帕累托最优原则下南宁市医疗卫生人力资源配置公平性分析

Allocation fairness analysis of health human resources in Nanning City under the principle of Pareto optimality

目的 基于南宁市作为东盟城市的背景,分析其医疗卫生人力资源配置的公平性,为其在“十四五”期间进一步推进东盟医疗卫生资源合作提供参考。方法 运用洛伦兹曲线、基尼系数以及卫生资源密度等方法,对医疗卫生人力资源配置的公平性进行分析。结果 南宁市卫生人力资源总量逐年增加;按人口分布计算的基尼系数介于0.419至0.515之间,公平性一般;按土地面积分布的基尼系数在0.378至0.590之间,公平性较差。结论 南宁市医疗卫生人力资源数量呈逐年增长趋势,按人口配置、土地面积配置均处于不公平状态;其综合配置水平虽然在提高,但纵向配置的不公平问题仍需关注。提出运用帕累托最优原则优化南宁市医疗卫生人力资源配置,实现公平性和效率的双重提升,促进南宁市在东盟医疗卫生领域发挥更大的影响力和作用。

Objective To analyze the allocation equity of health human resources in Nanning City as an ASEAN(Association of Southeast Asian Nations)city and to provide reference for further promoting the coopera⁃tion of ASEAN health resources during the 14th Five⁃Year Plan period.Methods Lorentz curve,Gini coefficient and health resource density were used to analyze health human resource allocation equity.Results The total health human resources in Nanning City increased year by year.The Gini coefficient calculated by population dis⁃tribution was within the range of 0.419 and 0.515,which was fair in general,while that by land area was between 0.378 and 0.590,which indicated poor fairness.Conclusions Health human resources in Nanning City showed an increasing trend year by year,population allocationand land area allocation were unfair.Although the compre⁃hensive allocation level is improving,the unfair problem of vertical allocation still needs attention.It is proposed that the principle of Pareto optimality should be applied to optimize the allocation of health human resources in Nanning City to realize the dual improvement of equity and efficiency and promote the more significant influence and role of Nanning City in the health field of ASEAN.