摘要
目的对我国村级医疗机构卫生资源配置的公平性进行分析,为制定相关卫生资源配置政策提供依据。方法运用Lorenz曲线和Gini系数,以人口分布公平性和地理分布公平性来评价我国村级卫生资源配置的合理性及公平性。结果村级卫生人员和卫生机构按人口分布的Gini系数分别为0.19和0.20,按地理分布的Gini系数分别为0.65和0.63;东、中、西部村级卫生资源按人口分布的Gini系数差异较小,但按地理面积分布的Gini系数各地区间差异较大。结论我国村级卫生资源配置按人口分布的的公平性较好,但按地理分布的公平性较差。卫生政策的制定要重视卫生资源配置的地理公平性,合理布局。
Objective ：To analyze the equity of health resource allocation in village -level medical institution in China, thus to provide the basis for formulating relevant health resources allocation policy. Methods：Using Lorenz curve and Gini coefficient, the rationality and equity of allocation of village health resources in China were evaluated by the equity of population distribution and the equity of geographical distribution. Results： The Gini coefficient of village health workers and health institutions was 0.19 and 0.20 respectively according to population distribution, and was 0.65 and 0.63 respectively according to geographical distribution. The Gini coefficient＇s difference of village - level health resources in the eastern, central and western regions was small according to population distribution,but the difference was larger according to geographical distribution among different areas. Conclusion：The equity of village -level health resource allocation in China was preferable aecording to population the equity according to geographic distribution was poorer. The formulation of health policy should tion to the equity of geographic distribution and allocate rationally.
作者
张翔翔
郑文贵
李江菲
朱志强
于贞杰
ZHANG Xiangxiang ZHENG Wengui LI Jiangfei ZHU Zhiqiang YU Zhenjie(School of Public Health and Management, Weifang Medical University/＂Health Shandong＂ Severe Social Risk Prevention and Management Synergy Innovation Center, Weifang 261053, China)
出处
《中国医学伦理学》
2017年第6期729-732,共4页
Chinese Medical Ethics
基金
山东省自然科学基金项目"基本药物制度对村级卫生人员工作行为影响的前瞻性研究"(编号:ZR2011GM005)
山东省自然科学基金项目"影响乡村医生稳定的焦点问题分析及治本策略研究"(编号:ZR2016GL03)
教育部人文社科基金项目"基本药物制度背景下乡村医生队伍稳定性及发展策略研究"(编号:14YJA630098)
关键词
村级医疗机构
卫生资源
公平性
合理性
Village - Level Medical Institution
Health Resource
Equity
Rationality
