中华地方病学杂志
中華地方病學雜誌
중화지방병학잡지
Chinese Journal of Endemiology
2014年
2期
220-223
,共4页
杨金%朱琳%王燕丽%郑合明
楊金%硃琳%王燕麗%鄭閤明
양금%주림%왕연려%정합명
卫生资源%公平性%基尼系数%结果评价
衛生資源%公平性%基尼繫數%結果評價
위생자원%공평성%기니계수%결과평개
Health resources%Equality%Gini coefficient%Outcome evaluation
目的 了解河南省地方病防治机构卫生资源配置的公平性,为政府制定地方病卫生资源配置标准提供依据.方法 收集2011年河南省地方病防治机构卫生资源相关数据,包括各市地方病防治机构的人员数、业务用房面积、设备价值、卫生经费拨款等.计算人口分布和地理分布卫生资源百分比,绘制人口公平性和地理公平性洛伦茨曲线(I0renz曲线).根据Lorenz曲线,计算各指标的人口和地理分布的基尼系数(Gini系数),利用Gini系数评价地方病防治机构卫生资源配置的公平程度.结果 Lorenz曲线可以看出,河南省18个地区的地方病防治卫生人员的人口公平性最好;但地方病防治高级职称人员的数量和拥有的设备价值总值人口公平性较差;各项卫生资源指标的地理公平性均较差,其中高级人员的地理公平性最差.18个省辖市地方病防治机构的卫生人员、高级职称人员、本科及以上人员、业务用房面积、设备价值、卫生经费拨款的人口Gini系数均＜0.4,人口公平性处于比较公平或相对合理的状态;各指标的地理Gini系数均＞人口Gini系数,并且高级职称人员的地理Gini系数超过了0.4,处于警戒状态.结论 河南省地方病机构卫生资源配置的人口公平性好于地理公平性,不同地区之间地方病卫生资源配置不平衡.
目的 瞭解河南省地方病防治機構衛生資源配置的公平性,為政府製定地方病衛生資源配置標準提供依據.方法 收集2011年河南省地方病防治機構衛生資源相關數據,包括各市地方病防治機構的人員數、業務用房麵積、設備價值、衛生經費撥款等.計算人口分佈和地理分佈衛生資源百分比,繪製人口公平性和地理公平性洛倫茨麯線(I0renz麯線).根據Lorenz麯線,計算各指標的人口和地理分佈的基尼繫數(Gini繫數),利用Gini繫數評價地方病防治機構衛生資源配置的公平程度.結果 Lorenz麯線可以看齣,河南省18箇地區的地方病防治衛生人員的人口公平性最好;但地方病防治高級職稱人員的數量和擁有的設備價值總值人口公平性較差;各項衛生資源指標的地理公平性均較差,其中高級人員的地理公平性最差.18箇省轄市地方病防治機構的衛生人員、高級職稱人員、本科及以上人員、業務用房麵積、設備價值、衛生經費撥款的人口Gini繫數均＜0.4,人口公平性處于比較公平或相對閤理的狀態;各指標的地理Gini繫數均＞人口Gini繫數,併且高級職稱人員的地理Gini繫數超過瞭0.4,處于警戒狀態.結論 河南省地方病機構衛生資源配置的人口公平性好于地理公平性,不同地區之間地方病衛生資源配置不平衡.
목적 료해하남성지방병방치궤구위생자원배치적공평성,위정부제정지방병위생자원배치표준제공의거.방법 수집2011년하남성지방병방치궤구위생자원상관수거,포괄각시지방병방치궤구적인원수、업무용방면적、설비개치、위생경비발관등.계산인구분포화지리분포위생자원백분비,회제인구공평성화지리공평성락륜자곡선(I0renz곡선).근거Lorenz곡선,계산각지표적인구화지리분포적기니계수(Gini계수),이용Gini계수평개지방병방치궤구위생자원배치적공평정도.결과 Lorenz곡선가이간출,하남성18개지구적지방병방치위생인원적인구공평성최호;단지방병방치고급직칭인원적수량화옹유적설비개치총치인구공평성교차;각항위생자원지표적지리공평성균교차,기중고급인원적지리공평성최차.18개성할시지방병방치궤구적위생인원、고급직칭인원、본과급이상인원、업무용방면적、설비개치、위생경비발관적인구Gini계수균＜0.4,인구공평성처우비교공평혹상대합리적상태;각지표적지리Gini계수균＞인구Gini계수,병차고급직칭인원적지리Gini계수초과료0.4,처우경계상태.결론 하남성지방병궤구위생자원배치적인구공평성호우지리공평성,불동지구지간지방병위생자원배치불평형.
Objective To understand the fairness of health resources of endemic diseases institutions in Henan Province,to provide evidence for endemic allocation of health resources for the government.Methods Health-related data resources in endemic disease prevention and control institutions were collected in Henan Province,including personnel,business space area,the value of equipment,and health funding,etc.The percentages of population distribution and geographical distribution of health resources were calculated; Lorenz curves of demographic fairness and geographic fairness were drawn.According to Lorenz curve (Gini coefficients of the population and the geographical distribution were calculated based on Lorenz curve),Gini coefficients were used to evaluate the fairness of the endemic disease prevention institutions for health resource allocation.Results As can be seen from Lorenz curve,the population fairness of endemic disease prevention and health personnel was the best,but the number of senior officers was less and the total value of equipment owned was low.The geographical fairness of all the indicators of health resources was poorer,and geographic fairness among senior officers was the worst.The Gini coefficient of health technical personnel,senior personnel,undergraduate or above personnel,value of equipments,area of business room and health funding allocation determined by the population distribution was less than 0.4.The health resources were relatively fair and reasonable according to the distribution of population.The Gini coefficients of all the indicators determined by the distribution of geography were higher than those determined by the distribution of population.Furthermore,the geographic Gini coefficient of senior personnel was above 0.4 which was in the vigilance state.Conclusions The equality of health resources determined by population distribution in the institutions for endemic diseases control in Henan is superior to those determined by geographic distribution.The allocations of health resources of endemic diseases control in different areas are unbalanced.
