摘要
目的:分析北京市四大功能区中医执业(助理)医师资源配置公平性及需求状况,为进一步优化北京市中医医师资源配置提供参考依据.方法:运用Excel 2013 对北京市 2016-2022 年中医执业(助理)医师数量及各区分布情况进行描述性统计,利用集聚度从人口规模与地理面积 2 个维度进行公平性分析,采用卫生资源密度指数进行需求测算.结果:2016-2022 年,北京市中医执业(助理)医师数量稳定增长,年均增速5.20%.北京市四大功能区中,首都功能核心区中医执业(助理)医师数量年均增速为 3.39%、城市功能拓展区年均增速5.36%、城市发展新区年均增速 6.61%、生态涵养发展区年均增速 5.85%.四大功能区中医执业(助理)医师资源集聚度与人口集聚度比值分别为 2.82、1.08、0.61、0.74,中医医师资源的缺乏比例分别为-0.91%、-0.60%、0.62%、2.06%.结论:北京市中医执业(助理)医师数量稳定增长,但各功能区增长速度不一.北京市四大功能区中首都功能核心区中医执业(助理)医师拥有量相对于人口数量过剩,城市功能拓展区配置公平性较好,城市发展新区和生态涵养发展区相对于人口数量不足.首都功能核心区和城市功能拓展区存在中医执业(助理)医师资源冗余,而城市发展新区和生态涵养发展区中医执业(助理)医师数量存在较小缺口,且生态涵养发展区的资源缺口大于城市发展新区.
Abstract
Objective:To explore the current status of resource allocation of practicing(assistant)physicians of traditional Chinese medicine(TCM),equity issues and demand forecasts in four functional areas of Beijing,and to provide a reference for fur-ther optimizing the allocation of TCM physician resources in the capital.Methods:Excel 2013 software was used to provide descrip-tive statistics on the growth of the number of TCM practicing(assistant)physicians and the distribution of each district in Beijing from 2016 to 2022,allocation fairness analysis was conducted from the dimensions of population size and geographic area using the degree of agglomeration,and demand forecasting was conducted using the health resource density index.Results:From 2016 to 2022,the number of TCM practicing(assistant)physicians in Beijing grew steadily,with an average annual growth rate of 5.20%.Among them,the average annual growth rate of the capital functional core area was 3.39%,the average annual growth rate of the urban functional expansion area was 5.36%,the average annual growth rate of the new urban development area was 6.61%,and the average annual growth rate of the ecological culmination development area was 5.85%.The ratio of the concentration of TCM physi-cians'resources to the concentration of population in the four functional zones was 2.82,1.08,0.61,0.74,respectively,and the lack of human resources of TCM physicians was-0.91%,-0.60%,0.62%,2.06%,respectively.Conclusion:The number of TCM practicing(assistant)physicians in Beijing has been growing steadily,but the growth rate varies among functional areas.There is an excess of TCM physician resources relative to the population in the capital functional core area,a better allocation equity in the urban functional expansion area,and an insufficient number of TCM physicians relative to the population in the new urban development area and the ecological cultivation and development area.There is a redundancy of TCM physician resources in the capital functional core area and the urban functional expansion area,while there is a smaller gap in TCM physician resources in the new urban development area and the ecological culture development area,and the resource gap in the ecological culture develop-ment area is larger than that in the new urban development area.
基金项目
国家中医药管理局委托项目(GZQXX-2021-170)
维普
万方数据