天津市卫生资源配置及公平性分析
Analysis of Health Resource Allocation and Equity in Tianjin
褚玉晶 1蔡晗 1吴锋1
作者信息
摘要
目的 应用经济学方法对天津市 2017-2021 年卫生资源要素进行公平性分析,为政府相关规划和决策提供科学依据.方法 描述性分析天津卫生资源指标的数据变化趋势.采用卫生经济学中的基尼系数和洛伦兹曲线对天津市卫生资源配置公平性进行分析.结果 2017 年至 2021 年,天津市常住人口呈现螺旋式下降趋势,卫生资源配置要素均保持一定的增长率,其中卫生费用增长率最高.卫生资源各要素按人口配置的基尼系数均在 0.4 以下.按人口部分的公平性优于按地理分布.结论 应进一步加快紧密型医联体建设,促进优质资源下沉.提升基层医疗机构人员待遇,统筹兼顾人口和地理面积分布因素,做到卫生资源合理优化配置.
Abstract
Objective To analyze the equity of health resources in Tianjin from 2017 to 2021 using economic methods,and to provide a scientific basis for relevant planning and decision-making of the government.Methods To descriptively analyze the trend of data changes of health resource indicators in Tianjin.The Gini coefficient and Lorenz curve in health economics were used to analyze the equity of health resource allocation in Tianjin.Results From 2017 to 2021,the resident population in Tianjin showed a spiraling downward trend,and the elements of health resource allocation all maintained a certain growth rate,among which the growth rate of health expenditure was the highest.The Gini coefficients of health resource allocation by population for each element of health resources were all below 0.4.Equity by population was better than by geographical distribution.Conclusion The construction of close-knit medical alliances should be further accelerated to promote the sinking of high-quality resources.The remuneration of healthcare personnel in grassroots institutions should be improved,and the distribution of health resources should be rationalized and optimized by considering factors of population and geography.
关键词
天津市/卫生资源配置/公平性Key words
Tianjin/Health resource allocation/Equity引用本文复制引用
基金项目
天津市科技发展战略研究资助项目(19ZLZXZF00340)
天津市医院协会医院管理研究项目(2020ZC20)
天津市卫生健康科技项目(TJWJ2023QN065)
天津市医院协会医院管理研究项目(2020001)
出版年
2024
NETL
NSTL
万方数据