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“十三五”时期北京医疗资源配置公平性研究
许磊
北京市通州区卫生健康委,北京   101100
Research on the equity of medical resource allocation in Beijing during the 13th Five-Year Plan period#br#
XU Lei
Beijing Tongzhou District Municipal Health Commission, Beijing   101100, China
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摘要 目的 研究“十三五”期间(2016—2019年)北京市医疗资源配置公平性。 方法 将北京市16个辖区按照城市空间结构进行划分,以常住人口数量为基数,分析2016、2019年实有床位和卫生人员资源分布,通过洛伦兹曲线、基尼系数计算资源配置的公平性,通过泰尔指数分析差异的主要因素以及变化趋势。 结果 北京市实有床位基尼系数2016、2019年分别为0.273、0.288;卫生人员基尼系数2016、2019年分别为0.263、0.295。实有床位泰尔指数2016、2019年分别为0.091、0.154,组内差异贡献率从62.54%降至33.81%。卫生人员泰尔指数2016、2019年分别为0.067、0.07,组内差异贡献率从29.96%降至21.86%。 结论 “十三五”期间北京市医疗资源配置较为公平,但差异趋势在扩大。实有床位和卫生人员分布差异主要来源均为于区域之间,且区域之间的差异还在扩大。相比于实有床位,区域之间的差异对卫生人员分布差异影响更大。
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许磊
关键词 &ldquo十三五&rdquo期间医疗卫生资源配置公平性北京    
Abstract:Objective To study the equity of medical resource allocation in Beijing during the 13th Five-Year Plan period (2016-2019). Methods Sixteen municipal districts in Beijing were divided according to the urban spatial structure. Based on the number of permanent residents, the distribution of available beds and health personnel resources in 2016 and 2019 was analyzed. Lorentz curve and Gini coefficient were used to calculate the equity of resource allocation, and theil index was used to analyze the main factors of difference and change trend. Results The Gini coefficient of available beds in Beijing was 0.273 in 2016 and 0.288 in 2019. The Gini coefficient of health workers was 0.263 in 2016 and 0.295 in 2019. Theil index of actual beds was 0.091 in 2016 and 0.154 in 2019, respectively. The contribution rate of difference within the group decreased from 62.54% to 33.81%. Theil index of health personnel was 0.067 in 2016 and 0.07 in 2019, respectively, and the contribution rate of difference within the group decreased from 29.96% to 21.86%. Conclusion During the 13th Five-Year Plan period, the allocation of medical resources in Beijing is relatively fair, but the trend of disparity is expanding. The differences of actual beds and health personnel distribution mainly come from different regions, and the differences between regions are still increasing. Compared with actual beds, regional differences have a greater impact on the distribution of health personnel.
Key wordsThe 13th Five-year Plan period    Medical and health resources    Allocation    Equity    Beijing
    
作者简介: 许磊(1985.11-),男,硕士,中国人民大学公共管理学院2018级社会医学与卫生事业管理专业同等学力在读硕士研究生;研究方向:北京市医疗卫生服务体系和卫生资源配置。
引用本文:   
许磊. “十三五”时期北京医疗资源配置公平性研究[J]. 中国医药导报, 2021, 18(29): 193-196.
XU Lei. Research on the equity of medical resource allocation in Beijing during the 13th Five-Year Plan period#br#. 中国医药导报, 2021, 18(29): 193-196.
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https://www.yiyaodaobao.com.cn/CN/     或     https://www.yiyaodaobao.com.cn/CN/Y2021/V18/I29/193

 

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