摘要
目的对我国血站资源配置的公平性进行研究,为血站资源合理配置提供参考。方法 2018年8月1~25日采用普查的方式对全国32家血液中心、321家中心血站进行问卷调查。采用描述性方法分析全国血站资源配置状况,运用洛伦茨曲线、基尼系数、泰尔指数分析其资源配置公平性。结果 2013~2017年,各类血站资源以及服务项目呈总体上升趋势;洛伦茨曲线、基尼系数显示2017年,按人口配置血站资源的公平性优于按地理面积配置,机构配置公平性最好,按面积配置来看,卫生技术人员配置公平性最差;总泰尔指数为0.448 5~0.526 7,组内差异对总体贡献率大于组间差异贡献率。结论 2类血站发展不平衡,服务能力有待进一步提高;资源配置地区间差异较大,建议优化血站资源区域规划。
Objective To study the fairness of blood bank resources allocation in China, aimed at providing references for reasonable allocation of blood bank resources. Methods A questionnaire survey was conducted among 32 provincial blood centers and 321 regional central blood banks across China in August 1~25, 2018. Resource allocation of blood banks in China was analyzed using descriptive methods, and the fairness of resource allocation were analyzed using Lorenz curve, Gini coefficient and Theil index. Results Blood bank resources and services showed an overall upward trend from 2013 to 2017. The fairness of institutional coverage was optimal in 2017 according to the Lorenz curve and Gini coefficient, suggesting the allocation of blood bank resources according to the population was better than geographic area. The fairness of health technicians staffing was the worst from the perspective of geographic area. The total Theil index was 0.448 5~0.526 7, and the differences was contributed more by intra group comparison than that of inter group.Conclusion The unbalanced development underlying in the provincial and regional blood centers has been observed, and the service capacity needs to be further improved. The resource allocation varies greatly among regions, and it is recommended to optimize the regional planning of blood bank resources.
作者
葛丹丹
夏泳
刘晓云
栾家杰
司明舒
GE Dandan;XIA Yong;LIU Xiaoyun;LUAN Jiajie;SI Mingshu(Yijishan Hospital of Wannan Medical College,Wuhu 241001,China;School of Public Health,Fujian Medical University)
出处
《中国输血杂志》
CAS
2021年第5期510-513,共4页
Chinese Journal of Blood Transfusion
基金
中国光华科技基金(KY20060212)
福建医科大学启航基金(2019QH1004)
安徽高校人文社会科学研究项目(SK2019A0221)。
