北京市社区精神卫生资源配置公平性变化研究  

A Study on the Changes in Equity of Community Mental Health Resources Allocation in Beijing

作　　者：徐秋月 黄庆之 Xu Qiuyue;Huang Qingzhi(Beijing Anding Hospital of Capital Medical University,Beijing,100088,China)

机构地区：[1]首都医科大学附属北京安定医院/北京市精神卫生保健所/北京市精神卫生项目办,北京100088

出　　处：《中国初级卫生保健》2024年第5期72-75,共4页Chinese Primary Health Care

摘　　要：目的:了解北京市社区精神卫生资源配置现状及公平性变化情况,为优化社区精神卫生资源配置提供对策建议。方法:运用洛伦兹曲线、基尼系数和泰尔指数等方法对2018年、2022年北京市社区精神卫生资源配置情况进行公平性分析。结果:与2018年相比,2022年北京市社区精神卫生防治人员每万人配置量提升了32%,每km2配置量提升了40%,社区精神科开设量提升了280%。2018年、2022年社区精神卫生防治人员人口维度基尼系数分别为0.1963、0.1077,地理维度的基尼系数分别为0.6820、0.6555,区域内差异对总泰尔指数贡献率分别为76.70%、78.20%。结论:2022年与2018年相比,北京市社区精神卫生资源配置及人口维度的公平性有明显改善,但供给仍不足、分布不均衡,地理维度持续为高度不公平状态,区域内差异一直是导致北京市社区精神卫生资源配置不公平性的主要原因。OBJECTIVE To understand the status and changes in equity of community mental health resources allocation in Beijing,and provide countermeasures and suggestions for optimizing the allocation of mental health resources in community.METHODS The fairness of mental health resource allocation in communities in Beijing in 2018 and 2022 was analyzed using Lorenz curve,Gini coefficient and Theil index.RESULTS From 2018 to 2022,the per capita allocation of community mental health personnel in Beijing increased by 32%,the per square kilometer allocation increased by 40%,and the number of community mental health clinics increased by 280%.In 2018 and 2022,the Gini coefficients of the population dimension of community mental health personnel were 0.1963 and 0.1077,respectively,and the Gini coefficients of the geographical dimension were 0.6820 and 0.6555,respectively.The contribution rates of regional differences to the total Theil index were 76.7% and 78.20%,respectively.CONCLUSION From 2018 to 2022,the allocation of community mental health resources in Beijing has improved,but the supply is still insufficient and unevenly distributed.Resources are highly unequally allocated geographically,with within-region differences greatly impacting equity.The geographical fairness remains highly unfair.Intra-regional differences have always been the main reason for the unfairness of mental health resource allocation in communities of Beijing.

关 键 词：社区精神卫生 资源配置 公平性 

分 类 号：R197[医药卫生—卫生事业管理]