我国公共卫生资源配置的公平性评价研究:基于公平基准方法的实证分析

Fairness Evaluation Analysis on Pubic Health Resource Allocation in China:Empirical Analysis Based on the Benchmarks of Fairness Analysis

目的:评价近年我国公共卫生资源分布是否公平。方法:卫生资源配置现况主要运用卫生服务优先指数(IPHS)和资源分布指数(IRD)两种测算方法,并对公共卫生资源状况展开纵向和横向比较。结果:随着新医改的推进,公共卫生服务供给得到逐步提高,民众基本卫生服务需求得到进一步满足。惯有的地域之间不公平的资源分布格局仍未被打破,省际公共卫生资源供需不匹配。结论:公共卫生资源配置重点应继续围绕减少城乡二元化。缩小省际差距而展开。

Objective： To evaluate the China＇s fairness of health resource distribution in recent years. Methods： Index of priority for health services （IPHS）and index of resources distribution （IRD） were applied to test the allocation status of health resources with the horizon and vertical comparison analysis. Result： With the development of new health care reform, the public health service gradually improves and the basic health needs are further satisfied. The unfair distribution kept the same among different regions, and the provincial health supply and demand are not matched. Conclusion： Public health resource allocation should keep focus on reducing the divergence from rural-urban dichotomy and narowing inter-provincial gaps.