基于集聚度的我国医疗卫生机构药师配置现状及公平性研究

Study on the Current Situation and Equity of Pharmacists'Allocation in China's Healthcare Organizations Based on Degree of Agglomeration

目的对2012—2021年我国医疗卫生机构药师配置公平性进行分析,为提高药师服务可及性提供参考。方法基于集聚度分析不同地区、省份的医疗卫生机构药师配置现状及变化趋势。结果我国医疗卫生机构药师配置未达到要求,东部地区无论按地理还是人口配置,药师均优于全国其他地区;西部地区地广人稀,按地理分布的药师服务可及性较差,按人口配置时公平性好;中部地区按地理配置时药师服务可及性较好,按人口配置时公平性较差。结论需进一步发展医疗卫生机构药师队伍,促进各省份协调发展,提升我国医疗卫生机构药师布局的公平性。

Objective It analyzes the equity of pharmacists'allocation in China's healthcare organizations from 2012 to 2021,in order to provide reference for improving the service accessibility of pharmacists.Methods Based on the degree of agglomeration,analyzing the current situation and changing trend of pharmacists'allocation in healthcare organizations among different areas and provinces.Results The current allocation of pharmacists in China's healthcare organizations has not met the requirements.The situation in the eastern economically developed areas is better than that in other areas of the country either by geography or by population.While the western areas are large and sparsely populated,so the accessibility of pharmacist service is poor based on geographical allocation,but the equity is good based on population allocation.In the central area,the accessibility of pharmacist service is better when the allocation is based on geographical,but the equity is worse when the allocation is based on population.Conclusion China should further enrich the team of pharmacists in healthcare organizations to promote the coordinated development of different provinces.Furthermore,it also helps to promote the equity of pharmacists'allocation in China's healthcare organizations.