摘要
目的分析贵州省及各地区妇幼保健资源配置的公平性并预测其发展趋势。方法采用集中指数、集中曲线、泰尔指数研究妇幼保健资源配置的公平性,采用GM(1,1)灰色模型预测其发展情况。结果贵州省妇幼保健机构数、床位数及卫生技术人员数的集中指数分别为0.0076、0.0611和0.1032,表明贵州省妇幼保健资源向经济水平较高地区倾斜。泰尔指数显示,贵州省妇幼保健机构数、床位数和卫技人员的差异主要来自于黔北、黔南、黔西、黔中四个区域内资源的不公平分配。GM(1,1)灰色模型预测结果显示,贵州省及各地区妇幼保健资源均呈稳步增长态势。结论贵州省妇幼保健资源整体呈增长趋势,但该省整体和各地区妇幼保健资源配置存在不均衡现象。应采取有效措施引导妇幼保健资源合理流动,最大限度减少政治和经济因素对资源分配的影响,缩短地区间的资源配置差距,推动妇女儿童健康事业高质量发展。
Objective To assess the equity and predict development trends of maternal and child health(MCH)resource allocation in Guizhou Province.Methods Equity was analyzed using concentration indices,concentration curves,and the Theil index;development trends were forecasted via the GM(1,1)grey model.Results Concentration indices for MCH institutions,beds,and health technicians were 0.0076,0.0611,and 0.1032,respectively,indicating economic bias in resource allocation.Theil index analysis revealed intra-regional disparities in institutions and beds(Qianbei,Qiannan,Qianxi,Qianzhong),while health technician disparities stemmed from inter-regional inequality.Grey model projections demonstrated steady growth in MCH resources across all regions.Conclusion Despite overall growth,MCH resources in Guizhou exhibit significant spatial inequity.Policy interventions should prioritize rational resource redistribution,mitigate socioeconomic influences on allocation,and narrow regional gaps to advance high-quality MCH development.
作者
杨锦
郭飞
彭华涛
何含兵
田艳
龙正连
龙芳
YANG Jin;GUO Fei;PENG Huatao;HE Hanbing;TIAN Yan;LONG Zhenglian;LONG Fang(Guizhou Liupanshui Maternal and Child Health Hospital,Liupanshui,Guizhou,553000,China;不详)
出处
《中国社会医学杂志》
2025年第2期250-254,共5页
Chinese Journal of Social Medicine
基金
贵州省卫生健康委员会科学技术基金项目(gzwkj2022-277)。
关键词
妇幼保健资源
公平性
预测
集中指数
泰尔指数
Maternal and child health resources
Fairness
Forecast
Concentration index
Theil index
