新疆卫生资源配置人口公平性研究

Study on equitable allocation of health resources in Xinjiang

目的评价新疆维吾尔自治区2009年卫生资源配置人口公平性,为新疆卫生资源配置标准研究提供科学依据。方法采用基尼（Gini）系数和洛伦兹（Lorenz）曲线,从新疆各地州市人口分布的角度出发,分析卫生机构的床位、卫生技术人员、执业（助理）医师、注册护士、万元以上设备等卫生资源的配置公平性。结果卫生资源人口分布基尼系数为0.2~0.5。床位的基尼系数最低,处于最佳公平状态,其他卫生资源均达到警戒水平以上,其中万元以上设备的公平性最差,Gini系数为0.47。结论除床位外,新疆卫生资源人口分布明显不公平,新疆卫生资源地理公平性分析不宜采用基尼系数和洛伦兹曲线的方法。

Objective To evaluate the fairness of the population on the criteria of allocation of health resources in Xinjiang Uyghur Autonomous Region in 2009 and to provide a scientific basis for the criteria.Methods From the population distribution in different areas of Xinjiang,the Gini coefficient and the Lorenz curve were used to analyze the equity of health resouces in view of the beds in health institutions,health professionals,practicing（assistant） doctors,registered nurses,equipment above 10 thousand yuan,et al.Results The population of Jini coefficient of health resources is 0.2 to 0.5.The Gini coefficient is lowest in bed resouces with best fair condition,other health resources have reached or above the alert level and the worst is equipment with Gini coefficient for 0.47.Conclusion The population distribution of health resources in Xinjiang is obviously not fair except bed resouces,the analysis of fairness on health resources in Xinjiang should not use the Gini coefficient and Lorenz Curve.