山东省基本公共卫生服务资源配置均等化评价

Equalization Evaluation of Essential Public Health Service Resources Allocation in Shandong Province

目的:评价山东省基本公共卫生服务资源配置的均等化程度。方法:采用基尼系数分析基本公共卫生服务资源人口学和地理学配置的均等化程度,结合泰尔指数评价基本公共卫生服务资源配置的均等化水平受地区间差异的影响程度。结果:基本公共卫生服务资源的基尼系数均在0.3以下,人口学基尼系数为0.009-0.185,地理学基尼系数0.199-0.227,人口分布优于地理分布;总泰尔指数为-1.6317-0.0209,东经济区域泰尔指数均在0以下,中经济区域泰尔指数为-0.4922-0.0256,西经济区域泰尔指数为-0.2373-0.0234。结论:山东省基本公共卫生服务资源配置公平性总体较好,其中人口分布的公平性优于地理分布;经济发展水平差异是基本公共卫生服务资源配置不公平的主要原因;基层卫生人员配置均等化水平低。

Objective： To evaluate the equalization of essential public health service resources allocation in Shandong Province. Methods： The main methods of the Gini coefficient aided by Theil index were used to assess the equity of essential public health service resources allocation. Results： The essential public health service resources＇ Gini coefficients were under 0.3. The demographic Gini coefficients was 0.009-0.185, and the geographical Gini coefficients was 0.199 - 0. 227. The population distribu- tion was better than geographical distribution. The total Theil index varied -1.6317-0.0209, the Theil index of eastern economic zone was under 0, the Theil index of middle economic zone was -0.4922-0.0256, and the Theil index of western economic zone was -0.2373-0.0234. Conclusion： The equalization of essential public health service resources allocation was well, and the level according to population distribution was superior to geographical distribution. The differences of economic developing level were the main reason of essential public health service resources allocation＇ s unfairness. The allocation＇ s equalization of basic health personnel was low.