CAJ | 학술논문

目的：对中国大陆地区全科医生资源配置公平性进行测量和评价，旨在为区域卫生规划、科学合理配置全科医生资源提供借鉴。方法以2012年我国大陆境内全部医院、社区卫生服务中心（站）、乡镇卫生院的全科医生为研究对象，数据资料来源于《2013年中国统计年鉴》和《2013中国卫生和计划生育统计年鉴》。在描述性分析的基础上，利用Lorenz曲线和Gini系数来评价我国大陆地区全科医生资源配置公平性。结果我国大陆地区全科医生资源按服务人口分布的Lorenz曲线比较接近公平线，而按服务面积分布的Lorenz曲线已远离公平线；按服务人口分布的Gini系数为0.31，按服务面积分布的Gini系数为0.74。结论我国大陆地区全科医生资源配置人口公平性优于地理公平性，人口公平性在正常状态，而地理公平性呈高度危险状态。我国政府应加强宏观调控，提高全科医生资源配置的公平和效率。
목적：대중국대륙지구전과의생자원배치공평성진행측량화평개，지재위구역위생규화、과학합리배치전과의생자원제공차감。방법이2012년아국대륙경내전부의원、사구위생복무중심（참）、향진위생원적전과의생위연구대상，수거자료래원우《2013년중국통계년감》화《2013중국위생화계화생육통계년감》。재묘술성분석적기출상，이용Lorenz곡선화Gini계수래평개아국대륙지구전과의생자원배치공평성。결과아국대륙지구전과의생자원안복무인구분포적Lorenz곡선비교접근공평선，이안복무면적분포적Lorenz곡선이원리공평선；안복무인구분포적Gini계수위0.31，안복무면적분포적Gini계수위0.74。결론아국대륙지구전과의생자원배치인구공평성우우지리공평성，인구공평성재정상상태，이지리공평성정고도위험상태。아국정부응가강굉관조공，제고전과의생자원배치적공평화효솔。
Objective To measure and evaluate the equity of the allocation of general practitioners in mainland China , and provide references for regional health service planning , scientific and reasonable allocation of general practitioners .Methods General practitioners serving in all hospitals , community health service centers (stations) and rural health centers in mainland China in 2012 were selected as subjects .The data included were obtained from China Statistical Yearbook 2013 and China Health and Family Planning Statistical Yearbook 2013.Based on descriptive analysis , we evaluated the equity of the allocation of general practitioners in mainland China using Lorenz curve and Gini coefficient .Results The Lorenz curve for population distribution of general practitioners in mainland China was close to the line of absolute equality , while the Lorenz curve for service area distribution deviated away from it .The Gini coefficients were 0.31 and 0.74 for population distribution and area distribution respectively.Gonclusion The equity of general practitioners′population distribution in mainland China is superior to the geographical distribution .The equity of demographic distribution is in normal condition , while geographical distribution is in a highly dangerous condition .The government should strengthen macro -regulation and improve the equity and efficiency of general practitioners′allocation.