文章摘要
侯梦云,石金楼,杨 帆.2008—2014年中国卫生资源配置的公平性分析[J].南京医科大学学报(社会科学版),2018,(2):93~98
2008—2014年中国卫生资源配置的公平性分析
Analysis of allocation and equity of health resources in China between 2008 and 2014
投稿时间:2017-11-21  
DOI:10.7655/NYDXBSS20180203
中文关键词: 卫生资源配置  公平性  基尼系数  泰尔指数  差别指数
英文关键词: health resource allocation  fairness  Gini coefficient  Theil index  index of dissimilarity
基金项目:江苏省软科学研究计划项目“加快高校科研管理体制改革”(BR2015067)
作者单位
侯梦云 南京医科大学医政学院江苏 南京 211166 
石金楼 南京医科大学医政学院江苏 南京 211166 
杨 帆 南京医科大学医政学院江苏 南京 211166 
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中文摘要:
      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。结果:按人口配置床位的公平性最好,且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3种卫生资源总的泰尔指数呈下降趋势,东部地区贡献率高于各地区;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面积进行资源配置;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,而护士配置差距悬殊。
英文摘要:
      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 was performed. Results: The Gini coefficient of population allocation of beds had declined year by year, and it had the best equity . According to the population distribution, except for 2013, the Theil index of doctors, nurses and beds showed a overall downward trend, and the eastern region had a higher contribution rate than all regions. The weighted rank sum ratio reflected that the fairness of the allocation of health resources in 2014 in Tibet, Yunnan, Shanxi and Gansu was the worst, and which in Liaoning was the best. 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 is different in different regions. The fairness of the allocation of beds is better compared to that of doctors, nurses and health workers, and the allocation of nurses shows a great disparity.
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