CAJ | 학술논문

目的探讨浙江省产科卫生资源配置的公平性,为政府和卫生行政部门决策提供依据.方法应用洛伦兹曲线(Lorenz curve)和基尼系数(Gini coefficient)来评价产科资源配置的公平性.结果浙江省产科卫生资源按分娩活产数分布较为公平,医生、护士和床位的基尼系数分别为0.1697,0.1971和0.1497;按各市地理面积分布,则公平性稍差,基尼系数分别为0.2701,0.3216和0.3341,仍处于公平范围内.结论建议政府和卫生行政部门在制定区域卫生规划时,应科学预测流动人口数量,根据卫生资源服务半径,合理配置卫生资源;同时,加快产科医护人员的培养,改善产科人力资源结构,不断满足因流动人口增加而持续增长的社会卫生保健需求.
목적 탐토절강성산과위생자원배치적공평성,위정부화위생행정부문결책제공의거.방법 응용락륜자곡선(Lorenz curve)화기니계수(Gini coefficient)래평개산과자원배치적공평성.결과 절강성산과위생자원안분면활산수분포교위공평,의생、호사화상위적기니계수분별위0.1697,0.1971화0.1497;안각시지리면적분포,칙공평성초차,기니계수분별위0.2701,0.3216화0.3341,잉처우공평범위내.결론 건의정부화위생행정부문재제정구역위생규화시,응과학예측류동인구수량,근거위생자원복무반경,합리배치위생자원;동시,가쾌산과의호인원적배양,개선산과인력자원결구,불단만족인류동인구증가이지속증장적사회위생보건수구.
Objective To measure the equity of resources allocation in obstetric healthcare in Zhejiang Province, and provide evidence for decision making by healthcare departments of the government. Methods Lorenz curve and Gini coefficient were used to measure the equity of obstetric healthcare resources. Results The investigation found such allocation as equitable as measured by the layout of the number of live births, as the Gini coefficient of the distribution of obstetric doctors, nurses and beds was 0.1697,0.1971 and 0.1497 respectively by total birth, failing within the equitable range. However, when measured by geographic distribution, such coefficient were 0.2701, 0.3216 and 0.3341 respectively in cities, which were less equitable yet still within equitable range. Conclusions The government and health bureaus are recommended to scientifically predict the number of immigrants and rationally deploy healthcare resources according to the service radius of healthcare resources;moreover, more gynecologic doctors and nurses should be trained to improve the human resource structure in gynecologic departments. These effort can cater to the growing healthcare demands of the society resulting from a growing population of immigrants.