某区域部队卫生资源配置公平性测算  

Determination of allocation equity of primary military health resources in a region

作　　者：周宝宏[1] 张鹭鹭[1] 赵静[1] 李琳[1] 陈琳[1] 孙金海[1] 

机构地区：[1]第二军医大学卫生勤务学系卫生事业管理学教研室,上海200433

出　　处：《第二军医大学学报》2003年第10期1064-1067,共4页Academic Journal of Second Military Medical University

基　　金：军队医药科研"十五"规划重点课题(01Z101-1);国家自然科学基金(70173038).

摘　　要：目的:通过测量部队卫生资源配置的公平系数,分析某区域部队卫生资源配置的公平性。方法:采用洛伦兹曲线(Lorenzcurve)和基尼系数(Gini coefficient)方法测量部队卫生机构、人力、床位资源按保障人数配置的公平性。结果:该区域部队卫生机构奇源配置公平系数为0.0808,卫生人力资源公平系数为0.1177,防疫人力资源配置接近0.35,接近不公平;卫生床位资源公平系数为0.0903;而某建制以下各类部队卫生资源公平系数存在大于0.35现象,配置不公平现象大于区域水平。结论:区域水平上,部队卫生资源配置比较公平,在某建制单位以下部队卫生机构、人力、床位资源配置存在不同程度的不公平。Objective :To analyze the equity of primary military health resources allocation(PMHRA) in a region by measuring the Gini coefficient. Methods:The methods of the Lorenz curve and Gini coefficient were adopted to analyze the allocation equity of military institutions, manpower and bed resources. Results: The Gini coefficients of military institutions ,manpower and bed resources were 0. 080 8,0. 117 7 and 0. 090 3 respectively. There were some coefficients (coefficient of epidemic-prevention manpower) exceeding 0. 35 in some unit level,which was close to inequity;the inequity was severer than that of the region level. Conclusion:The PMHRA is equitable at region level, but the institution,manpower and bed resources allocation irrational at corps level.

关 键 词：部队卫生 卫生资源配置 公平性 测算 卫生保健 洛伦兹曲线 基尼系数 

分 类 号：R821.1[医药卫生—临床医学]