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潘宏伟,邹俐爱,张远妮,等.区域比较视角下广东省专业公共卫生机构卫生资源配置公平性研究*[J].中国卫生经济,2023,42(2):46-52.[点击复制] |
PAN Hong-wei,ZOU Li-ai,ZHANG Yuan-ni,et al.Research on the Equity of Health Resources Allocation in Professional Public Health Institutions in Guangdong Province from the Perspective of Regional Comparison[J].CHINESE HEALTH ECONOMICS,2023,42(2):46-52.[点击复制] |
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区域比较视角下广东省专业公共卫生机构卫生资源配置公平性研究* |
潘宏伟,邹俐爱,张远妮,邓光璞,邱恒,姚奕婷,马超,李尧天,朱宏 |
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(南方医科大学卫生管理学院 广州 510515;南方医科大学南方医院 广州 510510;广东省卫生健康委员会 广州 510060) |
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摘要: |
目的:分析2019—2021年粤北、粤东、粤西和珠江三角洲地区21个地市的专业公共卫生机构卫生资源配置情况,为专业公共卫生资源的统筹规划提供参考。方法:采用秩和比法、集聚度法和泰尔指数,分析上述地区21个地市的专业公共卫生资源配置公平性。结果:广东省专业公共卫生资源配置结构上存在较大差异;仅珠江三角地区资源集聚度大于1,集聚度比值除珠江三角洲地区外,均呈现不同程度的递增趋势;各类资源的泰尔指数总体波动较小,组内差异贡献率较高。结论:广东省专业公共卫生机构卫生资源配置公平性不高,主要受到人口、经济发展、地理环境等因素的影响。需要合理测算资源需求,持续增加资源的投入力度,优化配置结构。 |
关键词: 专业公共卫生机构 卫生资源配置 公平性 广东 |
DOI: |
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基金项目:国家重点基础研究发展计划(973计划)“主动健康和老龄化科技应对”重点专项“健康管理综合服务应用示范”项目(2020YFC2006400);广东省卫生经济学会指令性课题项目(2021-WJZL-02) |
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Research on the Equity of Health Resources Allocation in Professional Public Health Institutions in Guangdong Province from the Perspective of Regional Comparison |
PAN Hong-wei,ZOU Li-ai,ZHANG Yuan-ni,DENG Guang-pu,QIU Huan,YAO Yi-ting,MA Chao,LI Xiao-tian,ZHU Hong |
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Abstract: |
Objective: To analyze the health resources allocation of professional public health institutions in 21 cities in northern Guangdong,eastern Guangdong,western Guangdong and Pearl River Delta Region from 2019 to 2021,so as to provide references for the overall planning of professional public health resources. Methods: Rank-sum ratio method,agglomeration degree method and Theil index were used to analyze the equity of professional public health resources allocation in 21 cities in different regions. Results: There were great differences in the allocation structure of professional public health resources in Guangdong Province. The resource aggregation degree in the Pearl River Delta Region was greater than 1,and the ratio of resource aggregation degree showed an increasing trend to varying degrees except the Pearl River Delta Region. The overall fluctuation of Theil index of various resources was small,and the contribution rate of intra-group difference was high. Conclusion: The equity of health resources allocation in professional public health institutions in Guangdong Province is not high,which is mainly affected by population,economy,geographical environment and other factors. It is necessary to reasonably measure the resource demand,continuously increase the input of resources,and optimize the allocation structure. |
Key words: professional public health institutions health resources allocation equity Guangdong |