| 引用本文: |
林谋贵,兰韦娟,倪杰文,等.我国农村村级卫生资源配置公平与效率分析[J].中国卫生经济,2023,42(2):53-57.[点击复制] |
LIN Mou-gui,LAN Wei-juan,NI Jie-wen,et al.Analysis on Equity and Efficiency of Rural Health Resource Allocation in China[J].CHINESE HEALTH ECONOMICS,2023,42(2):53-57.[点击复制] |
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| 摘要: |
| 目的：探讨我国农村村级卫生资源配置公平与效率，为进一步提高我国农村村级卫生资源配置公平与效率提供参考依据。方法：运用描述性统计分析法、数据包络分析法、计算基尼系数并绘制洛伦兹曲线对我国2020年7大地理分区的村卫生资源配置的公平性和效率性进行分析。结果：洛伦兹曲线和基尼系数显示，2020年我国村卫生资源按人口分布的公平性优于按地理分布的公平性；数据包络分析结果显示，我国华北、东北、华东、华中、华南、西南和西北地区的村卫生资源配置效率差异性显著。结论：2020年，我国村卫生资源按地理配置的公平性较差；农村村级卫生室的护士短缺，配置公平性较差；村卫生资源配置效率地区间差异较大，部分地区效率偏低；各地区公平和效率差异大，应根据各地区实际情况，实施精准政策提高公平与效率。 |
| 关键词: 农村 村卫生室 卫生资源配置 公平性 效率 |
| DOI： |
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| 基金项目: |
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| Analysis on Equity and Efficiency of Rural Health Resource Allocation in China |
| LIN Mou-gui,LAN Wei-juan,NI Jie-wen,XIONG Lin-ping |
| (Department of Health Service,PLA Naval Medical University,Shanghai 200433 ,China) |
| Abstract: |
| Objective: To explore the equity and efficiency of village health resources allocation in order to provide references for improving the equity and efficiency of village health resources allocation. Methods: Descriptive statistical analysis，data envelopment analysis，Gini coefficient and Lorenz curve were used to analyze the equity and efficiency of village health resource allocation in 7 geographical regions in China in 2020. Results: Lorenz curve and Gini coefficient showed that the equity of village health resources distribution by population was better than that by geographical distribution in 2020. The results of data envelopment analysis showed that the differences of village health resource allocation efficiency were significant in North China，Northeast China，East China，central China，South China，Southwest China and Northwest China. Conclusion: In 2020，the equity of village health resources allocation by geography was poor. There was a shortage of nurses in village clinics，and the allocation fairness was poor. The allocation efficiency of village health resources varied greatly among regions，and the efficiency was low in some regions. The equity and efficiency of different regions varied greatly. The precise policies were implemented to improve the equity and efficiency according to the actual situation of different regions. |
| Key words: village village clinic allocation of health resources equity efficiency |
