北京市卫生人力资源配置及医院效率分析

摘要

Objective To analyze the equality of allocation of health human resources and the efficiency of hospi-tals ,and then propose the suggestions by comparing different functional areas in Beijing.Methods The data were collected from health statistics yearbook of Beijing and Beijing Health Statistics Annual Report.Theil index was used to analyze fairness of health human resources ,and data envelopment analysis(DEA)was used to evaluate the efficien-cy of hospitals.Results Theil index indicated that the core function of capital area was minimum and the operational efficiency of hospital was well.And there were no correlations between the efficiency of hospital and the Theil in-dex.Conclusion Generally speaking ,there are some differences between the allocation of health human resources and efficiency of hospitals but they have no positive connections.%目的 分析北京市卫生人力资源配置的公平性与医院效率现状,进行不同功能区比较,并提出相关建议.方法 数据来源为北京市区域统计年鉴和北京市卫生计生统计年报数据库,分别采用泰尔指数、数据包络分析(DEA )分析北京市各功能区卫生人力资源的公平性和医院效率.结果 人力资源方面,首都功能核心区卫生人力资源的泰尔指数最低,公平性比城市功能拓展区、城市发展新区和生态涵养发展区三个功能区高,区域间卫生人力资源的泰尔指数对总泰尔指数贡献率均大于80%,区域间的不公平是导致卫生人力资源配置不公平的主要原因;医院效率方面,首都功能核心区辖区内医院综合技术效率、纯技术效率分别达到0. 452 38和0.622 35 ,较城市功能拓展区、城市发展新区、生态涵养发展区3个功能区得到了更好发挥;相关分析则显示,卫生人力资源配置泰尔指数与医院效率之间尚不存在直线相关关系.结论 北京市各功能区在人力资源配置公平程度、医院效率方面均存在一定差异,资源配置公平性与医院效率尚不存在必然联系,未来的卫生资源配置仍需统筹考虑效率与公平的关系,实现公平与效率的有机统一.