2000～2010年广西壮族自治区14辖市卫生资源的配置研究

Study on health resource configuration in 14 provincial cities of Guangxi during 2000-2010

目的分析2000～2010年广西壮族自治区(广西区)14辖市卫生资源配置状况及其分布的合理性,为广西区域卫生规划提供科学依据。方法采用洛伦茨曲线(Lorenz curve)和基尼系数(Gini coefficient)等方法,对2000～2010年广西区14辖市卫生资源(财政医疗卫生支出、床位、医生、注册护士)的配置状况及其人口与地理分布的合理性进行分析。结果 2000～2010年广西区辖市卫生资源(财政医疗卫生支出、床位、医生、注册护士)按人口分布的平均基尼系数分别为0.373 1、0.376 4、0.370 0、0.353 8,地理分布的基尼系数均大于0.50。广西区辖市卫生资源分布的合理性相对较差,其中人口分布优于地理分布,注册护士配置合理性优于医生和床位,床位配置的合理性最差。结论应进一步加大卫生资源的投入力度,充分发挥政府宏观调控作用,不断调整卫生资源的结构和提高卫生资源地理及人口分布的合理性。

Objective To analyze the distribution status and rationality of the health resource configuration in 14 provincial cities of Guangxi Zhuang Autonomous Region during 2000-2010 to provide the scientific basis for formulating the Gaungxi regional health planning.Methods Through the Lorenz curve and Gini coefficent,we studied the configuration of the health resources including the financial health expenditure,hospital beds,doctors and registered nurses and the distribution rationality of population and geography.Results The Gini coefficient of the health resources distributed according to populations during 2000-2010 was 0.373 1,0.376 4,0.370 0,0.353 8,and the Gini coefficient distributed according to geography was all beyond 0.50.The rationality of the health resource configuration in 14 provincial cities in Guangxi was poor,which of the population distribution was better than that of geography.The rationality of registered nurses configuration was better than that of doctors and the hospital beds.The rationality of hospital beds configuration was worst.Conclusion The government should increase the investment to the health resources,give full play to the macro-control role of the government,continuously adjust the structure of the health resources and increase the rationality of geographic and population distribution of the health resources.