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广西壮族自治区卫生资源配置公平性及空间特征研究

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目的 分析2022年广西壮族自治区卫生资源配置公平性及空间特征,为进一步优化卫生资源配置提供参考.方法 本文采用洛伦兹曲线、基尼系数、卫生资源集聚度等方法,深入分析卫生资源配置公平性,并通过空间自相关分析方法揭示其空间特征.结果 广西壮族自治区卫生资源总量呈上升趋势.进一步分析表明,自治区按人口配置的各类卫生资源,其基尼系数均低于0.3,显示出相对较高的公平性;按地理配置的基尼系数均在[0.3,0.4),存在一定不公平性;各地市卫生资源集聚度及其人口集聚度的比值跨度较大,其中南宁市、北海市、钦州市、玉林市各类卫生资源集聚度均大于1.各类医疗资源全局Moran's I指数均大于0.局部空间自相关结果显示,卫生人力、物力资源配置存在空间相关性,玉林市、钦州市为高高集聚,南宁市为高低集聚.结论 广西壮族自治区卫生资源主要聚集在经济发展较好的地区,尤其是卫生人力资源.卫生资源配置的公平性仍有提升空间,应将地理因素和社会发展因素共同作为资源配置的重要依据;资源投入需因地制宜,相邻地区加强合作,缩小区域差距,促进区域卫生资源均衡发展.
A Study on Equitable Allocation and Spatial Characteristics of Healthcare Resources in the Guangxi Zhuang Autonomous Region
Objective This study aims to analyze the equity and spatial characteristics of healthcare resource allocation in the Guangxi Zhuang Autonomous Region in 2022,to provide references for further optimization of resource allocation.Methods The study utilizes Lorenz curves,Gini coefficient,and healthcare resource agglomeration analysis to examine the equity of healthcare resource allocation.Spatial autocorrelation analysis is employed to explore the spatial characteristics of resource distribution.Results The total amount of health resources in the Guangxi Zhuang Autonomous Region is on an upward trend.The Gini coefficients of all types of health resources allocated by population in this autonomous region are less than 0.3 and that allocated by geography are in the range of[0.3,0.4).The ratios of the degree of concentration of health resources in each city and its population concentration span a wide range,among which the degree of concentration of all types of health resources in the cities of Nanning,Beihai,Qinzhou and Yulin is greater than 1.All types of health care resources in the global Moran's I index are all greater than 0.It is shown by local spatial autocorrelation results that there is spatial correlation in the allocation of health human resources and health material resources,with Yulin and Qinzhou being both high agglomeration and Nanning being high and low agglomeration.Conclusion Healthcare resources in the Guangxi Zhuang Autonomous Region are primarily concentrated in economically developed areas,particularly in terms of health human resources.There is still room for improvement in the equity of resource allocation,and geographical and social development factors should be considered as important criteria for resource allocation.Resource investment should be tailored to specific regions,with strengthened cooperation between adjacent areas to narrow regional disparities and promote balanced development of healthcare resources in the region.

healthcare resources allocationequityspatial characteristics

高祺阳、张宇、周恭伟

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宁夏医科大学,宁夏回族自治区 银川市,750004

国家卫生健康委统计信息中心,北京市,100810

广西壮族自治区卫生健康委员会,广西壮族自治区 南宁市,530021

卫生资源配置 公平性 空间特征

2024

中国卫生信息管理杂志
卫生部统计信息中心

中国卫生信息管理杂志

CSTPCD
影响因子:1.2
ISSN:1672-5166
年,卷(期):2024.21(2)
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