我国少数民族自治州卫生资源配置公平性研究  

Study on equity of health resource allocation in ethnic minority autonomous prefectures in China

作　　者：刘晖[1] 张阿雲 寇丽圆 LIU Hui;ZHANG Ayun;KOU Liyuan(Gansu University of Traditional Chinese Medicine,Lanzhou,Gansu 730000,China)

机构地区：[1]甘肃中医药大学,甘肃兰州730000

出　　处：《中国预防医学杂志》2024年第2期245-250,共6页Chinese Preventive Medicine

基　　金：甘肃省科技计划项目(23JRZA462);甘肃省教育厅高校教师创新基金项目(2023A-089);甘肃中医药大学科学研究与创新基金项目(2022KCYB-12)。

摘　　要：通过梳理30个少数民族自治州卫生资源数据,分析其卫生资源配置存在的问题,为提高卫生资源公平性提供理论依据。采用集聚法与秩和比(rank sum ration,RSR)法对我国少数民族自治州2016—2021年卫生资源配置公平性及相关指标进行综合分析。结果显示,2016—2021年,卫生资源集聚度与人口集聚度比值均值>1的少数民族自治州占16.67%,其中医疗机构数、床位数、卫生技术人员、执业(助理)医师、注册护士比值均值>1的分别有18个、11个、9个、13个、8个;对各少数民族自治州卫生资源进行编秩排序,得到RSR值排名前三的分别是西双版纳州(0.95)、楚雄州(0.82)、德宏州(0.80)。少数民族自治州卫生资源总体公平性不足,人口公平性优于地理公平,且卫生人力资源公平性较低。By sorting out the data of health resources in 30 ethnic minority autonomous prefectures,we aimed to analyze the existing problems in the allocation of health resources,in order to provide a theoretical basis for improving the equity of health resources.The equity of health resource allocation and related indicators in 2016—2021 in the ethnic minority autonomous prefectures in China were analyzed using agglomeration method and rank sum ratio(RSR)method.The results showed that in the period from 2016 to 2021,16.67%of the prefectures had a ratio of health concentration and population concentration being>1,specifically 18,11,9,13,and 8 ethnic minority autonomous prefectures had a ratio of higher than 1 for the number of healthcare facilities,hospital beds,healthcare technicians,practicing/assistant physicians,and licensed nurses,respectively.The ranking of the prefectures in terms of health resources showed that the top three prefectures were Xishuangbanna Prefecture(RSR=0.95),Chuxiong Prefecture(O.82)and Dehong Prefecture(o.80).The overall equity of health resources in ethnic minority autonomous prefectures is insufficient.Populational equity is better than geographical equity,and the equity of health human resources is low.

关 键 词：卫生资源集聚度 人口集聚度 公平性 少数民族自治州 

分 类 号：R197.1[医药卫生—卫生事业管理]