基于秩和比和密切值法的甘肃省卫生资源配置现状综合评价  

Comprehensive evaluation on the health resource allocation in Gansu Province based on rank-sum ratio and cosy value method

作　　者：张勰 王春燕 ZHANG Xie;WANG Chunyan(School of Economics and Management,Gansu University of Chinese Medicine,Lanzhou,Gansu 730000,China;不详)

机构地区：[1]甘肃中医药大学经贸与管理学院,甘肃兰州730000 [2]甘肃中医药大学公共卫生学院

出　　处：《中国预防医学杂志》2023年第11期1185-1190,共6页Chinese Preventive Medicine

基　　金：甘肃省人文社会科学项目(212245)。

摘　　要：目的 综合评价甘肃省14市(州)卫生资源配置现状,为促进甘肃省卫生事业健康发展和“健康中国”战略实施提供参考依据。方法 选取每千人口卫生技术人员数、每千人口执业(助理)医师数、每千人口注册护士数、每千人口医疗机构床位数和每千人口卫生机构数5个衡量指标,利用秩和比法和密切值法两种方法共同评价甘肃省内各市州卫生资源配置情况,并比较两种结果的差异。结果 2019年甘肃省各地卫生资源配置存在差异,加权秩和比(weight rank-sum ratio,WRSR)与概率单位值(Probit)的回归方程为Y=-0.496+0.2×Probit (R^(2)=0.906,F=115.237,P<0.05),14市(州)按秩和比法可分为三档:陇南、临夏(低);兰州、白银、天水、武威、平凉、酒泉、庆阳、定西、甘南(中);嘉峪关、金昌、张掖(高)。密切值结果显示,嘉峪关、兰州排在前列,临夏、天水排在最后。结论 两种方法得到的评价结果基本相似,略有差异,总体具有一定参考意义。甘肃省卫生资源基础设施配置良好,人力资源配置较差,地区间资源配置差异仍然存在,建议加强卫生人力资源建设,持续优化区域资源配置。Objective To comprehensively evaluate the allocation of health resources in 14 cities in Gansu Province,and to provide reference for promoting healthy development of health services in Gansu Province and the implementation of"healthy China"strategy.Methods The allocations of health resources in 14 cities in Gansu Province were assessed using both rank and ratio method(RSR)and osculating value method based on 5 selected indicators such as the number of health technical personnel per thousand population,number of certified or assistant medical practitioners per thousand population,number of registered nurses per thousand population,number of beds in medical institutions per thousand population and number of health institutions per thousand population.The difference between the two results was also compared.Results The regression equation of weighted rank sum ratio(WRSR)and probability unit value(Probit)was Y=-0.496+0.2×Probit(R^(2)=0.906,F=115.237,P<0.05).Based on the Probit value of RSR method,14 cities could be divided into low(Probit<4,2 cities:Longnan,Linxia,)medium(46,3 cities:Jiayuguan,Jinchang,Zhangye).The result of osculating value method showed that the top two were Jiayuguan and Lanzhou,while the bottom two were Linxia and Tianshui.Conclusions We obtain basically similar but slightly different results from the two methods.The infrastructure of health resources in Gansu Province is well allocated,however,the human resources are poorly allocated,and there are still regional differences in the allocation of health resources.It is suggested to strengthen the construction of health human resources,continue the optimization of regional allocation in Gansu Province.

关 键 词：卫生资源配置 秩和比法 密切值法 评价 

分 类 号：R197[医药卫生—卫生事业管理]