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黑龙江省医疗卫生资源配置现状及其公平性分析OA

Status quo and fairness of health resource allocation in Heilongjiang Province

中文摘要英文摘要

目的 了解黑龙江省医疗卫生资源配置的公平性及其影响因素,为优化医疗卫生资源配置和实施黑龙江省"十四五"发展规划及达成2035远景目标提供参考.方法 对各项医疗卫生资源配置情况进行现况分析;计算基尼系数和泰尔指数进行医疗卫生资源配置公平性评价.结果 哈尔滨市拥有全省最多的医疗卫生资源配置;按人口配置的基尼系数处于0.06~0.14区间,总泰尔指数处于0.003~0.013区间,区域内差异贡献率60.76%~97.21%区间;地理面积配置的基尼系数0.38~0.47区间;总泰尔指数处于0.189~0.250区间,区域间差异贡献率为71.96%~77.33%.结论 黑龙江省医疗卫生资源存在整体公平而地理分布不均衡的情况,优质医疗卫生资源主要集中在现代化都市圈.

Objective To know about the fairness and influencing factors of health resource allocation in Heilongjiang Province and to provide reference for optimizing the allocation of health resources,implementing the 14th Five-Year Plan of Heilongjiang Province and achieving the long-term goals of 2035.Methods The current situation of health resource allocation was analyzed.The Gini coefficient and Theil index were calculated to evalu-ate the fairness of health resource allocation.Results Harbin has the maximum allocation of health resources in the province.The Gini coefficient according to population allocation was in the range of 0.06 and 0.14,the total Theil index was in the range of 0.003 and 0.013,and the contribution rate of inter-regional difference was between 60.76%and 97.21%.The Gini coefficient according to geographical area configuration was in the range of 0.38 and 0.47,the total Theil index was in the range of 0.189 and 0.250,and the contribution rate of inter-regional difference was between 71.96%and 77.33%.Conclusions Health resource allocation in Heilongjiang Province is fair on the whole but unbalanced geographically with high-quality health resources mainly in the modem metro-politan area.

刘冰冰;周健

佳木斯大学公共卫生学院,黑龙江佳木斯 154007

预防医学

卫生资源配置公平性洛伦兹曲线基尼系数泰尔指数黑龙江

Allocation of health resourcesFairnessLorenz curveGini coefficientTheil IndexHei-longjiang

《中国农村卫生事业管理》 2024 (008)

559-564 / 6

10.19955/j.cnki.1005-5916.2024.08.006

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