引用本文: |
龚衍花,冯文,马东.自贸港建设下海南省医疗卫生资源配置现状及公平性研究*[J].中国卫生经济,2022,41(9):46-51.[点击复制] |
Gong Yanhua,Feng Wen,Ma Dong.Research on the Allocation Status and Equity of Medical and Health Resources in Hainan Province under the Construction of Free Trade Port[J].CHINESE HEALTH ECONOMICS,2022,41(9):46-51.[点击复制] |
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摘要: |
目的:分析自由贸易港建设下海南省医疗卫生资源配置的现状及公平性,为进一步优化医疗卫生资源配置提供参考。方法:采用描述性分析对2020年海南省18个市县的医疗卫生资源配置的现状进行研究,从人口、地理面积两个维度, 采用 Lorenz曲线、基尼系数,对公平性进行研究,同时从纵向角度分析 2016—2020年海南省医疗卫生资源配置的基本情况。 结果:2016—2020年海南省各类医疗卫生资源的数量呈不断上升趋势。2020年海南省各类医疗卫生资源的洛伦兹曲线受地理面积因素的影响大于受人口因素的影响。2020年按人口配置的卫生机构数、床位数、卫生技术人员数、执业医师数和注册护士数的基尼系数均小于0.2,按地理面积配置的基尼系数在0.30~0.60之间。结论:海南省医疗卫生资源区域分布和要素结构配置失衡,人口分布优于地理面积分布,卫生人力资源配置公平性劣于卫生物力资源配置。需进一步均衡医疗卫生资源配置, 提高医疗卫生资源的整体公平性和可及性。 |
关键词: 卫生资源配置 洛伦兹曲线 基尼系数 自由贸易港建设 海南 |
DOI: |
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基金项目:海南省哲学社会科学重大课题 (HNSK[ZD]21— 183);2021年广东省研究生教育创新计划项目(2021JGXM059);海南省社保医保管理服务行动计划(2021-2025) |
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Research on the Allocation Status and Equity of Medical and Health Resources in Hainan Province under the Construction of Free Trade Port |
Gong Yanhua,Feng Wen,Ma Dong |
(School of Management, Hainan Medical University, Haikou, 570100 , China) |
Abstract: |
Objective: The present situation and equity of medical and health resource allocation in Hainan Province under the construction of the free trade port were analyzed to provide references for further optimization of medical resource allocation. Methods: Descriptive analysis was used to study the current situation of medical and health resource allocation of 18 cities and counties in Hainan Province in 2020. From the dimensions of population and geographical area, Lorenz curve and Gini coefficient were used to study the equity. Meanwhile, the basic situation of medical and health resource allocation in Hainan Province from 2016 to 2020 was analyzed longitudinally. Results: All kinds of medical and health resources in Hainan province showed an increasing trend from 2016 to 2020. In 2020, the Lorentz curve of all kinds of medical and health resources in Hainan province was bent more by geography than by population. In 2020, the Gini coefficient of the number of health facilities, beds, health technicians, medical practitioners and registered nurses by population was less than 0.2. The Gini coefficient was between 0.3 and 0.6 by geographical dimension. Conclusion: The regional distribution of medical and health resources and the allocation of factor structure in Hainan Province are unbalanced, population distribution is better than geographical distribution, and the equity of health material resources allocation is better than that of health human resources allocation. It is necessary to further balance the allocation of medical resources and improve the overall fairness and accessibility of medical resources. |
Key words: health resource allocation Lorentz curve Gini coefficient construction of free trade ports Hainan |