摘要
卫生资源的合理配置是促进卫生事业均衡与可持续发展的关键。研究以《中国统计年鉴》和《中国卫生健康统计年鉴》为数据来源,综合运用基尼系数、泰尔指数测算我国基层医疗卫生资源配置的均衡性。结果显示,我国基层医疗卫生资源人均拥有量逐年增长,但仍存在地区分化现象;基层医疗卫生资源配置均衡性总体较好,区域内配置不均衡现象较为突出;床位数区域间差异较大且逐年扩大;卫生人力资源向发达地区聚拢。提高我国基层医疗卫生资源配置的均衡性,应将卫生资源总量与结构双管齐下,保证基层卫生事业长期稳定发展;区域内与区域间并重,引导卫生资源合理流动;优化床位数的分布结构;加强欠发达地区卫生人力资源发展。
The rational allocation of health resources is the key to promoting a balanced and sustainable development of healthcare.This paper took the China Statistical Yearbook and China Health Statistical Yearbook as data sources,and comprehensively used the Gini coefficient and the Thiel index to measure the balance of primary healthcare resource allocation in China.The results show that the per capita ownership of primary healthcare resources in China has increased yearly,yet there is still regional differentiation.The balance of the allocation of primary healthcare resources in China is generally good,but the allocation within the region is prominent.The number of beds varies greatly between regions and increases year by year.Human resources for health are concentrated in developed regions.Therefore,this paper suggests combining the total amount and structure of health resources to ensure the long⁃term stable development of primary healthcare undertakings.We also recommend placing equal emphasis within and between regions to guide the rational flow of healthcare resources;optimize the distribution structure of bed numbers,and strengthen the development of human resources for health in underdeveloped areas.
作者
雷紫微
严文浩
胡伟男
席妮
肖锦铖
LEI Ziwei;YAN Wenhao;HU Weinan;XI Ni;XIAO Jincheng(School of Health Management,Anhui Medical University,Hefei 230032,China)
出处
《南京医科大学学报（社会科学版）》
2023年第5期404-408,共5页
Journal of Nanjing Medical University（Social Sciences）
基金
安徽省教育厅人文社会科学研究重点项目“安徽省县域医共体综合绩效考核指标体系研究”(SK2019A0164)。
关键词
基尼系数
泰尔指数
卫生资源
均衡性
Gini coefficient
Thiel index
healthcare resources
equilibrium
