| 引用本文: |
曹范堃,袭燕,白同禹,等.山东省城乡基层医疗机构卫生资源配置公平性比较分析[J].中国卫生经济,2017,(12):55-58.[点击复制] |
.Comparative Analysis of Equity on Health Resource Allocation of Urban and Rural Basic Medical Institutions in Shandong Province[J].CHINESE HEALTH ECONOMICS,2017,(12):55-58.[点击复制] |
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| 摘要: |
| 目的：分析山东省社区卫生服务中心和乡镇卫生院卫生资源配置和利用公平性。方法：运用洛伦兹曲线、基尼系数和泰尔指数分析卫生资源配置和利用公平性。结果：社区卫生服务中心每万服务人口拥有床位6.16张，医疗设备4.91个，门诊量7797.33人次；乡镇卫生院每万服务人口拥有全科医师0.60人。社区卫生服务中心实际开放床位基尼系数为0.252，东部地区乡镇卫生院全科医师基尼系数为0.266。卫生资源区域内差异对总泰尔指数的贡献率均在60%以上。结论：社区卫生服务中心硬件设施人均配置不足且公平性差；乡镇卫生院人力资源配置匮乏，全科医师尤为严重；城乡基层医疗机构卫生服务利用不足。中西部地区卫生资源配置公平性优于东部，区域内差异是公平性的主要影响因素。 |
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| Comparative Analysis of Equity on Health Resource Allocation of Urban and Rural Basic Medical Institutions in Shandong Province |
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| Abstract: |
| Objective: To analyze the equity of health resource allocation and utilization of community health service centers and township health centers in Shandong Province. Methods: Lorenz curve，Gini coefficient and Theil index were used to analyze the equity of health resource allocation and utilization of urban and rural basic medical institutions. Results: The number of hospital beds and armaria per ten thousands population in community health service centers were 6.16 and 4.91, and the outpatients were 7797.33 ten thousand. The number of general practitioners per ten thousands population in township health centers were 0.60, The Gini coefficient of hospital beds in community health service centers was 0.252, and that of general practitioners in township health centers was 0.266. T he percent of the contribution of inter-regional differences to total Theil index was below six ty percent. Conclusion: the equity on hardware facility a llocation was unfair. The region allocation of h ealth human resource, especially general practitioners, in township health centers was unfair. The utilization of health services on urban and rural basic medical institutions is inadequate . The central and western regions were superior to the east region. The contribution of inter-regional differences was main influence factor. |
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