黄河流域基层医疗机构卫生资源配置公平性与效率研究  

Equity and efficiency of health resource allocation in primary healthcare institutions in the Yellow River Basin

作　　者：董平 曹海虹 时永利 李子源 李晓娜 高敏 尹文强 陈钟鸣 DONG Ping;CAO Haihong;SHI Yongli;LI Ziyuan;LI Xiaona;GAO Min;YIN Wenqiang;CHEN Zhongming(School of Management,Shandong Second Medical University,Weifang,Shandong 261053,China;不详)

机构地区：[1]山东第二医科大学管理学院,山东潍坊261053 [2]“健康山东”重大社会风险预测与治理协同创新中心 [3]国民健康社会风险预警协同创新中心 [4]潍坊市人民医院

出　　处：《中国农村卫生事业管理》2025年第1期25-30,59,共7页Chinese Rural Health Service Administration

基　　金：国家自然科学基金项目(71804131,72274140)。

摘　　要：目的分析2017—2021年黄河流域基层医疗机构卫生资源配置公平性与效率现状,为进一步优化黄河流域基层医疗卫生资源配置提供参考。方法运用基尼系数、集聚度进行公平性分析,运用数据包络分析法进行效率分析。结果2017—2021年黄河流域基层医疗机构床位和卫生技术人员按人口配置的基尼系数均低于0.2,按地理配置的基尼系数均高于0.6。2021年黄河流域基层医疗机构卫生资源按地理配置的集聚度在0.049—5.834之间,按人口配置的集聚度在0.396—1.310之间,卫生资源配置综合效率均值为0.868。2017—2021年黄河流域各省基层医疗机构全要素生产率变动指数均小于1,均值为0.920。结论黄河流域基层医疗卫生资源投入总量逐年增长,但资源产出总量整体呈下降趋势,卫生资源配置人口公平性优于地理公平性,且各省资源配置公平性与效率存在较大差距。政府相关部门应根据各省份实际情况,加大对基层医疗卫生服务发展的支持力度和投入精度,合理配置基层医疗卫生资源,促进基层卫生健康事业的高质量发展。Objective To analyze the equity and efficiency of health resource allocation in primary healthcare institutions in the Yellow River Basin from 2017 to 2021,and to provide reference for further optimizing the allocation of health resources there.Methods Gini coefficient and agglomeration degree were used for equity analysis,and data envelopment analysis was used for efficiency analysis.Results From 2017 to 2021,the Gini coefficient of beds and healthcare workers in primary healthcare institutions in the Yellow River Basin by popula-tion allocation was lower than 02,and that by geographical allocation was higher than 06In 2021,the agglom-eration degree of health resources in primary healthcare institutions in the Yellow River Basin ranged from 0049 to 5834 according to geographical allocation,and from 0396 to 1310 according to population allocation.The aver-age comprehensive efficiency of health resource allocation was 0868From 2017 to 2021,the total factor produc-tivity change index of primary healthcare institutions in all provinces of the Yellow River Basin was less than 1,with an average value of 0920.Conclusions The total input of health resources in the Yellow River Basin in-creases year by year,but the total output of resources shows a downward trend.The population equity of health re-source allocation is better than the geographical equity,and there is a large gap in the equity and efficiency of re-source allocation among provinces.It is necessary for relevant government departments to increase,according to the actual situation of each province,the support and precision of investment for the development of primary healthcare services,to rationalize the allocation of primary healthcare resources,and to promote the high-quality development of primary healthcare.

关 键 词：黄河流域 基层卫生 卫生资源 配置 公平 效率 

分 类 号：R19[医药卫生—卫生事业管理]