2008-2014年中国卫生资源配置的公平性分析
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1.南京医科大学医政学院;2.南京医科大学

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Analysis of allocation and equity of health resources in China between 2008 and 2014
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1.Nanjing Medical University Medical College;2.Nanjing Medical University

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    摘要:

    目的:了解卫生资源配置现状,提出合理建议,有效改善卫生资源的利用效率。方法:描述性分析中国 2008—2014 年卫生资源配置情况。方法:描述性分析中国 2008—2014 年卫生资源配置情况。结果:按人口配置床位的基尼系数呈逐年下降的趋势;按人口配置时,除2013年外,医师、护士和床位三种卫生资源总的泰尔指数呈下降趋势;2014年与2008年相比,按人口配置时医师的差别指数减小,护士的增大;按地理配置时医师和护士都减小;加权秩和比反映2014年西藏、云南、山西和甘肃卫生资源配置的公平性最差,而辽宁最好。结论:按人口进行资源配置的公平性大于按地理进行资源配置;卫生资源的公平性配置在不同地区间存在差异;床位配置的公平性相比医师,护士和卫技人员要好,且护士配置差距悬殊。

    Abstract:

    Objective: To understand the status of health resource allocation, put forward reasonable suggestions and effectively improve the utilization efficiency of health resources.Methods: descriptive analysis of health resource allocation in China from 2008 to 2014. Results: according to the Gini coefficient of population allocation of beds has declined year by year; according to the population distribution, except for 2013, the Theil index of doctors, nurses and beds of three kinds of health resources in the overall downward trend; in 2014 compared with 2008, according to the population allocation difference index reduced physician, nurses increased according to the geographical configuration; when the doctors and nurses are reduced; the weighted rank sum ratio reflects the fairness of the 2014 Tibet, Yunnan, Shanxi and Gansu, the allocation of health resources is the worst, and the best of Liaoning. Conclusion: the fairness of resource allocation by population is greater than that of the allocation of resources according to geographical differences; equitable allocation of health resources in different regions; the fairness of the allocation of beds is better compared to physicians, nurses and health workers, and nurses allocation gap.

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  • 收稿日期:2017-11-21
  • 最后修改日期:2018-02-22
  • 录用日期:2018-05-04
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