| 引用本文：景丽伟, 张超, 孙书彦, 黄石松.北京市医养结合资源配置现状及公平性研究[J].中国卫生政策研究,2020,13(3):49-56 |
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| 北京市医养结合资源配置现状及公平性研究 |
| 投稿时间：2020-01-06 修订日期：2020-02-25 PDF全文浏览 HTML全文浏览 |
| 景丽伟1, 张超2, 孙书彦3, 黄石松1 |
1. 中国人民大学国家发展与战略研究院 北京 100872;
2. 华北理工大学附属医院 河北唐山 063000;
3. 中国人民大学社会与人口学院 北京100872 |
| 摘要:目的：探讨北京市医养结合资源配置现状及其公平性，为推动医养结合工作提供参考。方法：采用描述性分析方法明确北京市医养结合资源配置现状，运用洛伦兹曲线、基尼系数及泰尔指数分析资源配置公平性。结果：（1）截至2018年底，北京市医养结合机构123家、床位44 206张，工作人员10 006人，其中卫生技术人员1 501人、护理员（护工）4 314人，资源总量快速发展，但仍有待进一步挖掘；（2）医养结合机构服务的供给能力除安宁疗护服务有所下降外，其余均较2017年进一步提升；（3）基尼系数结果提示，医养结合资源按人口配置公平性优于按地理面积配置的公平性，人力资源配置公平性最差；总泰尔指数为0.086 3～0.195 9，医养结合试点组与非试点组之间资源配置公平性无明显差异。结论：北京市医养结合资源总量不足与配置不均衡问题共存，建议进一步扩大资源总量；提升医养结合服务供给能力，补齐安宁疗护短板；优化医养结合资源配置结构，着重优化人力资源的区域配置和内部结构等，推动医养结合工作均衡、精准和可持续发展。 |
| 关键词:医养结合 资源配置 公平性 基尼系数 泰尔指数 |
| 基金项目:中国人民大学新教师启动项目（NO.20190300070）；中国博士后科学基金第65批面上项目（2019M650932） |
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| Study on the current situation and equity in pension combined with medical service resources allocation in Beijing |
| JING Li-wei1, ZHANG Chao2, SUN Shu-yan3, HUANG Shi-song1 |
1. National Academy of Development and Strategy, Renmin University of China, Beijing 100872, China;
2. The Affiliated Hospital of North China University of Science and Technology, Tangshan Hebei 063000, China;
3. School of Sociology and Population Study, Renmin University of China, Beijing 100872, China |
| Abstract:Objective: To explore the current situation and equity in pension combined with medical service resources allocation in Beijing, and to provide a reference for promoting the scientific and sustainable development of pension combined with medical service. Methods: Descriptive statistics analysis method was used to clarify the current situation of pension combined with medical service resource allocation in Beijing, and Lorenz curve, Gini coefficient, and Theil index were employed to analyze resource allocation equity. Results: (1) By the end of 2018, there were 123 pension combined with medical service institutions in Beijing, with a total of 44 206 beds. The total number of staff was 10 006 of which 1 501 were health technicians and 4 314 were nursing assistants (care workers). pension combined with medical service resources significantly increasing but still needed to be further explored. (2) Except the decline in palliative and hospice care services, the supply and service provision capacity of pension combined with medical service institutions have improved since 2017. (3) Gini coefficient results indicated that the fairness of pension combined with medical service resources allocation according to population, was better than the fairness of geographical area allocation. The total Theil index of pension combined with medical service resources in Beijing was between 0.0863 and 0.1959, and there were no significant differences between experimental and non-experimental groups. Conclusions: In Beijing, the amount of pension combined with medical service resources is insufficient and the allocation is imbalanced. It is suggested to further expand the total amount of resources such as but not limited to improving services capacity, compensating for shortcomings in palliative and hospice care services. Regional allocation and internal structure of resources should be optimized in order to improve the equity of resource allocation and thereby promote the balanced, accurate and sustainable development of pension combined with medical service. |
| Key words:Pension combined with medical service Resource allocation Equity Gini coefficient Theil index |
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