中国医院统计
中國醫院統計
중국의원통계
CHINESE JOURNAL OF HOSPITAL STATISTICS
2015年
3期
161-164
,共4页
医疗卫生资源%公平性%基尼系数%泰尔指数
醫療衛生資源%公平性%基尼繫數%泰爾指數
의료위생자원%공평성%기니계수%태이지수
Medical health resource%Equity%Gini coefficient%Theil index
目的：分析甘肃省不同市州医疗卫生资源配置的公平性。方法选取甘肃省14个市州卫生资源配置数据,利用洛伦兹曲线、基尼系数和泰尔指数分析卫生资源配置的公平性。结果通过计算基尼系数得出,全省各市州在财政补贴、医疗机构的床位数配置和卫技人员的配置上都低于0.2,说明甘肃省卫生主管部门对全省不同区域的政策具有公平性,不因地理位置的不同而采取不同的政策。泰尔指数综合分析得出在甘肃省各类卫生资源中,财政补助和医疗机构人数的泰尔指数值均是0.1117,且是最高,床位配置最不公平,泰尔指数值为0.0933。总的来看,与全国相比较,甘肃省医疗机构的财政补助、机构人数、床位数、卫技人员数配置具有较大的公平性,这个研究结论与基尼系数得到的研究结论是一致,说明政府对医疗卫生事业的投入不断增加。结论将市场调节和政府调控相结合,加强各市州医疗机构的布局和建设,明确基层医疗服务机构的性质和职能。
目的：分析甘肅省不同市州醫療衛生資源配置的公平性。方法選取甘肅省14箇市州衛生資源配置數據,利用洛倫玆麯線、基尼繫數和泰爾指數分析衛生資源配置的公平性。結果通過計算基尼繫數得齣,全省各市州在財政補貼、醫療機構的床位數配置和衛技人員的配置上都低于0.2,說明甘肅省衛生主管部門對全省不同區域的政策具有公平性,不因地理位置的不同而採取不同的政策。泰爾指數綜閤分析得齣在甘肅省各類衛生資源中,財政補助和醫療機構人數的泰爾指數值均是0.1117,且是最高,床位配置最不公平,泰爾指數值為0.0933。總的來看,與全國相比較,甘肅省醫療機構的財政補助、機構人數、床位數、衛技人員數配置具有較大的公平性,這箇研究結論與基尼繫數得到的研究結論是一緻,說明政府對醫療衛生事業的投入不斷增加。結論將市場調節和政府調控相結閤,加彊各市州醫療機構的佈跼和建設,明確基層醫療服務機構的性質和職能。
목적：분석감숙성불동시주의료위생자원배치적공평성。방법선취감숙성14개시주위생자원배치수거,이용락륜자곡선、기니계수화태이지수분석위생자원배치적공평성。결과통과계산기니계수득출,전성각시주재재정보첩、의료궤구적상위수배치화위기인원적배치상도저우0.2,설명감숙성위생주관부문대전성불동구역적정책구유공평성,불인지리위치적불동이채취불동적정책。태이지수종합분석득출재감숙성각류위생자원중,재정보조화의료궤구인수적태이지수치균시0.1117,차시최고,상위배치최불공평,태이지수치위0.0933。총적래간,여전국상비교,감숙성의료궤구적재정보조、궤구인수、상위수、위기인원수배치구유교대적공평성,저개연구결론여기니계수득도적연구결론시일치,설명정부대의료위생사업적투입불단증가。결론장시장조절화정부조공상결합,가강각시주의료궤구적포국화건설,명학기층의료복무궤구적성질화직능。
Objective To analyze the equity of health resource allocation in different cities of Gansu province. Methods The health resource allocation data of 14 cities of Gansu Province were selected and the equity of health resource allocation by using the Lorenz curve, Gini coefficient and Theil index. Results Through calculation, the Gini coefficient of the allocation in fiscal subsidies, medical bed allocation and health personnel was lower than 0. 2, showing that there was equity in the policy for different regions, and the health department of Gansu Province didn’t adopt different policies for different geographical position. Comprehensive analysis of Theil index showed that Theil index of financial assistance and medical institutions in the health re-sources of Gansu Province was 0. 111 7, which was the highest, but the allocation of beds was the most unfair, with the Theil in-dex 0. 093 3. On the whole, compared with the whole country, the allocation of financial subsidies, the number of beds and number of health personnel in Gansu Province medical institutions was fair, which was consistent with the research conclusion of the Gini coefficient. Conclusion We should combine the market regulation with government regulation, strengthen the layout and construction of medical institutions in cities, and make clear the nature and function of basic medical services.
