝卫生资源配置公平性分析  被引量:1

Analysis of equity of health resource allocation in Sichuan and Chongqing

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作  者:王玉龙 胡巧凤 刘瑞峰 张华敏 陈建 WANG Yulong;HU Qiaofeng;LIU Ruifeng;ZHANG Huamin;CHEN Jian(School of Public Health,Chengdu Medical College,Chengdu Sichuan 610500,China;Jiulongpo District Center for Disease Prevention and Control of Chongqing,Chongqing 500107,China)

机构地区:[1]成都医学院公共卫生学院,四川成都610500 [2]重庆市九龙坡区疾病预防控制中心,重庆500107

出  处:《卫生软科学》2024年第1期58-63,共6页Soft Science of Health

基  金:成都医学院研究生科研创新基金(YCX2022-01-35)。

摘  要:[目的]分析2016-2020年四川(川)、重庆(渝)卫生资源配置公平性,为川渝政府优化卫生资源配置提供参考。[方法]采用差别指数、集聚度评价川渝卫生资源配置公平性。[结果]四川、重庆按人口分布差别指数远小于按地理分布差别指数。成都平原、川南、重庆都市区5个卫生资源配置指标的HRAD均大于1.6,呈现地区按地理配置公平性过高;从人口配置公平性来看,除川西北外,其他区域HRAD/PAD值为1.0左右,公平性整体较好。除成都平原和重庆市区外,其他区域卫生人力资源公平性低于物力资源。[结论]川渝各区域的卫生资源参差不齐。经济欠发达地区的人口配置卫生资源公平性优于地理配置,且医疗人才资源匮乏。创新区域卫生资源协同体制机制,对有效推动川渝卫生健康资源共享、优势互补、均衡发展具有重要意义。Objective To analyze the equity of health resources allocation in Sichuan and Chongqing from 2016 to 2020,and to provide the reference for Sichuan and Chongqing governments to optimize the allocation of health resources.Methods The index of dissimilarity,and agglomeration degree were used to estimate the equity of health resources allocation in Sichuan and Chongqing.Results The index of dissimilarity of population distribution in Sichuan and Chongqing was much smaller than that of geographical distribution.The HRAD of five indicators of health resource allocation in Chengdu Plain,southern Sichuan and Chongqing metropolitan area was all greater than 1.6,which showed that the equity of regional geographic allocation was too high.From the perspective of the equity of population allocation,except for the northwest of Sichuan,the HRAD/PAD of other regions was about 1.0,and the equity was generally good.Except Chengdu Plain and Chongqing city,the equity of health human resources was lower than that of material resources in other regions.Conclusions The health resources of Sichuan and Chongqing regions are uneven.In less developed areas,the equity of health resources in population allocation is better than that in geographical allocation,and medical personnel resources are scarce.The innovatively coordinated system and mechanism of regional health resources are of great significance to effectively promote the sharing,complementary advantages and balanced development of health resources in Sichuan and Chongqing.

关 键 词:卫生资源 公平性 集聚度 差别指数 四川 重庆 

分 类 号:R197[医药卫生—卫生事业管理]

 

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