大理大学学报 ›› 2024, Vol. 9 ›› Issue (2): 85-89.

• 预防医学 • 上一篇    下一篇

大理白族自治州医疗卫生资源配置及公平性分析

杨倩雯1,成慧芝1,李宛婴1,张 倩1,李丽娟2,3*   

  1. (1.大理大学公共卫生学院,云南大理 671000; 2.大理大学临床医学院,云南大理 671000;
    3.大理大学第一附属医院,云南大理 671000)
  • 收稿日期:2023-08-24 修回日期:2023-09-24 出版日期:2024-02-15 发布日期:2024-02-24
  • 通讯作者: 李丽娟,教授,E-mail:lelejuan@126.com。
  • 作者简介:杨倩雯,硕士研究生,主要从事公共卫生与卫生事业管理研究。
  • 基金资助:
    大理大学科研发展基金项目(FZ2023YB030)

Analysis on the Allocation and Equity of Medical and Health Resources in Dali Bai Autonomous Prefecture

Yang Qianwen1, Cheng Huizhi1, Li Wanying1, Zhang Qian1, Li Lijuan2, 3*   

  1. (1. College of Public Health, Dali University, Dali, Yunnan 671000, China; 2. Clinical College, Dali University, Dali, Yunnan 671000,
    China; 3. The First Affiliated Hospital of Dali University, Dali, Yunnan 671000, China)
  • Received:2023-08-24 Revised:2023-09-24 Online:2024-02-15 Published:2024-02-24

摘要: 目的:了解大理白族自治州(以下简称“大理州”)医疗卫生资源配置现状,分析2015—2021年大理州医疗卫生资源配置
的公平性及变化趋势,为进一步优化医疗卫生资源配置提供依据。方法:利用基尼系数和集聚度从卫生机构数、卫生技术
人员数、执业(助理)医师数、注册护士数、床位数等方面对大理州卫生资源配置的公平性进行分析。结果:大理州医疗卫生
资源配置水平总体呈现上升趋势。以地理面积为评价指标评价大理州医疗卫生资源配置公平性时,公平性较差;以人口指
标评价公平性时,除卫生机构数之外,整体处于公平状态。大理市集聚的医疗卫生资源较集聚人口数来说相对过剩,其余
县份都相对不足。结论:大理州医疗卫生资源公平性还有待提升,应综合考虑人口及地理因素,提高医疗卫生资源配置公
平性,合理规划卫生投入。

关键词: 医疗卫生资源配置, 基尼系数, 集聚度, 公平性

Abstract: Objective: To understand the current situation of medical and health resource allocation in Dali Bai Autonomous
Prefecture( hereinafter referred to as "Dali Prefecture"), analyze the equity and trend of medical and health resource allocation in Dali
Prefecture from 2015 to 2021, and provide basis for further optimization of medical and health resources. Methods: The Gini coefficient
and agglomeration degree were used to analyze the equity of medical and health resources allocation in Dali Prefecture from the aspects
of number of healthcare institutions, health technicians, practicing (assistant) physicians, registered nurses, and beds. Results: The
level of medical and health resources allocation in Dali Prefecture showed an overall upward trend. The equity of medical and health
resources allocation in Dali Prefecture was poor when the geographical area was used as the evaluation index. When the population
index was used to evaluate the equity, except for the number of healthcare institutions, the overall equity was in a fair state. The
medical and health resources gathered in Dali City were relatively excessive compared with the population, and the other counties were
relatively insufficient. Conclusion: The equity of medical and health resources in Dali Prefecture needs to be improved. Population
and geographical factors should be comprehensively considered to improve the equity of medical and health resources allocation and
rationally plan health investment.

Key words: medical and health resources allocation, Gini coefficient, agglomeration degree, equity

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