广西壮族自治区县级医疗卫生资源配置的公平性研究

Study on the Equity of Configuration of County-level Medical Resource in Guangxi Zhuang Autonomous Region

目的对广西县级医疗卫生资源配置的公平性进行分析。方法采用洛伦茨曲线和基尼系数等方法,从人口和地理分布对广西91个县域医疗卫生资源(床位、卫生技术人员、医生)的配置公平性进行分析。结果广西县级医疗卫生资源中床位、卫生技术人员、医生按人口分布的基尼系数分别为0.230 3、0.239 6、0.250 4,按地理分布的基尼系数分别为0.3461、0.353 4、0.352 3。结论广西县级医疗卫生资源配置的公平性较好,其中人口分布优于地理分布,床位分布优于卫生人力资源分布。广西县级医疗卫生资源配置的公平性低于广西总体水平,但优于城区医疗卫生资源的配置。应进一步加大县级医疗卫生资源的投入,不断缩小城乡差距,提高县级医疗卫生资源在人口和地理配置的公平性。

Objective To analyze the equity of the configuration of county-level medical resource in Guangxi. Methods Through the Lorenz curve and Gini coefficient, studying the equity of the configuration of hospital beds, health technical personnel, doctor in population and geography of 91 countries in Guangxi. Results The Gini coefficient of hospital beds, health technical personnel, doctors in population was 0.230 3, 0.239 6 and 0.250 4. The Gini coefficient in geography was 0.346 1, 0.353 4 and 0.352 3. Conclusion The equity of the configuration of medical resource in Guangxi was better in population than geography, and the configuration of hospital beds is better than medical technical personnel and doctor in Guangxi. The equity of configuration of medical resource in the countryside is better than in the urban, but worse than the average level of Guangxi. It is necessary to increase the quantity of the medical resource in countryside and narrow the gap between urban and countryside areas, and to improve the equity of configuration of medical resource in population and geography constantly.