摘要
目的:通过调查2002-2006年广东省卫生资源(卫技术员,医生数,病床数)配置情况,并进行公平性评价分析,为卫生资源合理配置评价方法提供实践依据。方法:计算每年每个城市每个卫技人员负担人口数(PHW)、每个医生负担人口数(PP)及每张病床负担人口数(PHB)来反映各城市资源配置平均水平的高低。并通过基尼系数和洛伦茨曲线来反应5年全省卫生资源配置的变化趋势。结果:2002-2006年,全省每个卫技人员、每个医生、每张病床负担人口数都有下降。全省卫技人员在人口配置上其基尼系数为由0.297上升到0.382,医生数基尼系数由0.314上升到0.393,病床数基尼系数由0.345上升到0.367。结论:尽管全省每万人口卫生资源不断增加,资源配置不公平性却有进一步恶化的趋势。
Objective： This study aimed to examine the current and historical trends in geographic distribution of the total health personnel and hospital-beds in Guangdong（GD） Province during the period 2002 to 2006.Methods： Data on the location of the total health personnel and hospital-beds and population size from 2002 to 2006 in GD province were collected from the Bureau of Statistics Census and Department of Health.Results： From 2002 to 2006,at the province level,PHW fell by 15.4 % to 242 from 289;PP fell by 15.2% to 617 from 728,and PHB fell by 14.2% to 363 from 423.On the contrary,the GINI coefficients of the total health workers/physicians/hospital-beds across cities increased from 0.297 to 0.382,from 0.314 to 0.393,from 0.345 to 0.367 respectively,it indicated an increasingly unequal distribution of health care resource during 2002 to 2006.There was a decreasing trend of PHB at the province level.However,no decreasing trend was found in PP and PHW at the province level.These figures demonstrated an increasing inequality in health workforce among the 21 cities during the period.Conclusions： Despite more health workers/physicians per capita in GD province,the distribution of them became increasingly unequal during 2002 to 2006,and the more poorly served situation in rural and remote areas outside the PRD showed no changes.
出处
《中国卫生资源》
2010年第6期304-306,共3页
Chinese Health Resources
