中国卫生事业管理2026，Vol.43Issue(4)：390-395,474,7.
北京市全科医师资源配置公平性分析
Analysis of the Equity of General Practitioner Resource Allocation in Beijing
摘要
Abstract
Objective To analyze the equity and changing trend of general practitioners resource allocation in Beijing from 2010 to 2024,and provide evidence for optimizing the resource allocation.Methods The number of general practitioners was ob-tained from the Compilation of Beijing Health Work Statistics from 2010 to 2024,and the geographical area and permanent popula-tion data of each district were obtained from Beijing Statistical Yearbook.The health resource aggregation degree,Gini coefficient and Theil index were used to evaluate the equity of resource allocation from both demographic and geographical dimensions,and the spatial and temporal differences were decomposed by functional areas.Results Although the total number of general practition-ers increased by 1,006.26%from 2010 to 2024,reaching 2.69 general practitioners per 10,000 population in 2024,which still fell short of the 2030 target.HRAD analysis revealed that the ratio of GP resource agglomeration to population agglomeration re-mained＞1 in the core,expansion,and ecological areas,while it was＜1 in the development new area.The Gini coefficient indi-cated that the demographic dimension remained absolutely equitable,while the geographical dimension peaked at 0.41 in 2022 de-clining to 0.28 in 2024,reflecting persistent regional disparities.The Theil index showed that the contribution rate of geographical dimension exceeded 85%,which value consistently higher than that of the demographic dimension,highlighting inter-regional inequities.Conclusion The general practitioner resource allocation in Beijing exhibits a structural contradiction between aggregate growth and lagging regional adaptation,characterized by resource redundancy in core areas and shortages in peripheral areas.However,the equity has generally improved over time.Policy recommendations include optimizing resource distribution based on population mobility and geographical coverage,and strengthening medical alliances and telemedicine to enhance the equity.关键词
全科医生/资源配置/公平性/北京市Key words
general practitioners/resource allocation/fairness/Beijing分类
医药卫生引用本文复制引用
孟开,薛涵,王兆旸..北京市全科医师资源配置公平性分析[J].中国卫生事业管理,2026,43(4):390-395,474,7.基金项目
国家自然科学基金"基于动态能力理论的基层医疗卫生机构组织能力对组织绩效的影响机制研究"(72274128) （72274128）
首都医科大学本科生科研创新项目"北京市专科医生资源配置现状研究"(XSKY2024128) （XSKY2024128）
