安徽省医疗卫生资源空间配置及公平性趋势研究

Spatial allocation and equity trends of health resources in Anhui Province

目的对安徽省卫生资源的配置及公平性进行分析,为政府优化政策提供依据和参考。方法利用地理集中指数、集中指数和集聚度等概念对安徽省卫生资源配置情况进行评价。结果安徽省各项医疗卫生资源指标均得到了长足发展,地理集中指数均大于0,年均增长率均小于0.5%,说明卫生资源的空间分布存在一定的空间集中趋势。各项指标的集中指数均呈振荡下降趋势,且更接近于0,说明该省的卫生资源配置的公平性呈增加趋势,且卫生资源配置倾向于经济水平较高的地区。通过卫生资源集聚度指数来看,合肥、蚌埠、阜阳、安庆、芜湖等地的集聚度指数较高,医疗卫生资源充足,皖北的亳州、宿州及六安等地卫生资源集聚度指数与人口集聚度指数的差值均为负值,说明这些地区的医疗卫生资源存在较大缺口。结论政府应从财政投入、人才政策等方面统筹规划,优化医疗服务模式,推进“互联网+医疗健康”,鼓励和引导社会办医,实现医疗服务高质量发展。

Objective To analyze the allocation and fairness of health resources in Anhui Province,and to provide basis and reference for the government to optimize policies.Methods The allocation of health resources in Anhui Province was evaluated using concepts such as geographic concentration index,concentration index,and agglomeration.Results Health resource indicators in Anhui Province had achieved significant development.The geographical concentration indexes were greater than zero,and the annual growth rates were less than O.5%,indicating a certain spatial concentration trend in the spatial distribution of health resources.The concentration indexes of all indicators showed an oscillating downward trend,and were closer to O,indicating an increasing trend in the fairness of health resource allocation within the province,and the allocation of health resources prone to be in areas with higher economic levels.From the perspective of the health resource agglomeration index,Hefei,Bengbu,Fuyang,Anqing,and Wuhu had relatively higher agglomeration indices with sufficient health resources,while the difference values between the health resource agglomeration index and population agglomeration index in Bozhou,Suzhou,and Lu'an were negative,indicating a significant insufficiency in health resources in these cities.Conclusions The government should plan as a whole from the aspects of financial input and talent policy,optimize the medical service model,promote"Internet plus medical health",encourage and guide non-governmental medical services,so as to achieve high-quality development of medical services.