江苏省县级疾控机构卫生资源配置状况及公平性分析  

Allocation and equity of health resources in county-level institutions for disease control and prevention in Jiangsu Province

作　　者：杜晶琳 史烨梁 黄自发[1] 巴磊 DU Jing-lin;SHI Ye-liang;HUANG Zi-fa;BA Lei(Jiangsu Provincial Center for Disease Control and Prevention,Jiangsu Nanjing 210009,China;不详)

机构地区：[1]江苏省疾病预防控制中心,江苏南京210009 [2]国家卫生健康委员会避孕药具警戒与生育力监测重点实验室

出　　处：《江苏预防医学》2024年第4期493-496,共4页Jiangsu Journal of Preventive Medicine

基　　金：江苏省卫生健康发展研究中心2021年度开放课题(社会科学类)(JSHD2021012)。

摘　　要：目的了解江苏省县级疾控机构卫生资源动态变化及配置公平性,为均衡发展和机构改革提供数据支撑。方法分析2015—2022年江苏省县级疾控机构各项卫生资源变化情况,从人口、地理和经济3个维度,利用洛伦兹曲线、基尼系数和泰尔指数分析2022年县级疾控机构卫生资源配置公平性。结果至2022年,江苏省所辖的95家县级疾控机构编制达标率为100.0%,专业技术人员达标机构占89.5%,高级职称达标机构占57.9%,拥有261个生物安全实验室,各种仪器设备36928台。不同地区中,苏北地区专业技术人员达标机构占比(78.4%)与苏南(97.4%)、苏中(94.7%)相比较低,高级职称达标机构占比(35.1%)也明显低于苏南(76.9%)和苏中地区(63.2%),配置仪器设备数量也少于苏南和苏中地区。2019—2022年各项卫生资源增长速度较快。2022年县级疾控机构卫生资源按人口分布基尼系数、泰尔指数较小,公平性最高,泰尔指数在0.0061~0.1844,不同维度下卫生资源配置不公平来源不同。结论江苏省县级疾控机构各项卫生资源标准化建设基本完成,卫生资源按人口配置公平性最高,公平性受地区内和地区间差异双重影响。Objective To investigate the dynamic changes and allocation equity of health resources in county-level institutions of disease control and prevention in Jiangsu Province,so as to provide data supports to balanced development and institutional reform.Methods The changes of health resources were collected from county-level institutions of disease control and prevention in Jiangsu Province from 2015 to 2022,and the equity of health resource allocation was analyzed in county-level institutions of disease control and prevention in Jiangsu Province in 2022 using Lorenz Curve,Gini coefficient and Theil index in three dimensions of population,geography and economy.Results The eligible rate of staffing was 100.0%and there were 89.5%of county-level institutions of disease control and prevention with eligible rates of professionals numbers,57.9%with eligible rates of numbers of professionalswith senior titles,with 261 biosafety laboratories and 36928 instruments and equipment in 95 county-level institutions of disease control and prevention in Jiangsu Province in 2022.The proportion of county-level institutions of disease control and prevention with eligible rates of professionals numbers was lower in northern Jiangsu Province(78.4%)than in southern(97.4%)and central Jiangsu Province(94.7%),and the proportion of county-level institutions of disease control and prevention with eligible rates of numbers of professionalswith senior titles was lower in northern Jiangsu Province(35.1%)than in southern(76.9%)and central Jiangsu Province(63.2%),with lower numbers of instruments and equipmentin northern Jiangsu Province than in southern and central Jiangsu Province.The growth of health resources was fast in Jiangsu Province from 2019 to 2022.In addition,the Gini coefficient and Theil index(0.0061 to 0.1844)of health resources were low in county-level institutions of disease control and prevention in Jiangsu Province in 2022by population distributions,indicating the highest equity,and the origin of health resource allocation inequit

关 键 词：卫生资源 公平性 基尼系数 泰尔指数 疾控机构 县级 

分 类 号：R197.2[医药卫生—卫生事业管理]