中国全科医学2017，Vol.20Issue(19)：2311-2315,5.DOI:10.3969/j.issn.1007-9572.2017.19.004
我国全科医生资源配置现状及公平性分析
Status and Equity of Current Distribution of General Practitioners in China
摘要
Abstract
Objective To investigate the status and equity of current distribution of general practitioners(GPs) in China.Methods This study was based on the data of distribution of GPs in 31 provinces(autonomous regions and municipalities) in China without Taiwan,Hong Kong Special Administrative Region and Macao Special Administrative Region.The data about population size(population),gross regional product(economy) and jurisdiction(geography) in every province(autonomous region,municipality) by the end of 2012,2013,and 2014 were from China Statistical Yearbook 2013,China Statistical Yearbook 2014,China Statistical Yearbook 2015;data about GPs were from China's Health and Family Planning Statistical Yearbook 2013,China's Health and Family Planning Statistical Yearbook 2014,and China's Health and Family Planning Statistical Yearbook 2015.Gini coefficient based on the Lorenz curve and Theil index were used to assess the equity of distribution of GPs in China from the aspects of population,economy and geography.Results There were 172 597 GPs in China in 2014,which increased by 18.61% compared with that of 2013,and by 57.20% compared with that of 2012.In 2014,the number of GPs accounted for 5.97% of the totaled registered(assistant) physicians;the average number of GPs delivering healthcare services for 10 000 persons in China was 1.27,specifically,that was 1.71,less than 1,less than 1,for 10 000 persons in eastern China,central China,and western China,respectively.From 2012 to 2014,the Gini coefficient for assessing the equity of access to GPs dropped from 0.313 2 to 0.252 6 by population,0.230 0 to 0.204 2 by the economy,0.742 4 to 0.717 6 by the geography;the Theil index for assessing the equity of access to GPs dropped from 0.075 2 to 0.049 4 by population,0.036 6 to 0.028 2 by the economy,0.591 7 to 0.540 5 by the geography.Conclusion In China from 2012 to 2014,the number of GPs increased significantly,but the overall distribution of GPs was unsatisfied;the distribution of GPs was not alanced,and it varied significantly from place to place;the equity of distribution of GPs was good if by population and economy,but poor by geography.关键词
全科医生/资源分配/卫生保健公平提供/洛伦兹曲线/基尼系数/泰尔指数Key words
General practitioners/Resource allocation/Health care rationing/Lorenz curve/Gini coefficient/Theil index分类
医药卫生引用本文复制引用
周灵利,汪和平,解龙,丁宏..我国全科医生资源配置现状及公平性分析[J].中国全科医学,2017,20(19):2311-2315,5.基金项目
安徽省全科医生制度体系建设研究(2015FACJ2925) （2015FACJ2925）
