首页|2010-2021年全国各区域医护比配置分析及预测研究

2010-2021年全国各区域医护比配置分析及预测研究

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目的 分析我国各区域执业医师、注册护士的配置公平性、医护比配置情况及发展趋势,基于分析结果提出后续卫生资源配置建议.方法 资源配置公平性采用基尼系数;数据预测采取GM模型、ARIMA模型和组合预测模型.结果 执业医师和注册护士按人口配置的公平性优于经济优于地理.全国各区域执业医师和注册护士按人口配置公平且公平性逐步提升;中部执业医师和注册护士按地理配置公平,其余区域执业医师和注册护士按地理配置不公平,各区域执业医师和注册护士按地理配置的公平性变化幅度不大.全国各区域执业医师和注册护士按经济配置公平,其中中部执业医师和注册护士按经济配置的公平性下降.各模型执业医师和注册护士预测精度均较高,模型预测结果计算得出2025年全国各区域医护比仍<1∶2.结论 建议注重资源差异化配置,着重增加注册护士的数量,在保证数量的基础上进一步提高质量.注重政府在资源配置中的主导作用.
Analysis and prediction study on the allocation of physician-nurse ratio in different regions of China from 2010 to 2021
Objective To analyze the equity in the allocation of licensed physicians and registered nurses,the physician-to-nurse ratio,and their development trends across regions in China,and to propose subsequent recommendations for health resource allocation based on the analysis results.Methods The Gini coefficient was used to assess the equity in resource allocation.The GM model,ARIMA model and combined prediction model were adopted for data prediction.Results The equity in the allocation of licensed physicians and regis-tered nurses based on population was superior to that based on economic and geographical factors.Across re-gions in China,the allocation of licensed physicians and registered nurses based on population was fair and gradually improving.In the central region,the allocation of licensed physicians and registered nurses based on geography was fair,while in other regions,it was unfair.The variability in the equity of geographical alloca-tion across regions was minimal.The allocation of licensed physicians and registered nurses based on economic factors was fair across regions,but the equity in the central region declined.All models demonstrated high pre-diction accuracy for licensed physicians and registered nurses,and the model predictions indicated that the phy-sician-to-nurse ratio across regions in China would remain less than 1∶2 in 2025.Conclusion It is recom-mended to focus on differentiated resource allocation,with an emphasis on increasing the number of registered nurses and further improving their quality on the basis of ensuring sufficient quantity.Attention should also be given to the leading role of the government in resource allocation.

health resource allocationequityphysician-nurse ratioGini coefficientprediction model

孙先红、宋国强、周田田、刘梦、邱林萍、姜城蕾

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安徽医科大学卫生管理学院,安徽 合肥 230032

卫生资源配置 公平性 医护比 基尼系数 预测模型

2024

右江民族医学院学报
右江民族医学院

右江民族医学院学报

影响因子:0.708
ISSN:1001-5817
年,卷(期):2024.46(6)