河南省18地市卫生资源配置研究

Research on health resource allocation among 18 cities in Henan Province

目的 :通过分析河南省18地市卫生资源配置现状,为卫生资源合理配置提供参考。方法 :运用秩和比法(RSR)对卫生资源配置的每千人口卫生机构数、每千人口卫生机构床位数、每千人口卫生人员数和每千人口卫生技术人员数进行综合评价。结果 :河南省各地市卫生资源指标差异大,各项指标变异系数均超过25%,RSR回归方程为RSR=-0.674+0.235Y,r=0.960。结果分为4档,一档(低)有信阳市、驻马店市;二档(偏低)有周口市、南阳市、商丘市、许昌市、开封市和安阳市;三档(中)有平顶山市、漯河市、濮阳市、鹤壁市、济源市、焦作市和洛阳市;四档(高)有郑州市、新乡市和三门峡市。结论 :河南省卫生资源配置存在差异,三门峡市、新乡市和郑州市的人均卫生资源拥有量较高,信阳市和驻马店市人均卫生资源拥有量较低。政府应对此问题引起重视,加强卫生资源配置的宏观管理,提高卫生资源配置效率和公平性。

Objective： To analyze the present status of health resource allocation in Henan Province and provide a reference for the rational health resource allocation. Methods： Rank-sum ratio（ RSR ） method was used for comprehensive evaluation of health resources, which included health facilities per 1 000 people, beds per 1 000 people, health personnel per 1000 people, and health professionals per 1 000 people. Results： There were great differences among health resources indicators in different cities of Henan Province. The variation coefficients of various indicators were more than 25%. The regress equation of RSR was RSR=O.674＋O.235F, r=0.960. Evaluation results were divided into four classes. Cities in the first class （ low ） were Xinyang and Zhumadian; cities in the second class （ lower ） were Zhoukou, Nanyang, Shangqiu, Xuchang, Kaifeng, and Anyang; cities in the third class （middle） were Pingdingshan, Luohe, Puyang, Hebi, Jiyuan, Jiaozuo and Luoyang; cities in the fourth class （more） were Zhengzhou, Xinxiang and Sanmenxia. Conclusion： The health resource allocation is not balanced in Henan Province. The health resources per capita are higher in Sanmenxia, Xinxiang and Zhengzhou, but are lower in some cities, such as Xinyang and Zhumadian. It is suggested that the government pay sufficient attention to the question, strengthen macro management, and improve efficiency and fairness of health resource allocation.