基于秩和比法的深圳市卫生资源配置现状分析

Evaluation on allocation of health resources in Shenzhen based on the rank sum ratio

目的通过分析深圳市卫生资源配置现状,为“十四五”优化卫生资源提供依据。方法采用秩和比法(RSR)对2019年深圳市10个区的每千人口床位数、每千人口卫生人员数、每千人口卫生技术人员数、每千人口医师数、每千人口护士数情况进行综合评价。结果2019年深圳市卫生资源RSR回归方程为RRS=2.066-0.291VP,R2=0.970,F=259.993,P<0.001。深圳市卫生资源配置情况分为3档,一档(多)为福田区、罗湖区、南山区、坪山区;二档(中)为光明区、龙岗区、盐田区、大鹏新区;三档(少)为宝安区、龙华区,各档间差异均有统计学意义(P<0.05)。结论深圳市整体卫生资源配置较好,各区卫生资源配置差异有统计学意义,关内的福田区、罗湖区、南山区人均卫生资源拥有量高于关外的光明区、龙岗区、大鹏新区、宝安区和龙华区。

Objective To evaluate the allocation of health resources in Shenzhen,and to provide basis for optimizing resources allocation in the 14th five-year plan.Methods The number of beds per 1000 population,the number of health personnel per 1000 population,the number of health technicians per 1000 population,the number of doctors per 1000 population,the number of nurses per 1000 population,in 10 districts of Shenzhen in 2019 were evaluated with RSR method.Results The RSR regression equation of health resources in Shenzhen of 2019 was RRS=2.066-0.291VP,R2=0.970,F=259.993,P<0.001.The allocation of health resources in Shenzhen was divided into three levels,the first grade(more):Futian,Luohu,Nanshan,and Pingshan;the second grade(medium):Guangming,Longgang,Yantian and Dapeng;the third grade(less):Bao'an,Longhua.And the differences were statistically significant(P<0.05).Conclusion The overall allocation of health resources in Shenzhen is good,and there are obvious differences among districts.The per capita health resources in Futian,Luohu and Nanshan are higher than those in Guangming,Longgang,Dapeng,Bao′an and Longhua.