2017-2021年我国基层医疗卫生资源配置均衡性分析
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安徽医科大学

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安徽省教育厅人文社会科学研究重点项目


Analysis on the Equilibrium of Grassroots Medical and Health Resource Allocation in China from 2017 to 2021
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Anhui Medical University

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Anhui Provincial Department of Education Humanities and Social Sciences Research Key Project

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    摘要:

    卫生资源的合理配置是促进卫生事业均衡与可持续发展的关键。本文以2018-2022年《中国统计年鉴》和《中国卫生健康统计年鉴》为数据来源,综合运用基尼系数、泰尔指数测算我国基层医疗卫生资源配置的均衡性。结果显示,我国基层医疗卫生资源人均拥有量逐年增长,但仍存在地区分化现象;我国基层医疗卫生资源配置均衡性总体较好,东部地区配置不均衡现象较为突出;床位数区域间差异较大且逐年扩大;卫生人力资源向发达地区聚拢。因此要提高我国基层卫生资源配置的均衡性,应将卫生资源总量与结构双管齐下,保证基层卫生事业长期稳定发展;区域内与区域间并重,引导卫生资源合理流动;优化床位数的分布结构;加强欠发达地区卫生人力资源发展。

    Abstract:

    The rational allocation of health resources is the key to promoting balanced and sustainable development of health. This paper takes the 2018-2022 China Statistical Yearbook and China Health Statistical Yearbook as data sources, and comprehensively uses the Gini coefficient and Thiel index to measure the balance of primary medical and health resource allocation in China. The results show that the per capita ownership of primary medical and health resources in China has increased year by year, but there is still regional differentiation. The balance of the allocation of primary medical and health resources in China is generally good, and the imbalance of allocation in the eastern region is more prominent. The number of beds varies greatly between regions and increases year by year. Human resources for health are concentrated in developed regions. Therefore, in order to improve the balance of the allocation of grassroots health resources in China, the total amount and structure of health resources should be combined to ensure the long-term and stable development of grassroots health undertakings. Equal emphasis is placed within and between regions to guide the rational flow of health resources; Optimize the distribution structure of bed numbers; Strengthen the development of human resources for health in underdeveloped areas.

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  • 收稿日期:2023-07-12
  • 最后修改日期:2023-08-22
  • 录用日期:2023-08-28
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