京津冀一体化下的区域卫生资源公平性研究

Research on regional health resource equity under Beijing-Tianjin-Hebei Integration

目的深入分析我国京津冀地区卫生资源配置公平性的状况,剖析3个地区卫生服务公平性缺失的现实和制度原因,为提高卫生资源配置的公平性提供建议。方法采用集中指数(CI)描述、动态研究我国京津冀地区一体化背景下的区域卫生资源配置情况及公平性的变化趋势。结果京津冀一体化后的卫生资源配置公平性有所改善,而三地的医疗资源公平化速度却逐渐放缓。结论京津冀地区应重视区域内的高质量医药卫生人才的配置,政府相关部门要发挥其主导作用,以解决医疗卫生资源分布不均等问题。

Objective To analyze the equity of health resources allocation before and after the new medical reform in the Beijing-Tianjin-Hebei region of China, analyze the reality and institutional reasons of the lack of equity in health services in the three regions, and provide suggestions for improving the equity of health resources allocation. Methods Concentration index(CI) is used to study the change trend of regional health resource allocation and equity under the background of integration of Beijing-Tianjin-Hebei region in China. Results After the Beijing-Tianjin-Hebei integration, the fairness of allocation of health resources has improved, while the fairness of medical resources in the three regions has gradually slowed down. Conclusion The Beijing-Tianjin-Hebei region should attach great importance to the allocation of high-quality medical and health talents in the region, and the relevant government departments should play their leading role in solving the problem of unequal distribution of medical and health resources.