摘要
目的进一步明确“十三五规划”后西北五省中医民族医卫生资源配置发展与分布情况,为我国对西北5省中医民族医卫生资源调整和分配提供理论依据。方法采用集聚度与描述性分析对2017—2019年西北五省中医民族医卫生资源配置公平性进行评价。结果在生产总值集聚度中甘肃、宁夏和新疆比值均>1,西藏和青海<1;在人口总值集聚度方面,仅甘肃、宁夏二省的人口集聚度>1;在中医卫生资源集聚度、卫生资源集聚度/人口集聚度(经济集聚度)方面,仅甘肃、宁夏各项指标基本>1;在民族医卫生资源集聚度、卫生资源集聚度/人口集聚度(经济集聚度)方面,新疆、西藏及青海各项指标比值>1,而甘肃、宁夏各项指标比值<1。结论甘肃、宁夏的中医卫生资源配置分布相对公平,新疆、西藏及青海的民族医卫生资源配置分布相对公平。地理面积和人口分布差异对公平性研究影响较大,国家政策方针、民族文化和就医观念成为发展中医民族医的重要因素。应加强地理人口因素的综合分析,设立特色性政策法律及充分尊重当地民族文化及就医习惯的差异。
Objective To further clarify the allocation,development and distribution of health resources of traditional Chinese medicine and ethnic medicine in five provinces of Northwest China after the“13th five year plan”,provide a theoretical basis for the adjustment and distribution of health resources of traditional Chinese medicine and ethnic medicine in the five northwest provinces.Methods The agglomeration degree and descriptive analysis were used to evaluate the fairness of health resource allocation of traditional Chinese medicine and ethnic medicine in the five northwest provinces from 2017-2019.Results The ratios of Gansu,Ningxia and Xinjiang in the agglomeration degree of GDP were>1,while that in Tibet and Qinghai was<1.In terms of population agglomeration degree,only Gansu and Ningxia had population agglomeration degree>1.In terms of agglomeration degree of traditional Chinese medicine resource,health resource agglomeration degree/population agglomeration degree(economic agglomeration degree),only the indexes of Gansu and Ningxia were>1.In terms of the agglomeration degrees of ethnic medicine,health resource agglomeration degree/population agglomeration degree(economic agglomeration degree),the ratios of indexes in Xinjiang,Tibet and Qinghai were>1,while those in Gansu and Ningxia were<1.Conclusions The distribution of traditional Chinese medicine health resources in Gansu and Ningxia is relatively fair,and the distribution of ethnic medicine health resources in Xinjiang,Tibet and Qinghai is relatively fair.The differences of geographical area and population distribution have a great impact on equity research.National policies,national culture and medical concept have become important factors in the development of traditional Chinese medicine and ethnic medicine.It is necessary to strengthen the comprehensive analysis of geographical and demographic factors,establish characteristic policies and laws,and fully respect the differences of local national culture and medical habits.
作者
黄涛
买买提·牙森
HUANG Tao;Maimaiti·Yasen(School of Public Health,Xinjiang Medical University,Urumqi Xinjiang,830054,China)
出处
《职业与健康》
CAS
2022年第12期1702-1706,1712,共6页
Occupation and Health
关键词
集聚度
卫生资源配置
中医与民族医
西北5省
Agglomeration degree
Allocation of health resources
Traditional Chinese medicine and ethnic medicine
Five provinces in Northwest China
