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新医改前后四川省卫生资源配置的公平性分析 被引量:5

An analysis of fairness of health resource allocation in Sichuan Province before and after new medical reform
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摘要 目的探讨四川省卫生资源配置的公平性现状,为进一步优化卫生资源配置提供科学的参考依据。方法运用基尼系数和泰尔指数分析评价2008年和2013年四川省卫生资源的公平性。结果卫生资源按人口配置的公平性很好,按地理配置高度不公平,人口分布的公平性优于地理分布的公平性;区域间差异是影响卫生资源配置不公平的主要因素;护士配置公平性低于医生的公平性。结论优化卫生投入结构,调整卫生资源存量;完善区域卫生规划,注重卫生资源配置的地理公平性;加快卫生人才队伍的建设步伐,优化医护结构。 Objective To discuss the status quo of fairness of health resource allocation in Sichuan Province to provide scientific reference for the further optimized health resources configuration. Methods The Gini coefficient and Theil index analysis were used to evaluate the fairness of health resource allocation in Sichuan Province during 2008--2013. Results The fairness of health resources according to population was well,but was highly unfair distribution was better than that of geographical distribution; the according to geographical configuration, the fairness of population regional difference was the main unfairly factor in health resource allocation;nurse configuration fairness was low than that of doctors. Conclusion To optimize the health investment structure, to adjust the stock of health resources;to improve the regional health planning, focusing on geographical equity in health resource allocation;to accelerate the pace of health talent team construction and optimize health care structure.
出处 《重庆医学》 CAS 北大核心 2016年第13期1813-1815,共3页 Chongqing medicine
基金 四川省教育厅科研资助项目(SCYG2015-2-01)
关键词 资源配置 公平性 基尼系数 泰尔指数 allocation of resources equity Gini coefficient Theil index
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