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贵州省卫生资源配置公平性及预测研究

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目的 了解贵州省卫生资源配置公平性及发展,为优化卫生资源配置提供参考。方法 选取医疗服务设施、卫生人力资源两方面的4项指标,采用熵权TOPSIS法结合RSR法分档研究贵州省卫生资源配置公平性,通过灰色GM(1,1)模型预测贵州省2021-2025年卫生资源发展趋势。结果 贵州省9市(州)的卫生资源分配按Probit值分三档,一档包括贵阳、黔东南;二档包括铜仁、遵义、毕节、黔西南、安顺;三档包括六盘水、黔南。卫生资源中每千人口职业(助理)医师数权重最高。灰色GM(1,1)模型拟合效果良好,预测结果显示,贵州省各类卫生资源均呈增长趋势,能够达到规划要求。结论 贵州省卫生资源配置不均衡,职业(助理)医师数有待加强,应加强人才资源配置,完善各市(州)卫生资源配置的宏观管理,提高卫生资源配置的公平性和质量。
Research on Equity and Prediction of Health Resources Allocation in Guizhou Province
Objective To investigate the fairness of health resources allocation in Guizhou Province and forecast trend of health resources in Guizhou Province,then provide reference for optimizing the allocation of health re-sources.Methods Four indicators of medical service facilities and health human resources were selected.The entropy weight TOPSIS method combined with RSR method was used to study the equity of health resources allocation in Guizhou province.The grey GM(1,1)model predicted the development trend of health resources in Guizhou Province from 2021 to 2025.Results The weight of professional(assistant)physicians per 1000 population was the highest in Guizhou province.9 cities(prefectures)in Guizhou Province were divided into three grades according to Probit value.The first grade includes Guiyang and Qiandongnan;The second gear includes Tongren,Zunyi,Bijie,Qianxinan and Anshun;The third grade includes Liupanshui and Qiannan.The grey GM(1,1)model had a good fitting effect,and the prediction results showed that all kinds of health resources in Guizhou Province were on an increasing trend.Conclusion The allocation of health resources is unbalanced in Guizhou Province.The number of professional(assistant)physicians needs to be strengthened.The quantity of health resources in Guizhou Province meets the ex-pected requirement.

Health resourceEntropy TOPSIS methodRSR methodGM(1,1)modelEquity

袁炳鑫、单苗苗、郭琼、王俊、王培承

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潍坊医学院公共卫生学院,山东 潍坊,261053

潍坊市疾病预防控制中心,山东 潍坊,261053

卫生资源 熵权TOPSIS法 RSR法 GM(1,1)模型 公平性

国家自然科学基金项目

71673202

2024

中国社会医学杂志
华中科技大学同济医学院

中国社会医学杂志

CSTPCD
影响因子:1.193
ISSN:1673-5625
年,卷(期):2024.41(5)