| 引用本文：刘丽杭, 闫凤玲.湖南省医疗卫生资源配置现状及公平性研究[J].中国卫生政策研究,2021,14(9):69-75 |
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| 湖南省医疗卫生资源配置现状及公平性研究 |
| 投稿时间：2021-08-27 修订日期：2021-09-16 PDF全文浏览 HTML全文浏览 |
| 刘丽杭, 闫凤玲 |
| 中南大学公共管理学院 湖南长沙 410000 |
| 摘要:目的：分析湖南省医疗卫生资源配置的现状及公平性，为进一步优化医疗资源配置提供参考依据。方法：对湖南省医疗卫生资源配置现状进行描述性分析，并采用洛伦兹曲线、基尼系数、集中指数和卫生资源密度指数，从人口、地理面积、经济三个维度对医疗卫生资源配置的公平性进行评价。结果：湖南省2019年卫生机构数、床位数、卫生技术人员数、执业（助理）医师数和注册护士数按人口配置的基尼系数分别为0.1073、0.0754、0.0826、0.0824、0.1011；按地理面积配置的基尼系数分别为0.1529、0.2443、0.2796、0.2814、0.2923；按经济配置的集中指数分别为-0.0752、0.0389、0.0636、0.0734、0.0596。结论：湖南省医疗资源分布不均衡，要素结构配置存在失衡，卫生物力资源配置公平性优于卫生人力资源配置公平性，各类医疗资源按人口配置优于按地理配置。 |
| 关键词:医疗卫生资源 洛伦兹曲线 基尼系数 卫生资源密度指数 公平性 |
| 基金项目:2020年中南大学研究生自主探索创新项目（2020zzts312）；中南大学2020年应急项目重大传染病疫情期间的资源调配机制研究（20200308） |
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| A study on status quo and equity of allocation of medical and health resources in Hunan Province |
| LIU Li-hang, YAN Feng-ling |
| School of Public Administration, Central South University, Changsha Hunan 410000, China |
| Abstract:Objectives:To analyze the status quo and equity of allocation of medical and health ("M&H") resources in Hunan Province, central China, and provide a reference basis for further optimizing allocation of M&H resources. Methods:The authors of this study conducted a descriptive analysis of the status quo of allocation of M&H resources in Hunan Province and evaluated the equity of such allocation from three dimensions (i.e. population, geographical area and economy) by using Lorenz Curve, Gini Coefficient, Concentration Index and Health Resource Density Index. Results:The 2019 Gini Coefficient of populaiton-based allocation of M&H resources (including health institutions, beds, health technicians, practicing (assistant) physicians and registered nurses) in Hunan Province was 0.1073, 0.0754, 0.0826, 0.0824 and 0.1011, respectively; The 2019 Gini Coefficient of geographical area-based allocation of M&H resources in Hunan Province was 0.1529, 0.2443, 0.2796, 0.2814 and 0.2923, respectively; The 2019 Concentration Index of economy-based allocation of M&H resources in Hunan Province was -0.0752, 0.0389, 0.0636, 0.0734 and 0.0596, respectively. Conclusion:The distribution of M&H resources in Hunan Province is unbalanced, and there is an imbalance in allocation of element structure. The equity in allocation of M&H-related material resources is better than the equity in allocation of M&H-related human resources, and the population-based allocation of M&H resources is better than the geographical area-based allocation of M&H resources. |
| Key words:Medical and health resources Lorentz curve Gini coefficient Health resource density Index Equity |
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