首页> 中文期刊> 《中国社会医学杂志》 >我国卫生资源配置公平性趋势研究

我国卫生资源配置公平性趋势研究

         

摘要

目的 对2003~2010年我国31个省份卫生资源的配置进行公平性分析评价,为区域卫生规划和卫生资源优化配置提供科学依据.方法 采用统计描述、洛伦兹曲线(lorenz curve)和基尼系数(gini coefficient)等方法,分析近8年我国各省份卫生机构、床位、卫生技术人员等主要卫生资源配置的均衡性、公平性以及变化趋势.结果 2003~2010年,我国卫生资源配置增长迅速,31个省份卫生机构基尼系数从0.391下降到0.247、床位基尼系数从0.317下降到0.172、卫生技术人员基尼系数从0.338下降到0.213.结论 2003~2010年,我国卫生资源配置按人口分布处于比较合理的状态,公平性不断提高,但卫生资源结构仍需进一步优化.%Objectives To appraise the current and historical equity trends of health resources allocation among 31 provinces in China during the period of 2003 - 2010, which can be used for regional health planning and optimizing allocation policy making. Methods To describe and analyze the balance state and the equity of health institutions, hospital-beds and health technicians of the provinces in China for 8 years with descriptive statistical method, Lorenz curve and Gini coefficient. Results From 2003 to 2010, the total quantities of health resources in China were increasing quickly, while the Gini coefficients of the sanitary institutions, health-beds, and health technicians fell from 0. 391 to 0. 247, from 0. 317 to 0. 172, and from 0. 338 to 0. 213 respectively. Conclusions The state of health resource allocation had become more equal in China during 2003 to 2010, and the trend of the equity was gradually raised. To achieve higher equity, the health policies need to be emphasized on the health institution adjustment.

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