广东省2000-2010年卫生资源配置公平性分析

Equity of health resource configuration in Guangdong province from 2000 to 2010

目的:对广东省2000-2010年卫生资源配置的公平性进行分析,为卫生资源的优化配置提供科学依据。方法:采用基尼系数和泰尔指数分析广东省2000-2010年卫生机构、医院卫生院床位及卫生技术人员配置的公平程度与变化趋势。结果:广东省的卫生资源主要集中于珠三角地区。卫生资源按人口分布的基尼系数均不大于0.30,且总体呈下降趋势;床位及卫生技术人员按地理分布的基尼系数均介于0.40～0.60之间,且总体呈上升态势。区域内差异对总泰尔指数的贡献率高于区域间差异,且从区域内差异逐步转向区域间差异。结论:广东省卫生资源的配置为人口分布优于地理分布,不同经济水平地区之间公平性呈降低趋势。

Objective To evaluate the equity of health resource configuration in Guangdong province from 2000 to 2010 for providing the evidence for health administrative sectors to optimize allocation of health resources. Methods Gini coefficients and Theil indexs were used to measure the equity and trend of health resource configuration from health institutions and hospital beds and medical technical personnel in Guangdong province from 2000 to 2010. Results The health resources of Guangdong province mainly concentrated in the Pearl River Delta area. The Gini coefficient of health resource was less than 0.30 in population with a decreasing trend. The Gini coefficients of hospital beds,health technical personnel in geography were between 0.40 and 0.60 with a decreasing trend. The difference within the economic areas contributed more to the Theil index than the difference between the economic areas, which was reversing gradually. Conclusions The equity of she configuration of health resource is better in population than in geography in Guangdong province. The equity is decreasing in differences between the different economic areas.