| 引用本文: |
严静,覃娴静,韩记娣,等.2015—2020年广西全科医生资源配置状况及公平性研究*[J].中国卫生经济,2023,42(1):52-56.[点击复制] |
YAN Jing,QIN Xian-jing,HAN Ji-di,et al.Study on Resource Allocation Status and Equity of General Practitioners in Guangxi from 2015 to 2020[J].CHINESE HEALTH ECONOMICS,2023,42(1):52-56.[点击复制] |
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| 摘要: |
| 目的：对广西2015—2020年全科医生资源配置现状及公平性进行研究。方法：通过洛伦兹曲线、基尼系数和集聚度3种方法，从地理和人口两个角度入手讨论并分析广西全科医生配置现状及公平性。结果：2015—2020年广西全科医生数、每万人口全科医生数以及每百平方千米全科医生数分别增长了8430人、1.65人和3.54人，年均增长率分别为22.74%、 18.01%、22.68%。全科医生按人口分布的基尼系数从 0.2205下降到 0.1442，按地理面积配置的基尼系数从 0.3086下降到 0.2828；2020年广西各市全科医生资源集聚度在 0.43~2.43之间，全科医生资源集聚度与人口集聚度的比值在 0.67~1.59之间。结论：广西全科医生数量增长较快但配置不均衡，按地理分布、人口分布存在差异，人口分布公平性较好，地理分布可及性较差，且各地区间配置差异明显。 |
| 关键词: 卫生资源配置 全科医生 公平性 广西 |
| DOI： |
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| 基金项目:广西壮族自治区卫生健康委员会委托项目(03301219007D) |
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| Study on Resource Allocation Status and Equity of General Practitioners in Guangxi from 2015 to 2020 |
| YAN Jing,QIN Xian-jing,HAN Ji-di,GAO Gong-da,FENG Qi-ming,ZHAO Jin-min |
| (Health and health Policy Research Center of Guangxi Medical University (Guangxi High-End Think Tank Construction and Cultivation Unit),Nanning 530021 ,China) |
| Abstract: |
| Objective: To study the current situation and equity of resource allocation of general practitioners in Guangxi from 2015 to 2020. Methods: Through Lorentz curve，Gini coefficient and agglomeration degree，it discusses and analyzes the current situation and equity of general practitioners in Guangxi from the perspective of geography and population. Results: From 2015 to 2020，the number of general practitioners，the number of general practitioners per 10000 population and the number of general practitioners per 100 square kilometers in Guangxi increased by 8430，1.65 and 3.54 respectively，with an average annual growth rate of 22.74 %，18.01 %and 22.68 %respectively. The Gini coefficient of general practitioners allocated by population decreased from 0.2205 to 0.1442，and the Gini coefficient allocated by geographical area decreased from 0.3086 to 0.2828. In 2020，the Health Resources Agglomeration Degree index ≤ft( HRAD i \right) of general practitioners in Guangxi ranged from 0.43 to 2.43，and the HRAD i / PAD i (Population Agglomeration Degree index，PAD i) ratio ranged from 0.67 to 1.59. Conclusion: The number of general practitioners in Guangxi has increased rapidly，but the allocation is uneven. There are differences according to geography and population distribution. The equity of population distribution is better，the geographical accessibility is poor，and the allocation difference between regions is obvious. |
| Key words: health resource allocation general practitioners equity Guangxi |
