| 引用本文: |
唐龙妹,高霞,闫丽娜,等.河北省医疗卫生资源配置地理公平性分析[J].中国卫生经济,2017,(5):48-51.[点击复制] |
.TitleAnalysis of the geographic equality of health resources allocation in Hebei Province[J].CHINESE HEALTH ECONOMICS,2017,(5):48-51.[点击复制] |
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| 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2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。 |
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| TitleAnalysis of the geographic equality of health resources allocation in Hebei Province |
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| Abstract: |
| Objective: To understand the geographic equality of health resources allocation in Hebei Province in 2014, and to provide the basis for the formulation of the ‘13 th five-year medical service plan of Hebei‘. Methods: Collected the numbers of medical institution, health staff and bed in 11 cities of Hebei province in 2014, and evaluated the geographical distribution equality of health resources by Lorenz curve, Gini coefficient and Theil index. Results: The Gini coefficients of all kinds of health resources ranged from 0.420 to 0.529, the total Theil indexes were between 0.264 and 0.382 . After divided 11 cities into 2 regions, the Theil indexes within regions were between 0.020 and 0.077, and indexes between regions were form 0.239 to 0.329, and the contribution ratio of indexes between region were all more than 75%. Conclusion: The distribution of health resources was unequal in Hebei Province. The main reason for this unbalance was the allocation difference between Bashang and other region. Population distribution and geographic distribution should be considered when government formulates the allocation standards of health resources. |
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