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| 投稿时间： 2014-12-26 最后修改时间： 2015-01-30 摘要点击次数: 2689 全文下载次数: 6 |
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| 引用本文：彭莎莎, 徐慧兰.长沙市2007—2013年卫生资源配置公平性分析[J].中国卫生政策研究,2015,8(2):76-82 |
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| 彭莎莎, 徐慧兰 |
| 中南大学公共卫生学院 湖南长沙 410078 |
| 基金项目:长沙市卫生局医疗卫生规划项目(GSCG-ZGZB-JZ2010921) |
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| | 摘要:目的:探究长沙市2007—2013年卫生资源配置的公平性,为政府部门进行区域卫生规划提供参考。方法:对长沙市2007—2013年卫生资源配置变化情况进行一般统计描述;从长沙市9个区县的人口与地理配置角度,采用基尼系数和泰尔指数分析医生、护士和床位配置的公平程度及变化趋势。结果:(1)长沙市卫生资源人均拥有量逐步增加,其卫生资源主要集中在城区。(2)2007—2013年长沙市医生、护士和床位资源按人口配置的基尼系数为0.24～0.46,并在逐年减小;按地理配置的基尼系数在0.59～0.79,2009年达到最高值,之后呈逐年下降趋势。两类地区比较,城区卫生资源的基尼系数明显高于农村地区。各卫生资源中,护士的基尼系数最高。(3)泰尔指数与基尼系数的变化趋势基本一致,城区卫生资源配置的差异程度呈上升趋势,地区间差异对总的泰尔指数贡献率高于各区域差异。结论:总体上看,长沙市2007—2013年卫生资源配置的公平性呈逐年好转趋势,人口配置的公平性优于地理配置的公平性,农村地区资源配置的公平性优于城区,护士资源配置的公平性较差,地区间差异是影响长沙市卫生资源配置公平性的主要因素。 | |
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关键词:卫生资源配置 公平性 基尼系数 泰尔指数
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| Analysis of allocation and equity of health resources in Changsha between 2007 and 2013 |
| PENG Sha-sha, XU Hui-lan |
| Department of Social Medicine and Health Service Management, School of Public Health Central South University, Changsha Hunan 410087, China |
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| | Abstract:To explore the allocation and equity of health resource in Changsha between 2007 and 2013 and to provide references for government to carry out regional health planning. Method: General statistical analysis was used to describe changes of health resource allocation in Changsha; from the perspective of the population and geography of the nine counties in Changsha, the equality and change of the configuration among doctors, nurses and hospital beds were analyzed by using the Gini coefficient and Theil index. Results: 1) The per capita amount of health resources in Changsha increased gradually, and health resources were mainly concentrated in urban areas. 2) The Gini coefficients of doctors, nurses and hospital beds was 0.24~0.46 according to population distribution between 2007 and 2013 in Changsha, and the Gini coefficient of all health resources by geography was 0.59~ 0.79 and peaked in 2009 to then decrease year after year. Following a comparison of the two kinds of regions, the Gini coefficient of urban areas was significantly higher than that of rural areas, and the Gini coefficient of nurses was the highest among all health resources. 3) Changes in the Theil index were consistent with the Gini coefficient. The difference in the degree of resource allocation in urban areas exhibited a rising trend, The Theil index was higher than each regional difference. Conclusion: Overall, the equity of allocation of health resources in Changsha between 2007 and 2013 gradually improved year by year. The equity of population configuration was greater than that of geographical configuration, and the equity of rural areas was superior to that of urban areas; the equity of the configuration of nurses was poor. The difference between areas is the main factor affecting the equity of Changsha's health resource allocation. | |
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