基于集聚度与泰尔指数的四川省卫生资源配置公平性分析

摘要

Objective:To acquire the current equity situation of health resource allocation in Sichuan province in the past 7 years so as to provide scientific evidence for optimizing health resource allocation. Methods:The equity of health resource allocation of Si-chuan province were assessed by agglomeration degree and Theil index. Results:The health resource agglomeration degree of Chengdu economic region was relative surplus,while other 4 economic regions’s health resource were short of supplies. The Theil index of health resource allocation in different regions in Sichuan province showed an overall volatility downward trend. The unfair allocation of beds, health professionals,physicians and registered nurses were under intre-regional and inter-regional affection. Conclusion:The medical and health services in Sichaun province has made significant progress,while the equity situation of health resource allocation should be optimized. The equity situation of the health resource allocation should be improved. The unfair allocation of health resource allocation is under intre-regional and inter-regional affection.%目的:分析四川省近7年卫生资源配置状况的公平性,为优化卫生资源配置提供参考.方法: 运用卫生资源集聚度和泰尔指数进行公平性分析.结果: 整体来看,成都经济区卫生资源集聚度相对过剩,其它4个区域则存在不同程度上的卫生资源匮乏.四川省各地区卫生资源配置的泰尔指数整体上呈波动式下降趋势.床位、卫生技术人员、执业(助理)医师、注册护士配置的不公平受区域内及区域间的双重影响.结论: 四川省医疗卫生事业不断发展,但资源配置公平性有待优化;卫生资源配置的公平性有待进一步提高;卫生资源配置的非公平性受区域内和区域间的双重影响.