河北省医疗卫生资源配置地理公平性分析.pdfVIP

《中国卫生经济》第36卷第5期(总第411 期) 2017年5 月 口卫生资源配置.HL\LTH RESOURCE ALLOCi川ION 河北省医疗卫生资源配置地理公平性分析 唐龙妹①，高 霞飞闰丽娜①，杨海明③，周志山②，牛玉杰③ 摘 要 目的:了解河北省2014年卫生资源配置的地理公平性，为制定河北省+三五医疗卫生服务体系规划提供依 据。 方法:收集2014年河北省11 市的医疗机构、卫生人力和床位数量，并使用洛伦兹曲线、基尼系数和泰尔指搬进行地理公 平性评价。结果:各类卫生资源的基尼系数在0.420-0.529 之间，总泰尔指数在0.264-0.382 之间;将11 市划分为两个区域 后， 区域内的黎尔指数在0.020-0.077 之间，区域闸的泰尔指敛在0.239-0.329 之间，区域间的贡献率达到75%以上。 结论:河 北省医疗卫生资源配置存在着地理不公平现象，坝上地区的资源配置与其他地区存在较大差异，造成是造成地理分布不均衡 的主要原因。卫生行政部门在制定医疗卫生资源配置标准时，应兼顾人口公平性和地理公平性，从而提离卫生资源的覆盖率 和服务可及性。 关键词 卫生资源配置;地理公平性;河北 中图分类号 R1-9; F207 文献衍志码 A 文章编号 1003-0743(2017)05-0048-04 DOI 10.7664/CH Analysis on th e Geographic Equality of H ealth Resources AlIocation in HebeirrANG Long-mei , GAO Xia , YAN Li-Na, et a 1.//Chinese Hcalth Economics, 2017,36(5):48-5 1 Abstract Objec创刊: To acqu ire the g回graphic equality of health resource allocation in Hebei in 201450 as 10 provide the ba- Si5 for the formulation of the 13th Five-Year Medical Service Plan of Hebei. Metbods: Il collected the numbers of medical institu - lions, health staffs and beds in 11 cities of Hebei province in 20 14. Th e Lorenz curve, Gini coefficient and Theil index were applied to conduct geographical equity evaluation. ResuJts: The Gini coefficients of alJ kinds of health resources ranged from 0.420 to 0.529. The total Theil indexes ranged from 0.264ω0.382. After divided 11 cities into 2 regions , the Theil indexes within regions were be- tween 0.020 and 0.077, and indexes between re♂ons ranged form 0 .239 to 0.329, and lhe contribution ratio of indexes bctween region reached to 75%. Conclusion : The dislribution of health resources was inequal in Hebei. The main reason for the unbalance was the allocation difference between Bashang and other regions. Population distribution and geographic distribution should