基于洛仑兹曲线和基尼系数的四川卫生资源配置公平性评价

发布时间：2018-07-09 13:51

本文选题：洛伦兹曲线 + 基尼系数　；参考：《西北人口》2015年01期

【摘要】：目的:考察四川省卫生资源配置公平性,为四川卫生资源的优化配置提供借鉴。方法:以洛伦兹曲线(Lorenz curve)、基尼系数(Gini coefficient)对四川省主要卫生资源指标(机构、床位、卫技人员、医生、护士)在21个市(州)配置的人口和地域分布进行评价,并对2008—2012年卫生资源配置情况进行趋势分析。结果:机构、床位、卫技人员、医生、护士人口公平性基尼系数分别为0.2254,0.1547,0.4714,0.4546,0.5187;地域公平性基尼系数分别为0.6438,0.7454,0.7567,0.7514,0.7721;2008—2011年,各卫生资源指标均保持平稳或呈下降趋势,2011年人口和地域分布公平性最好,但2012年卫生人力资源指标基尼系数出现反弹,均超过警戒值。结论:四川卫生资源总量实现快速增长,市(州)之间卫生资源配置极不均衡,卫生人力资源配置亟待优化,建议应调整存量、优化增量、合理布局,提高医疗卫生服务的可及性和有效性。
[Abstract]:Objective: to investigate the equity of health resources allocation in Sichuan Province and to provide reference for the optimal allocation of health resources in Sichuan province. Methods: the population and geographical distribution of the main health resource indicators (institutions, beds, health technicians, doctors and nurses) in 21 cities (counties) in Sichuan Province were evaluated with the Lorenz curve), coefficient. The trend of health resource allocation in 2008-2012 was analyzed. Results: the Gini coefficient of population equity in institutions, beds, health professionals, doctors and nurses was 0.2254 / 0.1547 / 0.4744 / 0.4546 / 0.5187, and the Gini coefficient of geographical equity was 0.64380.0.7454/ 0.75670.7514 / 0.7721 / 2008a, respectively. All health resource indicators remained stable or decreased, and the fairness of population and geographical distribution was the best in 2011, but the Gini coefficient of health human resources index rebounded in 2012, which exceeded the warning value. Conclusion: the total amount of health resources in Sichuan is increasing rapidly, the allocation of health resources among cities (prefectures) is very unbalanced, and the allocation of health human resources needs to be optimized urgently. It is suggested that the stock should be adjusted, the increment should be optimized and the distribution of health resources should be reasonable. Improve accessibility and effectiveness of health services.
【作者单位】：成都医学院临床医学院·第一附属医院;成都医学院公共卫生系;
【分类号】：R197.1

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