首页|基于基尼系数和泰尔指数的无锡市医护人员配置公平性研究

基于基尼系数和泰尔指数的无锡市医护人员配置公平性研究

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目的 分析2020—2022年无锡市医护人员配置现状及公平性,为合理制定卫生人力资源规划、建立优质高效的卫生人员服务体系提供科学依据.方法 对无锡市医护人员配置的基本情况进行描述性分析,采用基尼系数和泰尔指数从常住人口、地理面积两个测算口径对医护人员配置的公平性进行分析评价.结果 2020—2022年无锡市执业(助理)医师、注册护士按常住人口测算的基尼系数处于比较公平水平,按地理面积测算的基尼系数处于差异悬殊水平.泰尔指数一阶分解结果表明区域内差异是不公平的主要原因.结论 无锡市医护人员配置公平性虽呈现改善状态,但仍存在资源分配不均、区域分化明显等问题.医护人员按地理面积配置的公平性远劣于按常住人口配置,且注册护士配置公平性劣于执业(助理)医师.
Study on the Equity of Medical Staff Allocation in Wuxi Based on Gini Coefficient and Theil Index
Objective To analyze the current situation and fairness of the allocation of medical staff in Wuxi from 2020 to 2022,and to provide scientific basis for the rational formulation of health human resources planning and the establishment of high-quality and efficient health personnel service system. Methods A descriptive analysis of the ba-sic situation of the allocation of medical staff in Wuxi City was conducted. The Gini coefficient and Theil index were used to analyze and evaluate the fairness of the allocation of medical staff from the two measurement calibers of resi-dent population and geographical area. Results From 2020 to 2022,the Gini coefficient of practicing (assistant) physi-cians and registered nurses in Wuxi City measured by the resident population is at a relatively fair level,and the Gini coefficient measured by geographical area is at a level of great disparity. The first-order decomposition results of Theil index show that intra-regional differences are the main reason for unfairness. Conclusion Although the fairness of medical staff allocation in Wuxi has improved,there are still problems such as uneven distribution of resources and obvious regional differentiation. The fairness of the allocation of medical staff by geographical area is far worse than that by permanent resident population,and the fairness of the allocation of registered nurses is worse than that of prac-ticing (assistant) physicians.

Medical staffGini coefficientTheil indexFairness

刘黎娇、温大科、程梦单

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无锡嘉仕恒信医院医务科,江苏无锡 214072

无锡市儿童医院血液肿瘤科,江苏无锡 214023

南京市第一医院院感科,江苏南京 210006

医护人员 基尼系数 泰尔指数 公平性

2024

中国卫生产业
全国卫生产业企业管理协会

中国卫生产业

影响因子:0.692
ISSN:1672-5654
年,卷(期):2024.21(17)