基于泰尔指数和集中指数的我国妇幼保健资源配置公平性评价

发布时间：2018-11-04 11:33

【摘要】：目的分析评价我国妇幼保健资源分布情况及其公平性。方法主要利用集中指数、集中曲线和泰尔指数进行测算。结果妇幼保健机构数、妇幼保健机构床位数、妇幼保健机构卫生技术人员数的集中指数CI分别为:-0.108 0、0.118 8、0.172 4,表明我国妇幼保健资源的配置向经济水平较高的地区倾斜较为明显,地区之间妇幼保健资源配置不公平。泰尔指数显示,我国妇幼保健资源地区间仍存在配置差距。各地区内部配置不公平性较为严重,是影响我国妇幼保健资源配置公平性的主要因素。结论妇幼保健资源配置不合理,妇幼保健资源中机构数、床位数的公平性优于卫生技术人员数的公平性;妇幼保健资源配置地区间较为公平,优化妇幼保健资源配置应重点关注地区内部的不公平,尤其是东部地区;妇幼保健资源配置城乡差异显著,农村地区优于城市地区。
[Abstract]:Objective to analyze and evaluate the distribution and equity of maternal and child health resources in China. Methods the concentration index, concentration curve and Thiel index were used to measure. Results the concentration index (CI) of the number of MCH institutions, the number of beds in MCH institutions and the number of health technicians in MCH institutions were-0.108 0 / 0.118 / 8 / 0.172 4, respectively. The results showed that the allocation of maternal and child health care resources in China was more obvious to the areas with higher economic level, and the allocation of maternal and child health care resources between regions was not fair. Theer index shows that there is still a gap in allocation of maternal and child health resources in China. The unfairness of allocation in different regions is serious, which is the main factor that affects the fairness of allocation of maternal and child health resources in China. Conclusion the allocation of maternal and child health resources is unreasonable, and the fairness of the number of institutions and beds in the resources of maternal and child health care is better than that of the number of health technicians. The allocation of maternal and child health resources among regions is more equitable, the optimization of the allocation of maternal and child health resources should focus on the inequity within the region, especially in the eastern region, the allocation of maternal and child health resources between urban and rural areas is significantly different, rural areas are better than urban areas.
【作者单位】：潍坊医学院管理学院;
【基金】：山东省自然科学基金(ZR2013GL006) 教育部人文社会科学研究(14YJAZH101)
【分类号】：R172

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