论文部分内容阅读
目的:了解河北省2014年卫生资源配置的地理公平性,为制定“河北省十三五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、基尼系数和泰尔指数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,区域内的泰尔指数在0.020~0.077之间,区域间的泰尔指数在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,从而提高卫生资源的覆盖率和服务可及性。
OBJECTIVE: To understand the geographical fairness of Hebei Province’s allocation of health resources in 2014 and provide the basis for the formulation of the “13th Five-year Plan of Health Service System in Hebei Province”. Methods: The number of medical institutions, health workers and beds in 11 cities of Hebei Province in 2014 was collected and the geographical fairness evaluation was conducted by Lorentz curve, Gini coefficient and Theil index. Results: The Gini coefficient of various health resources ranged from 0.420 to 0.529, and the total Theil index ranged from 0.264 to 0.382. After dividing 11 cities into two regions, the Theil index in the region was between 0.020 and 0.077, The Theil index between the regions is between 0.239 and 0.329, and the contribution rate among regions reaches more than 75%. Conclusion: There is a geographical inequality in the allocation of medical and health resources in Hebei Province. There is a big difference in resources allocation between Bashang and other regions, which is the main reason for the unbalanced geographical distribution. Health administrative departments in the development of health resources allocation standards, should take into account the population fairness and geographical equity, thereby improving the coverage of health resources and service availability.