摘要
目的分析、评价北京市十郊区公立中医医院卫生资源配置的人口分布公平性,为合理配置中医卫生资源提供依据。方法应用洛伦兹曲线和基尼系数从中医药的角度分析卫生资源的分布和配置。结果中医卫生资源按人口分布的大型设备、床位数、中医师、财政补助收入和中药师(士)资源的基尼系数分别为0.27,0.28,0.30,0.38,0.38;区域间每万人口卫生资源拥有量差距较大,区域间中医师拥有量最大相差2.69人;人力资源指标都未达到中医管理局要求,如医护比为1∶1.14。结论北京市十郊区中医卫生资源人口分布公平性总体上较好,但总量不足,区域间卫生资源配置差异较大,人力资源配置结构不合理,政府在加大卫生资源投入的同时,应向远郊地区倾斜,考虑地区域间均衡性。
Objective To analyze and evaluate the equity of population distribution in the allocation of health resources in public traditional Chinese Medicine(TCM)hospitals in the ten suburbs of Beijing,and provide a basis for rational allocation of TCM health resources.Methods Lorentz curve and Gini coefficient were used to analyze the distribution and allocation of health resources from the perspective of TCM.Results The Gini coefficients of large-scale equipment,beds,TCM physicians,financial subsidies,and resources of TCM pharmacists(disciplinary)distributed by population of TCM health resources by population were 0.27,0.28,0.30,0.38,and 0.38,respectively.The gap was large with the maximum difference in the number of Chinese medicine practitioners between regions is 2.69 per 10000.The human resources indicators had not met the requirements of the TCM Administration,for example,the medical care ratio of 1∶1.14.Conclusion The equity of the population distribution of TCM health resources in the ten suburbs is generally good but the total amount is insufficient.There is a large difference in the allocation of health resources between regions.The structure of human resources is unreasonable.The government should lean towards the outer suburbs while increasing investment in health resources and consider the balance between regions.
作者
项楠
石学峰
何威澎
杨雨晨
刘黎明
程薇
XIANG Nan;SHI Xuefeng;CHENG Wei(College of Management,Beijing University of Chinese Medicine,Beijing,100029,China)
出处
《中国社会医学杂志》
2020年第3期331-334,共4页
Chinese Journal of Social Medicine
基金
北京中医药大学重点学科开放课题(2013-ZDXKKF-17)。
关键词
公平性
中医药
卫生资源配置
基尼系数
Equity
Traditional Chinese medicine
Health resources allocation
Gini coefficient
