CAJ | 학술논문

目的：分析四川省卫生资源的配置状况，为进一步实施区域卫生规划、优化卫生资源配置提供科学依据。方法采用洛伦兹曲线、基尼系数、泰尔指数及卫生资源密度指数（HRDI）对四川省卫生资源的配置状况和公平性进行分析与评价。结果四川省每千人口卫生资源按人口分布的基尼系数位于0．14～0．30之间，床位设置的公平性高于卫生人员；按地理分布的基尼系数位于0．60～0．74之间，资源分配显示配置不均衡；按 HRDI计算的基尼系数位于0．21～0．45之间，注册护士差距较大。泰尔指数显示，卫生资源分配组间（地区间）差异贡献率高于组内差异。结论四川省卫生资源配置公平性较好，人口分布优于地理分布，硬件资源配置公平性优于软件资源，卫生资源配置不均衡性主要来源于三类地区之间。
목적：분석사천성위생자원적배치상황，위진일보실시구역위생규화、우화위생자원배치제공과학의거。방법채용락륜자곡선、기니계수、태이지수급위생자원밀도지수（HRDI）대사천성위생자원적배치상황화공평성진행분석여평개。결과사천성매천인구위생자원안인구분포적기니계수위우0．14～0．30지간，상위설치적공평성고우위생인원；안지리분포적기니계수위우0．60～0．74지간，자원분배현시배치불균형；안 HRDI계산적기니계수위우0．21～0．45지간，주책호사차거교대。태이지수현시，위생자원분배조간（지구간）차이공헌솔고우조내차이。결론사천성위생자원배치공평성교호，인구분포우우지리분포，경건자원배치공평성우우연건자원，위생자원배치불균형성주요래원우삼류지구지간。
Objectives To provide scientific bases of the implementation of regional health planning and the optimization of health resources allocation ,based on the analysis of the allocation status of health resources .Methods Analyzing health resources allocation situation and equity in Sichuan province using Lorenz curve ,Gini coefficient ,Theil index and HRDI . Results Gini coefficient of health resources per thousand population based on population distribution lied between 0 .14~0 .30 .The equity of clinical bed was superior to health staff .Gini coefficient based on geographic distribution lied between 0 .60~0 .74 ,which showed an inequeity of resources allocation .Gini coefficient based on HRDI lied between 0 .21~0 .45 ,and a marked difference was found in registered nurses .Conclusions Health resource alloca‐tion based on geographic distribution is better than that based on population distribution .The equity of hardware re‐sources allocation is better than software resources allocation .The inequity of health resources allocation is mainly between three categories of regions .