| 引用本文：李静, 胡先明.山西省卫生资源配置公平性分析[J].中国卫生政策研究,2021,14(3):73-78 |
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| 山西省卫生资源配置公平性分析 |
| 投稿时间：2020-12-02 修订日期：2021-03-22 PDF全文浏览 HTML全文浏览 |
| 李静1, 胡先明2 |
1. 山西医科大学管理学院 山西晋中 030600;
2. 山西省儿童医院妇幼保健院 山西太原 030013 |
| 摘要:目的：分析2006—2008年、2016—2018年山西省卫生资源的配置现状及公平性，为进一步优化山西省卫生资源配置提供科学依据。方法：使用洛伦兹曲线、基尼系数、泰尔指数对山西省卫生资源的配置及公平性进行评价。结果：山西省卫生资源总量逐年上升，按人口配置的洛伦兹曲线偏离程度更小，2008年和2018年卫生资源按人口和地理配置的基尼系数分别为0.165 8～0.264 4、0.138 9～0.234 6和0.299 0～0.386 5、0.314 0～0.413 6。泰尔指数贡献率地区内均大于地区间。结论：山西省卫生资源总量增加，但各项卫生资源配置不均衡，按地理配置的公平性、人力资源配置的公平性有待提高。需进一步强化政府作用，推进优质卫生资源向基层、向贫乏地区倾斜，推动省域内卫生资源配置不断优化。 |
| 关键词:卫生资源配置 公平性 山西省 |
| 基金项目:山西省卫生健康委员会科研课题“完善生育配套政策和服务改革研究”（人口战略研究RK23） |
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| Equity analysis of health resources allocation in Shanxi Province |
| LI Jing1, HU Xian-ming2 |
1. Management School of Shanxi Medical University, Jinzhong Shanxi 030600, China;
2. Maternal and Child Care Center of Children's Hospital of Shanxi, Taiyuan Shanxi 030013, China |
| Abstract:Objective: To analyze the allocation status and equity of health resources in Shanxi Province from 2006 to 2008 and 2016 to 2018, so as to provide scientific basis for further improvements in the allocation of health resources in Shanxi Province. Methods: Lorenz curve, Gini coefficient and Theil index were used to evaluate and analyze the health resources allocation and fairness in Shanxi Province. Results: The results showed that the total amount of health resources allocated in Shanxi Province underwent a yearly increasing trend, and the deviation of Lorenz curve according to population distribution was smaller. The Gini coefficients of health resources allocation according to population distribution and geographical location in 2008 and 2018 were 0.1658~0.2644, 0.1389~0.2346 and 0.2990~0.3865, 0.3140~0.4136, respectively. The contribution rate of Theil index in each particular region is greater than that between regions. Conclusions: The amount of health resources allocated in Shanxi Province has been increasing, but the allocation status is unbalanced between regions. The equity of resources allocation in different geographical locations and the equity of human resource allocation should be improved. It is necessary to further strengthen the role of government, promote the downward tilt of high-quality health resources to poverty-striken areas, and promote the continuous optimization of health resource allocation in Shanxi Province. |
| Key words:Health resource allocation Equity Shanxi Province |
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