摘要
目的:分析宁夏回族自治区卫生机构床位配置状况,为完善资源规划政策和促进健康公平提供科学依据。方法:采用洛伦兹曲线、基尼系数、泰尔指数对宁夏回族自治区卫生机构床位资源配置的公平性进行分析和评价。结果:洛伦兹曲线显示,宁夏回族自治区卫生机构床位按人口分布的公平性较高,按地理分布的公平性较低;卫生机构床位资源按人口分布的基尼系数为0.146;按地理分布的基尼系数为0.401。泰尔-L指数评价结果与基尼系数一致,区域内差异对总泰尔指数的贡献率高于区域间差异。结论:政府应该改善床位资源分布的地区差异和内部配置的不平衡,凸显医疗服务机构的公益性特点,强化政府担负的公平责任。
Objective: To analyze the allocation equity of medical beds in Ningxia Hui Autonomous Region so as to provide references on implementing resource planning policy and improving health equity. Methods: Lorenz curve, Gini coefficient and Theil index were used to analyze the data of medical beds in Ningxia Hui Autonomous Region. Results: The Lorenz curve shows that the fairness of medical beds distribution in Ningxia Hui Autonomous Region is relatively high according to population and the fairness by geographical distribution is relatively low. The Gini coefficient of medical beds distribution by population is 0.146;the Gini coefficient of medical beds distribu-tion by geographical is 0.401. The result of Theil-L index is consistent with the Gini coefficient, and the contribution rate of intra-regional difference to total Theil index is higher than that of inter-regional difference. Conclusion: The government should improve the inter-regional dif-ferences in the distribution of medical beds and the imbalance of internal allocation, highlighting the public welfare characteristics of medical service agencies and strengthening the fair respon-sibility of the government.
出处
《管理科学与工程》
2018年第1期20-27,共8页
Management Science and Engineering
基金
国家社会科学基金西部项目(17XGL016)
宁夏医科大学重点科研项目(XZ201404)
2017年宁夏医科大学优秀青年后备骨干培育对象(宁医校发[2017]119号)。
