基层医疗卫生机构优质卫生资源配置区域差异与公平性分析  

Analysis on the Regional Differences and Equity of High Quality Health Resource Allocation in Primary Healthcare Institutions

作　　者：于宏博 何晓丹 张书芸 高力军[1] Yu Hongbo;He Xiaodan;Zhang Shuyun(School of Health Management,Harbin Medical University,Harbin,150081,China)

机构地区：[1]哈尔滨医科大学卫生管理学院公共健康与安全数智治理交叉创新实验室,黑龙江哈尔滨150081

出　　处：《中国卫生经济》2025年第2期59-63,共5页Chinese Health Economics

基　　金：国家自然科学基金面上项目(72174050)。

摘　　要：目的:分析基层医疗卫生机构优质卫生资源配置的区域差异与公平性,为提高我国省份间基层医疗卫生机构优质卫生资源配置的公平性提供决策参考依据。方法:熵权法确定指标权重,通过自然断点法、基尼系数、灰色关联法对31个省份的配置水平进行分级、对其公平性和影响因素进行分析。结果:2011年、2016年和2021年供需比指数基尼系数分别为0.34、0.33和0.34,人口密度、受教育程度、教育投入水平、公共服务水平、人均国民生产总值、地区收入水平和平均海拔是关键影响因素。结论:我国省份间基层医疗卫生机构优质卫生资源配置的差异性较大,公平性存在一定的问题,需要综合考虑多方面影响因素促进我国基层医疗卫生机构优质卫生资源配置的均衡发展。Objective:To analyze the regional differences and equity of the high-quality health resource allocation in primary healthcare institutions,and provide decision-making references for improving the equity of high-quality health resource allocation in primary healthcare institutions among provinces in China.Methods:The entropy weight method is used to determine the weights of indicators.Breakpoint method,Gini coefficient and grey correlation method are applied to conduct the classification,equity analysis and influencing factor analysis on the allocation levels of 31 provinces.Results:The Gini coefficients of the supply-demand ratio index in 2011,2016 and 2021 were 0.34,0.33 and 0.34,respectively.Population density,education level,education investment level,public service level,per capita GDP,regional income level and average altitude were the key influencing factors.Conclusion:There are significant differences in the high-quality health resource allocation among community-level medical and health care institutions in different provinces of China,and there are certain issues with equity.It is necessary to comprehensively consider multiple influencing factors to promote the balanced development of high-quality health resource allocation in community-level medical and health care institutions in China.

关 键 词：基层医疗卫生机构 卫生资源配置 区域差异 公平性 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] F207[经济管理—国民经济]