摘要
目的 分析2016-2021年成都市医疗卫生资源配置情况,把握其变化趋势和影响因素,为成都市医疗卫生资源的合理配置提供科学依据。方法 基于2016-2021年《四川省卫生健康统计年鉴》数据,采用基尼系数和聚集度对成都市各个区县的卫生资源配置情况进行评价,分析其资源配置的公平性和集聚度。结果 成都市医疗卫生资源整体呈现上涨态势,但是中心城区的增长速度快于周围区县;从基尼系数的角度分析,成都市各个区县医疗机构的基尼系数维持在0.1左右,而床位数的基尼系数在前几年维持在0.2左右,执业(助理)医师的基尼系数每年的差异较大;从聚集度的角度分析,各个区县医疗机构数、床位数、执业(助理)医师数的医疗资源聚集度与人口聚集度的差值为负数,在2016年分别为10、12、15,2021年上述数值变为7、7、16,医资源配置趋于公平合理。结论成都市医疗卫生资源分配总体趋好,但可以采取一些诸如加强人才激励措施或者使用新技术等手段改善医疗卫生资源的配置,满足人民群众就医需求。
Objective To analyze the allocation of medical and health resources in Chengdu City from 2016 to 2021,to grasp the trends and influencing factors,and to provide a scientific basis for the rational allocation of medical and health resources in Chengdu City.Methods The number of medical institutions,the number of beds,and the number of practicing(assistant)physicians in all districts and counties of Chengdu City from 2016 to 2021 were selected to draw Lorenz curves,and the Gini coefficient was calculated using the Lorenz curves,and the allocation of health resources in all districts and counties of Chengdu City was calculated by the degree of population agglomeration and the degree of resource agglomeration.Results The overall medical and health resources in Chengdu City showed an upward trend,but the growth rate of the central city was faster than that of the surrounding districts and counties;from the perspective of the Gini coefficient,the Gini coefficient of the medical institutions in each district and county in Chengdu City was maintained around 0.1,while the Gini coefficient of the number of beds was maintained around 0.2 in the previous years,and the Gini coefficient of the number of practicing physicians varied greatly from year to year;from the perspective of the degree of agglomeration.The difference between the degree of aggregation of medical resources and the degree of population aggregation of the number of medical institutions,the number of beds,and the number of practicing(assistant)physicians in each district and county were negative.In 2016,these values were 10,12,and 15.respectively,and by 2021,they changed to 7.7,and 16,indicating a trend toward fairer and more rational allocation of medical resources.Conclusion The distribution of medical and health resources in Chengdu City tends to be good in general,but some means such as strengthening the incentives for talents or using new technologies can be adopted to improve the allocation of medical and health resources to meet the people's demand for medical care.
作者
郭慧敏
杜军
陈俐
GUO Huimin;DU Jun;CHEN Li(The Third People’s Hospital of Chengdu,Chengdu,610031)
出处
《中国社会医学杂志》
2026年第1期129-132,共4页
Chinese Journal of Social Medicine
基金
四川省中医药管理局资助项目(2023MS288)
四川省信息中心资助项目(2022031)。
关键词
医疗卫生资源
资源配置
基尼系数
卫生资源聚集度
公平性
Healthcare resources
Resource allocation
Gini coefficient
Health resources agglogmeration degree
Allocation equity
