摘要
Abstract
Objective To discuss allocation differences and fairness of communities general practitioners in districts and counties of Beijing from 2011 to 2014.Methods The number of community general practitioners, and number of resident population in Beijing and 16 districts and counties from 2011 to 2014 were collected.According to different functions of areas in Beijing, they were divided into 4 types of areas: core functions areas of capital ( Dongcheng District, Xicheng District) , urban functional expansion areas ( Chaoyang District, Fengtai District, Shijingshan District, Haidian District) , new districts of urban development ( Fangshan District, Tongzhou District, Shunyi District, Changping District, Daxing District ) and ecological conservation development areas ( Mentougou District, Huairou District, Pinggu District, Miyun County, Yanqing County ) . The allocation differences and fairness of community general practitioners per 10 thousand in each district and county were analyzed by adopting maximum/minimum values (times), relative difference coefficient, and it was further analyzed by using Theil index.Results From 2011 to 2014, the number of community general practitioners per 10 thousand in Beijing were 2.76,2.80, 2.80 and 2.73 respectively.The maximum/minimum value of the number of community general practitioners per 10 thousand in each district and county increased from 4.03 in 2011 to 4.82 in 2014, the relative difference coefficient increased from 38.5%in 2011 to 41.7%in 2014; the Gini coefficient increased from 0.161 7 in 2011 to 0.178 3 in 2014; the differential index increased from 0.111 8 in 2011 to 0.123 0 in 2014; the overall Theil index increased from 0.019 3 in 2011 to 0.024 0 in 2014, and the inter-area Theil index increased from 0.007 9 in 2011 to 0.011 3 in 2014, while the proportion of inter-area Theil index in the overall Theil index decreased from 59.1%in 2011 to 52.9%in 2014, of which the proportion of new districts of urban development in inter-area Theil index increased from 78.1% in 2011 to 82.7% in 2014.Conclusion The overall fairness of allocation of community general practitioners in Beijing is good.However, the unfairness of allocation of community general practitioners in each district and county is increasing year by year, and this is mainly caused by the increasing differences between areas, moreover, the allocation of community general practitioners within new districts of urban development is not so good.关键词
社区卫生服务/全科医生/卫生保健公平提供Key words
Community health services/General practitioners/Health care rationing分类
医药卫生
