我国卫生资源均等化评价及区域差异研究

Study on evaluation and district difference of China′s health resources equalization

目的：研究我国卫生资源配置和区域差异现状以及存在的问题，进而提出解决问题的对策以及实现卫生资源公平合理配置的建议。方法从卫生资源配置的人力、物力、财力三个方面，运用卫生经济学中的洛伦兹曲线与基尼系数、以及统计学中的图表分析、Pearson相关系数、Wilcoxon秩和检验、K-W秩和检验等方法进行分析。结果在2004-2011年期间，我国卫生资源有所增加，配置均等化程度有所提高，但人均卫生费用不足，地区卫生资源均等化差异依然存在。结论促进卫生资源均等化，应从卫生总支出、政府统筹规划、卫生资源利用效率等方面进行综合调整与改革。

Objective To put forward some countermeasures and suggestions to solve the problems existed in Chinese health resources allocation and realize the fairness of inter-regional health resources allocation at last.Methods Using methods of health economics such as Lorenz curve and the Gini coefficient, as well as statistical analysis of the chart, wilcoxon and K-W rank-sum test.Results Equalization of health resource allocation from 2004-2011 has increased .But the per capita health ex-penditure and government budget are still short.And health resources differences among areas still exist.Conclusion Reform a-bout total health expenditure, the government budget on health and other aspects should be needed.