2016年内蒙古基层医疗卫生资源配置公平性研究
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摘要
目的:了解内蒙古自治区基层卫生资源配置公平性,为进一步优化基层卫生资源配置,合理制定区域卫生规划提供参考。方法:运用洛伦兹曲线、基尼系数、泰尔指数,从人口和地理两个角度对内蒙古基层卫生资源配置的公平性进行分析。结果:内蒙古基层卫生资源按人口分布的基尼系数为0.144-0.398,按地理面积分布的基尼系数为0.369-0.699。总泰尔指数为0.102-0.501,按人口分布的组内差异贡献率介于54%-81%之间,按地理面积分布的组内差异贡献率为75%-87%。结论:内蒙古基层卫生资源配置不均衡,受经济发展水平影响明显;基层卫生资源配置人口公平性优于地理公平性;地区内部差异是影响内蒙古基层卫生资源配置公平性的主要因素。
Objective: To know the equity of primary health resources allocation in Inner Mongolia Autonomous Region, and provide reference for optimizing primary health resource allocation and rational formulating regional health planning. Methods: Lorenz curve, Gini coefficient and Theil index were used to analyze the equity of primary health resources allocation in Inner Mongolia from the perspectives of population and geography. Results: The Gini coefficient of primary health resource in Inner Mongolia was 0.144 to 0.398 according to population distribution. The Gini coefficient was 0.369 to 0.699 according to geographical area distribution. The total Theil index was 0.102-0.501, and the intra-group difference contribution rate was between 54% and 81% according to population distribution, and the intra-group difference contribution rate was between 75% and 87% according to geographical area distribution. Conclusion: The allocation of primary health resources in Inner Mongolia is not balanced, which is obviously affected by the level of economic development. The population equity of primary health resources allocation is better than geographical equity. Regional differences are the main factors that affect the equity of primary health resources allocation in Inner Mongolia.
Objective: To know the equity of primary health resources allocation in Inner Mongolia Autonomous Region, and provide reference for optimizing primary health resource allocation and rational formulating regional health planning. Methods: Lorenz curve, Gini coefficient and Theil index were used to analyze the equity of primary health resources allocation in Inner Mongolia from the perspectives of population and geography. Results: The Gini coefficient of primary health resource in Inner Mongolia was 0.144 to 0.398 according to population distribution. The Gini coefficient was 0.369 to 0.699 according to geographical area distribution. The total Theil index was 0.102-0.501, and the intra-group difference contribution rate was between 54% and 81% according to population distribution, and the intra-group difference contribution rate was between 75% and 87% according to geographical area distribution. Conclusion: The allocation of primary health resources in Inner Mongolia is not balanced, which is obviously affected by the level of economic development. The population equity of primary health resources allocation is better than geographical equity. Regional differences are the main factors that affect the equity of primary health resources allocation in Inner Mongolia.
引文
[1]李鲁.社会医学[M]. 5版. 北京:人民卫生出版社,2017.
[2]申曙光,张勃.分级诊疗、基层首诊与基层医疗卫生机构建设[J].学海,2016(2):48-57.
[3]郭玉秀,宋国强,周荣耀,等.安徽省卫生资源配置现状及公平性研究[J]. 中国卫生资源,2018,21(4):318-322.
[4]张金梦,于贞杰.山东省基层卫生资源配置的受益公平性分析[J].医学与社会,2018,31(8):5-7.
[5]陈云,范艳存,张楠,等.2009-2011年内蒙古自治区基层医疗卫生服务体系建设情况评估[J]. 医学与社会,2013,26(12):54-57.
[6]杨展,胡晓,陈饶,等.我国基层医疗卫生资源配置公平性研究[J].中国卫生资源,2017,20(2):106-109.
[7]曹范堃,袭燕,郑文贵.山东省社区卫生服务中心卫生资源配置公平性分析[J].医学与社会,2018,31(1):11-20.
[8]陈云,范艳存,李敏,等.内蒙古基层卫生人力政策评价[J].医学与社会,2015,28(12):10-12.
[9]张娜娜,高山,郑慧凌,等.基于基尼系数和泰尔指数的江苏省卫生资源配置公平性分析[J]. 医学与社会,2018,31(8):11-13.
[10]黄丞.医疗联合体建设“要”在强基层[J].中国医院,2018,22(1):6-8.
[2]申曙光,张勃.分级诊疗、基层首诊与基层医疗卫生机构建设[J].学海,2016(2):48-57.
[3]郭玉秀,宋国强,周荣耀,等.安徽省卫生资源配置现状及公平性研究[J]. 中国卫生资源,2018,21(4):318-322.
[4]张金梦,于贞杰.山东省基层卫生资源配置的受益公平性分析[J].医学与社会,2018,31(8):5-7.
[5]陈云,范艳存,张楠,等.2009-2011年内蒙古自治区基层医疗卫生服务体系建设情况评估[J]. 医学与社会,2013,26(12):54-57.
[6]杨展,胡晓,陈饶,等.我国基层医疗卫生资源配置公平性研究[J].中国卫生资源,2017,20(2):106-109.
[7]曹范堃,袭燕,郑文贵.山东省社区卫生服务中心卫生资源配置公平性分析[J].医学与社会,2018,31(1):11-20.
[8]陈云,范艳存,李敏,等.内蒙古基层卫生人力政策评价[J].医学与社会,2015,28(12):10-12.
[9]张娜娜,高山,郑慧凌,等.基于基尼系数和泰尔指数的江苏省卫生资源配置公平性分析[J]. 医学与社会,2018,31(8):11-13.
[10]黄丞.医疗联合体建设“要”在强基层[J].中国医院,2018,22(1):6-8.