摘要
目的:分析我国卫生资源配置的公平性,评价现有卫生资源的利用效率,为合理配置卫生资源提供建议。方法:利用2019年《中国卫生健康统计年鉴》中我国31个省份的相关数据,用卫生资源分布密度指数(HRDI指数)及基尼系数对我国卫生资源的配置公平性进行评价,用数据包络分析(DEA)对利用效率进行分析。结果:我国各省份医护比例仍接近1∶1;床护比各省份均小于1;人力资源及床位资源各省份之间分布差异较大;12个省份资源利用非DEA有效,6个省份为弱有效。结论:我国卫生资源依旧存在资源医护及床护结构不合理、地区间公平性差及资源利用不足的情况,卫生资源投入应将重点从资源总量转向结构和地区间的合理分布,并进一步提高卫生资源的利用效率。
Objective:To analyze the equity of health resource allocation in China,to evaluate the utilization efficiency of existing health resources,and to provide suggestions for the rational allocation of health resources.Methods:The data of 31 provinces and cities in China were used to evaluate the equity of health resource allocation with HRDI index and Gini coefficient,and the utilization efficiency was analyzed with DEA.Results:The ratio of the number of doctors and nurses in all provinces was still close to 1∶1,the ratio of bed and nurses in all provinces was less than 1,the distribution of human resources and bed resources in all provinces was quite different,the utilization of resources in 12 provinces was not DEA efficient,while that in 6 provinces was weak.Conclusion:The structure of health resources in China is still unreasonable,the equity between regions is poor and the utilization of resources is insufficient.The focus of health resources investment should be shifted from the total amount of resources to the rational distribution between the structure and regions,and the utilization efficiency of health resources should be further improved.
作者
李芙蓉
袁清青
陈丹镝
LI Fu-rong(West China School of Public Health and West China Fourth Hospital,Sichuan University,Chengdu,Sichuan,610041,China)
出处
《医学与社会》
北大核心
2020年第10期6-10,共5页
Medicine and Society
关键词
卫生资源
公平性
利用效率
Health Resources
Equity
Utilization Efficiency
