引用本文: 郑佳慧,王书平,邹云锋,等.2015—2020年我国重症床位资源配置公平性分析*[J].中国卫生经济,2022,41(10):49-53.[点击复制] Zheng Jiahui,Wang Shuping,Zou Yunfeng,et al.Analysis of the Equity of the Intensive Care Beds Resource Allocation in China from 2015 to 2020[J].CHINESE HEALTH ECONOMICS,2022,41(10):49-53.[点击复制]
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2015—2020年我国重症床位资源配置公平性分析*
郑佳慧,王书平,邹云锋,赵美英
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(广西医科大学公共卫生学院 广西 南宁 530021;国家卫生健康委卫生发展研究中心 北京 100191)
摘要:
目的:分析我国重症床位资源分布公平性及变化趋势,为政府优化卫生资源配置提供参考依据。方法:采用泰尔指数、基尼系数分析方法,对我国重症床位资源按地理面积、人口分布、经济水平配置的公平性评价。结果:2015—2020 年我国重症床位总量呈逐年上升趋势;按地理面积配置分配悬殊,按人口分布配置分配绝对公平,按经济水平配置分配较公平。泰尔指数显示,区域内资源分配差异是造成我国重症床位资源配置不公平的主要原因。结论:我国重症床位资源配置存在不公平现象,按人口分布配置公平性最优,按经济水平配置公平性次之,按地理面积配置公平性最差。
关键词:  卫生资源配置  重症床位数  公平性  基尼系数  泰尔指数
DOI:
基金项目:国家卫生健康委员会“中国与世界卫生组织2020—2021双年度合作项目”(GJ2(021-WHOPO-EI))
Analysis of the Equity of the Intensive Care Beds Resource Allocation in China from 2015 to 2020
Zheng Jiahui,Wang Shuping,Zou Yunfeng,Zhao Meiying
(School of Public Health, Guangxi Medical University, Nanning, 530021 , China)
Abstract:
Objective: To analyze the equity and changing trend of intensive care beds resource distribution in China, and to provide a reference for the government to optimize the allocation of health resources. Methods: Theil index and Gini coefficient analytical methods were used to evaluate the equity of the intensive care beds resource allocation in China according to geographic area, population and economic level. Results: The total number of critically ill beds in China is increasing from 2015 to 2020 . The allocation is disparate by geographical area, absolutely equitable by population distribution and more equitable by economic level. The Thiel Index shows that intra-regional differences in resource allocation are the main cause of inequitable allocation of critical care bed resources in China. Conclusion: There is inequity in the allocation of intensive care beds resources in China. Equity is best allocated by population distribution, second best by economic level and worst by geographical area.
Key words:  health resource allocation  intensive care beds  equity  Gini coefficient  Theil index

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