浦口区基层卫生资源配置公平性研究

目的:对浦口区基层卫生服务机构主要卫生资源配置现状进行公平性分析,为卫生行政部门优化卫生资源配置提供科学依据?方法:运用洛伦兹曲线和基尼系数对浦口区2014年基层卫生机构?床位?执业(助理) 医师和注册护士四种卫生资源按人口和地理配置的公平性进行评价?结果:浦口区2014 年基层卫生机构?床位?执业(助理) 医师?注册护士的人口公平性基尼系数分别为0.17?0.26?0.15?0.27,地理公平性基尼系数分别为0.39?0.53?0.50?0.59?结论:2014年浦口区卫生资源按人口配置公平性优于按地理配置,各项指标中以卫生机构配置公平性最好,护士公平性最低?

Study on the equity of health resource allocation of primary health services in Pukou district

Objective: To analyze the current status of health resource allocation of primary health services in Pukou district, and provide scientific basis for optimizing the allocation of health resources for the health administrative departments. Methods: Lorenz curve and Gini coefficient were performed to evaluate demographic and geographic equity of allocation of four kinds of resources in Pukou district, 2014, which included primary health institutions, hospital beds, medical practitioners (senior and junior), and registered nurses. Results: In the aspect of demographic distribution, the Gini coefficients of primary health institution number, bed number, doctor number and nurse number were 0.17, 0.26, 0.15, and 0.27, respectively. In the aspect of geographic distribution, the Gini coefficients were 0.39, 0.53, 0.50 and 0.59, respectively. Conclusion: The demographic distribution of health resource allocation is more reasonable than the geographic distribution in Pukou district, 2014. The allocation of organization is better than the other indexes and the index of nurse is the lowest one.