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云南省卫生资源公平性分析 被引量:8

A study on the equity of health resources in Yunnan Province
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摘要 目的:了解云南省卫生资源分布及差异状况,为制定合理有效的卫生资源配置政策提供依据。方法:采用云南省2009—2013年各地区的医疗卫生资源数据,通过泰尔指数分析法对卫生资源差异进行测算。结果:发现云南省东、中、西、南部地区医疗卫生服务总体差异呈现缩小趋势;卫生技术人员资源的公平性显著低于医疗机构和床位资源分布的公平性。进一步分解泰尔指数后发现,在医疗机构与卫生技术人员资源方面,滇中组内不均衡是影响云南省医疗机构不公平最主要的因素,而区域间的不均衡是影响云南省床位资源总体不公平的关键因素。结论:要促进云南省各地区医疗卫生服务均衡化发展,首先必须明确发展战略,建立多元参与机制和完善良性互动机制。同时还需优化卫生投入结构,合理设置卫生服务机构,加强基础设施建设。此外,还应着力提高基层医疗卫生队伍。 Objective: To understand the health resource allocation and the variance in Yunnan Province, and to provide evidence for policy makers to set up appropriate health policies. Methods: The health resources data of 16 cities and prefectures in Yunnan from 2009-2013 were collected, and the discrepancis of health resources among different areas were measured with Theil index. Results: The total variance of basic health service among east, middle, west and south areas had been decreasing gradually. However, the equity of health institutions and hospital beds is significantly better than that of health workers. Through Theil index composition analysis, it was found that in aspects of health institutions and health workers, the main factor resulting in the inequality of health institutions was the imbalance within the middle area. However, for the hospital beds inequity, the main factor was the inequality among areas. Conclusion: It is suggested to have clear development strategy, set up optimized participation mechanism in medical services, develop the structure of health input, establish rational layout of health institutions, strengthen the health infrastructure, and improve the quality of health workers so as to improve the equity of health resources.
作者 戴璟 李小涵 张春艳 李伟 DAI Jing LIXiao-han ZHANG Chun-yan LI Wei(Faculty of Management and Economics, Kunming University of Science and Technology, Kunming Yunnan 650093, China Scientific Education Section, The First People's Hospital of Yunnan Province, Kunming Yunnan 650022, China ).)
出处 《中国卫生资源》 北大核心 2017年第2期110-113,共4页 Chinese Health Resources
关键词 卫生资源 健康公平性 泰尔指数 health resource health equity Theil index
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