文献类型：期刊文献

中文题名：基于基尼系数和集聚度的甘肃省卫生资源配置公平性分析

英文题名：Analysis on Equity of Health Resource Allocation in Gansu Province Based on Gini Coefficient and Agglomeration Degree

作者：钱亚玲[1];杨敬宇[1,2]

第一作者：钱亚玲

机构：[1]兰州大学公共卫生学院,甘肃兰州730000;[2]甘肃中医药大学经贸与管理学院,甘肃兰州730000

第一机构：兰州大学公共卫生学院,甘肃兰州730000

年份：2021

卷号：34

期号：8

起止页码：11

中文期刊名：医学与社会

外文期刊名：Medicine and Society

收录：CSTPCD;;北大核心:【北大核心2020】；

语种：中文

中文关键词：卫生资源配置;公平性;甘肃

外文关键词：Health Resource Allocation;Equity;Gansu

摘要：目的:从医疗卫生领域供给侧视角出发,探讨甘肃省卫生资源配置现状,发现问题并提出建议。方法:基于洛伦兹曲线、基尼系数和集聚度从人口、地理面积、GDP角度评价甘肃省卫生资源配置公平性。结果:2009-2019年,甘肃省各项卫生资源配置公平性有所改善,人口公平性优于GDP公平性,地理面积公平性最差。就地区而言,陇中、陇东、陇东南地区卫生资源集聚度均大于1,卫生资源地理可及性较好;河西、民族地区卫生资源地理可及性差。陇中、河西、陇东地区集聚度的差值接近于0,卫生资源配置充足;陇东南和民族地区卫生资源按照人口配置稍显不足;各地区面积小、人口密集、经济发展较好的市州卫生资源按人口分布明显优于其他市州。结论:新医改以来,甘肃省卫生资源总量持续增加,按人口配置卫生资源公平性不断提高,但依旧面临卫生人力资源缺乏、区域卫生资源配置公平性较差、贫困地区和少数民族地区卫生资源配置不足等问题。建议完善多点执业、人才引进和健康扶贫政策,科学编制区域卫生发展规划。
Objective:To explore the status quo of the allocation of health resources in Gansu province from the perspective of the supply side of the medical and health field so as to find out the problems and put forward some suggestions.Methods:Lorenz curve,Gini coefficient and agglomeration degree were used to evaluate the equity of health resource allocation in Gansu province from three aspects of population,geographic area and GDP.Results:From 2009 to 2019,the equity of the allocation of various health resources in Gansu province had generally been improved.The equity of population was better than the equity of GDP and the equity of geographic area was the worst.In terms of regions,the agglomeration degree of health resources of Longzhong,Longdong and Longdongnan was greater than 1 and the geographic accessibility of health resources was good.The geographic accessibility of health resources in Hexi and national regions was poor.The differences of the agglomeration degree of Longzhong,Hexi and Longdong were approximate to 0 and the allocation of health resources was adequate.The health resources of Longdongnan and national regions according to the population distribution were slightly insufficient.The health resources of cities with small area,dense population and good economic development were significantly better than other cities according to population distribution.Conclusion:The total amount of health resources in Gansu province has continued to increase and the equity of health resource allocation according to the population has continued to improve since the new medical reform.However,it still faces problems such as the lack of health human resources,poorer equity of regional health resource allocation and insufficient health resources of poverty-stricken and minority areas.It is recommended to improve multi-sited practice and the policies of talent introduction and health poverty alleviation,and formulate the planning of regional health development in a scientific way.