| 引用本文: |
王微,张伟文,闫慈,等.新疆地区卫生资源配置空间公平性分析研究[J].中国卫生经济,2017,(12):52-54.[点击复制] |
.The Spatial Equity Analysis of Health Resources Allocation in Xinjiang Area[J].CHINESE HEALTH ECONOMICS,2017,(12):52-54.[点击复制] |
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| 摘要: |
| 目的: 评价新疆14个地州市卫生资源配置的人口与地域空间公平程度，为促进新疆卫生资源的合理配置提供依据。方法: 采用基尼系数对2010-2015年卫生资源配置人口公平性进行评价；应用全局、局域空间自相关分析对地域空间上卫生资源配置的空间公平性进行探索性分析。结果: 2010-2015年新疆各卫生资源指标基尼系数在0.484-0.711之间，从基尼系数变化趋势看，各卫生资源指标基尼系数整体呈现下降趋势；全局空间自相关分析提示，新疆卫生资源配置存在相互影响；局域空间自相关分析提示，卫生资源配置“冷点区域”主要分布在喀什地区、克孜勒苏柯尔克孜族自治州、和田地区、阿克苏地区；卫生资源配置“热点区域”主要分布在昌吉回族自治州。结论: 新疆卫生资源配置存在不公平性现象，需针对卫生资源人口、空间分布差异，从人口、地域特征出发，对各地区给予特殊的政策扶持。 |
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| The Spatial Equity Analysis of Health Resources Allocation in Xinjiang Area |
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| Abstract: |
| Objective: To provide a basis for the rational allocation of health resources in Xinjiang, this study evaluate the population and spatial regional equity of the health resource allocation in Xinjiang area. Methods: Gini coefficient was used to evaluate the population equity of the health resource allocation. Global and Local Moran’s I methods were used to explore the spatial equity of the health resource allocation in Xinjiang area. Results: The Gini coefficients during 2010-2015 ranged from 0.484 to 0.711, and there is a decline trend in overall Gini coefficient. Global spatial autocorrelation analysis of the the health resource allocation suggested that the the health resource allocation in Xinjiang had a mutual influence. Additionally, the “Low-Low” areas of the health resource allocation in Xinjiang are mainly distributed in Kashi, Aksu, and Hotan et al. The “High-High” area is mainly distributed in Changji area. Conclusion: There is an inequity in the the health resource allocation in Xinjiang. Therefore, there is a need for the related governmental department to give special policy support according to the spatial distribution differences |
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