首页|"十三五"期间福建省卫生资源配置公平性研究

"十三五"期间福建省卫生资源配置公平性研究

Study on the Equity in the Allocation of Medical and Health Resources in Fujian Province During the 13th Five-Year Plan Period

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目的:分析"十三五"期间福建省卫生资源配置公平性,为进一步优化卫生资源配置提供参考.方法:收集2016-2020年福建省卫生资源数据,运用差别指数评价福建省卫生资源配置公平性,通过卫生资源资源集聚度验证差别指数评价结果,进一步分析区域差异.结果:福建省卫生资源配置人口差别指数为0.05-0.20,地理面积差别指数为0.20-0.41,地理面积差别指数呈上升趋势;地理集聚度从高到低依次为闽南、闽东、闽西、闽北;卫生资源人口分布集聚度比值趋向1.结论:福建省卫生资源总量呈现上升趋势,但每千人口拥有的卫生资源量未达到全国平均水平;卫生资源配置区域差距有所扩大,人口分布公平性有所提升;卫生资源人口分布公平性优于地理分布公平性,卫生物力资源地理分布公平性优于卫生人力资源.
Objective:To analyse the situation and equity of health resource allocation in Fujian Province during the 13th Five-Year Plan period,in order to provide evidence for further optimization of resource allocation.Methods:By collecting health resources data from 2016 to 2020,descriptive statistics were used to analyse the current situation and development trend of re-sources allocation in Fujian Province.The index of dissimilarity was used to evaluate the fairness of geographical and demographic distribution of resources allocation.The results of the index of dissimilarity were verified using health resource agglomeration degree,and regional differences were further analysed.Results:Based on the demographic dimension,index of dissimilarity of health re-source allocation in fujian province was 0.05-0.20,and the geographical index of dissimilarity was 0.20-0.41,which was still in an upward trend,meaning that the regional disparity was increasing;the geographical health resource agglomeration degree was as fol-lows:southern Fujian>eastern Fujian>western Fujian>northern Fujian;health resources were concentrated in economically de-veloped coastal cities;the ratio of health resource agglomeration degree tended to 1,meaning the health resources allocation was improving in terms of population equity.Conclusion:The amount of health resources in Fujian Province showed an upward trend,but the amount of health resources per 1000 population did not reach the national average.The demographic equity in the allocation of health resources was superior better than geographical equity,and geographical equity in physical resources for health wan better than human resources for health.

Health Resources AllocationEquityFujian

林三汝、李佳男、黄妤洁、苏迎盈、徐德民

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厦门大学公共卫生学院,福建厦门,361000

复旦大学附属中山医院厦门医院,福建厦门,361000

卫生资源配置 公平性 福建

福建省自然科学基金资助项目

2020J01044

2024

医学与社会
华中科技大学同济医学院

医学与社会

CSTPCDCHSSCD北大核心
影响因子:1.178
ISSN:1006-5563
年,卷(期):2024.37(2)
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