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我国中部地区村级卫生资源配置公平性研究

The equity of rural health resource allocation in central China
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摘要 目的 分析我国中部地区村级卫生资源配置状况及公平性,为农村医疗卫生的均衡发展提供参考。方法 收集2015—2019年中部地区8个省村级卫生资源数据,运用泰尔指数、集聚度、集中指数等对中部地区村级卫生资源进行公平性分析。结果 2015—2019年中部地区乡村医生和卫生员资源总量呈下降趋势,乡村医生和卫生员下降幅度大于农村人口下降幅度。中部地区村级卫生资源配置总体公平性较好,人口维度和地理维度的乡村医生和卫生员、村卫生室总泰尔指数分别在0.009 9~0.137 7、0.020 9~0.127 1之间。不公平的主要原因与经济因素、地理分布有关。结论 我国中部地区村级卫生资源配置仍存在一定的不均衡,各省村级卫生资源按人口配置的公平性优于按地理面积配置的公平性。应持续加强政府在村级卫生资源配置中的作用,落实乡村卫生一体化管理、统筹解决乡村医生待遇保障,推动紧密型县域医共体建设,促进各区域村级卫生资源均衡发展。 Objective To analyze the allocation status and equity of rural health resources in the central region of China and to provide reference for the balanced development of rural medical and health services.Meth⁃ods We collected data on rural health resources in 8 provinces located in the central region of China from 2015 to 2019 and used indices such as the Theil index,aggregation degree,and concentration index to analyze the fairness of rural health resources in central China.Results From 2015 to 2019,there was a declining trend in the total number of rural doctors and health workers in the central region,with a more significant decrease compared to the decline in the rural population.The overall fairness of rural health resource allocation in the central region was rel⁃atively good,as indicated by the Theil index for rural doctors,health workers,and village clinics based on popula⁃tion and geographical dimensions,ranging from 0.0099 to 0.1377 and 0.0209 to 0.1271,respectively.The main reasons for inequality were primarily economic factors and geographical distribution.Conclusions There is still a imbalance in the allocation of rural health resources in central China,and the fairness of resource allocation based on population is better than that based on geographical area.It is necessary to continuously strengthen the role of the government in the allocation of rural healthcare resources,implement integrated management of rural health⁃care,comprehensively guarantee the income of rural doctors,and promote the construction of a compact county medical community to promote the balanced development of village⁃level health resources in all regions.
作者 朱宏 李柳丹 陆昕洋 罗伊 祝成慧 邱玉玲 王军永 ZHU Hong;LI Liudan;LU Xinyang;LUO Yi;ZHU Chenghui;QIU Yuling;WANG Junyong(College of Economics and Management,Jiangxi University of Chinese Medicine,Nanchang,Jiangxi 330004,China)
出处 《中国农村卫生事业管理》 2024年第6期433-439,共7页 Chinese Rural Health Service Administration
基金 江西省发改委委托课题(2019013) 江西中医药大学校级基金(2020jzyb-28)。
关键词 农村卫生资源 乡村医生 村卫生室 卫生资源配置 公平性 Rural health resources Rural doctor Village clinic Allocation of health resources Fairness
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