我国省会城市卫生资源配置公平性分析  

Analysis of equity in health resource allocation in provincial capital cities of China

作　　者：周明华[1] ZHOU Minghua(Administration office,Luzhou People's Hospital,Luzhou,Sichuan 646000,China)

机构地区：[1]泸州市人民医院行政办公室,四川泸州646000

出　　处：《职业与健康》2025年第1期123-128,共6页Occupation and Health

基　　金：泸州市科学技术和人才工作局2023年科技计划项目(2023ZRK207);川北医学院2024年度四川省基层卫生事业发展研究中心资助项目(SWFZ24-Y-36)。

摘　　要：目的分析我国省会城市卫生资源配置公平性,为促进省会城市卫生资源发展提供科学依据。方法采用描述分析法比较2021年我国省会城市与4大区域、中国卫生资源配置平均水平情况,采用基尼系数、泰尔指数和集聚度分析我国省会城市卫生资源配置的公平性状况。结果我国省会城市每千人口床位数、卫生技术人员、执业(助理)医师和注册护士分别为7.34张、10.06人、3.77人和4.68人,远高于中国卫生资源配置的平均水平。按人口配置的基尼系数在0.1以下,按地理配置的基尼系数为0.4~0.5。按人口配置的泰尔指数为0.0023~0.0046,按地理配置的泰尔指数为0.1785~0.2082,按经济配置的泰尔指数为0.0202~0.0303。按地理配置的不公平主要来自于区域间,按经济配置的不公平主要来自于区域内。东北和西部地区的卫生资源集聚度(health resource agglomeration degree,HRAD)<1,东部和中部地区的HRAD>1。东北地区的卫生技术人员、执业(助理)医师和注册护士,东部地区的床位数,中部地区的卫生技术人员和执业(助理)医师,西部地区的床位数和执业(助理)医师,这些地区的HRAD/人口聚集度(population agglomeration degree,PAD)<1。结论我国省会城市卫生资源配置的差异性较大;我国省会城市卫生资源按地理配置的公平性较差;我国4大区域的省会城市卫生资源配置均存在不同程度的不足。Objective To analyze the equity of health resource allocation in provincial capital cities in China,and to provide scientific basis for promoting the development of health resources in provincial capital cities.Methods Descriptive analysis was used to compare the average level of health resource allocation in China's provincial capital cities and four major regions in 2021,and the Gini coefficient,the Theil index,and the agglomeration degree were used to analyze the equity of health resource allocation in China's provincial capital cities.Results The number of beds,health technicians,practicing(assistant)physicians,and registered nurses per 1000 population in the capital cities of China were 7.34,10.06,3.77,and 4.68,respectively,which was much higher than the average level of China's health resource allocation.The Gini coefficient by population was below 0.1,and the Gini coefficient by geography was between 0.4 and 0.5.The Theil index by population ranged from 0.0023 to 0.0046,the Theil index by geographic ranged from 0.1785 to 0.2082,and the Theil index by economic ranged from 0.0202 to 0.0303.The inequity by geographic mainly came from inter-region,and the inequity by economic mainly came from intra-region.The Northeast and West regions had health resource agglomeration degree(HRAD)less than 1,and the East and Central regions had HRAD greater than 1.Health technicians,practicing(assistant)physicians,and registered nurses in the Northeast region,the number of beds in the Eastern region,health technicians and practicing(assistant)physicians in the Central region,and the number of beds and practicing(assistant)physicians in the Western region,with HRAD/population agglomeration degree(PAD)<1.Conclusion There is greater variability in health resource allocation in the provincial capital cities of China.Equity by geographic allocation of health resources in China's provincial capital cities is poor.There are different degrees of insufficiency in the allocation of health resources in the capital cities of the four maj

关 键 词：卫生资源配置 公平性分析 省会城市 

分 类 号：R19[医药卫生—卫生事业管理]