中国农村卫生事业管理2024，Vol.44Issue(11)：769-775,781,8.DOI:10.19955/j.cnki.1005-5916.2024.11.002
我国医疗卫生资源配置现状与公平性研究
Status quo and equity of healthcare resource allocation in China
摘要
Abstract
Objective To analyze the allocation status of healthcare resources in China,so as to provide reference for promoting the structural optimization and layout adjustment of the resources.Methods Descriptive statistics,Health Resource Density Index(HRDI),Lorenz curve,Gini coefficient and concentration index were used to analyze and evaluate the allocation status and fairness of China's healthcare resources using healthcare in-stitutions,beds,practicing(assistant)physicians and registered nurses as indicators.Results The total amount of healthcare resources in China was in a growing trend,and currently,the ratios of healthcare resources in each region of China to the total amount of the nation from high to low were those of the eastern,western,central and northeastern regions.According to the HRDI value,China's healthcare resources in descending order were those for the beds,registered nurses,practicing(assistant)physicians,and healthcare institutions,and the HRDI val-ues for all types of healthcare resources in the western region were lower than the national HRDI values.The Gini coefficients by population distribution for all types of healthcare resources in China were all between 0 and 0.23,and the equity in beds,practicing(assistant)physicians by population distribution was better than that in regis-tered nurses and healthcare institutions;the Gini coefficients by geographic area were all between 0.15 and 0.67,and the distribution of healthcare resources was not balanced.The concentration indices of healthcare resources in China were all positive,and the concentration indices were,in descending order,those of practicing(assistant)physicians,registered nurses,beds,and healthcare institutions.Conclusions There are great differences in the allocation of healthcare resources between regions in China,and the fairness of the allocation of healthcare human resources needs to be optimized;the demographic fairness of the allocation of healthcare resources is better than the geographic fairness,and there is a phenomenon that regions with higher economic levels have more healthcare resources.关键词
医疗卫生资源/配置现状/公平性/卫生资源密度指数/基尼系数/集中指数Key words
Healthcare resources/Allocation status/Equity/Healthcare resource density index/Gini co-efficient/Concentration index分类
医药卫生引用本文复制引用
郭晶,李红艳,吴傲阳..我国医疗卫生资源配置现状与公平性研究[J].中国农村卫生事业管理,2024,44(11):769-775,781,8.基金项目
国家社会科学基金项目(24BSH096) （24BSH096）
