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Equity analysis of public health resource allocation in Inner Mongolia Autonomous Region |
LIU Tongtong YU Boyang ZHU Yangjie TANG Kang ZHU Menglan ZHANG Lulu |
Department of Military Health Service, Faculty of Military Health Service, Naval Medical University, Shanghai 200433, China
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Abstract Objective To investigate and analyze the distribution and equity of public health resources in Inner Mongolia Autonomous Region in 2020, so as to provide theoretical basis for rational allocation of public health resources under normal epidemic prevention and control. Methods In June 2022, data of public health resources in Inner Mongolia Autonomous Region and the whole country were collected, and the fairness of public health resources allocation was analyzed using Lorentz curve, Gini coefficient, and Theil index were used to analyse. Results In terms of population distribution, the Gini coefficient of various resources in Inner Mongolia Autonomous Region was less than 0.4, and the Theil index of public health technicians was the smallest (0.028 462 957). In terms of geographical area allocation, only the number of public health institutions in eastern Mongolia was less than 0.3, the number of public health technicians, practicing (assistant) physicians and registered nurses were 0.3-0.4, the Gini coefficient of various resources in other regions was more than 0.4, and the Theil index of public health institutions was the smallest (0.433 042 879). Conclusion There is a gap between the growth rate of public health resources in Inner Mongolia Autonomous Region and the national average level. The fairness of population allocation is better than that of geographical area allocation, and the inequality of resource allocation mainly comes from within the region.
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[1] 王媛媛,王楠,贾金忠,等.中国公共卫生机构人员现状及配置公平性[J].中国公共卫生,2015,31(11):1430-1433.
[2] 张晓欣.内蒙古重大公共卫生事件应急管理政策优化研究[D].呼和浩特:内蒙古大学,2021.
[3] 刘兵,彭明强.后疫情时代对我国国家公共卫生应急管理体系思考[J].中国公共卫生,2020,36(12):1697-1699.
[4] 内蒙古自治区卫生健康委员会.内蒙古卫生健康统计年鉴[EB/OL].(2021-08-02)[2022-06-30].http://wjw.nmg.gov.cn/ zfxxgk/fdzzgknr/tjxx/tjnj/202108/t20210831_1868495.html.
[5] 国家卫生健康委员会.中国卫生健康统计年鉴[M].北京:中国协和医科大学出版社,2021.
[6] 苗苗,范雪薇,芦鑫源,等.2014年—2018年内蒙古社区卫生资源配置现状及公平性研究[J].现代预防医学,2021, 48(9):1635-1639.
[7] 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.
[8] Abeles J,Conway DJ. The Gini coefficient as a useful measure of malaria inequality among populations [J]. Malar J. 2020,19(1):444.
[9] Hirata RP,Oliveira JM,Schneider LP,et al. The Gini Coefficient:A New Approach to Assess Physical Activity Inequality in COPD [J]. COPD,2020,17(6):623-626.
[10] 钱亚玲,杨敬宇.基于基尼系数和集聚度的甘肃省卫生资源配置公平性分析[J].医学与社会,2021,34(8):11-16.
[11] 王月娇,张培.健康扶贫视角下张家口卫生资源配置公平性研究[J].中国医药导报,2019,16(36):168-173, 181.
[12] 颜节礼,王祖祥.洛伦兹曲线模型研究综述和最新进展[J].统计与决策,2014(1):34-39.
[13] 张萌珺,刘春雨,刘媛媛,龚超.基于基尼系数和泰尔指数的天津市专业公共卫生资源配置研究[J].中国公共卫生管理,2022,38(3):292-296.
[14] 喻箴,李晓梅,母凤婷,等.泰尔指数不同计算公式的比较[J].中国卫生统计,2020,37(1):124-126.
[15] 胡晗,江世英,梁鑫鑫.2016—2018年内蒙古疾控机构人力资源配置状况及公平性分析[J].医学与社会,2021, 34(9):22-26,43.
[16] 闻杰,黄丽莉,续翔,等.“十三五”期间湖南省公共卫生机构卫生资源配置现况及公平性分析[J].卫生软科学,2022,36(4):44-48.
[17] 林小丹,徐碧霞,姚卫光.广东省公共卫生机构卫生资源配置公平性分析[J].现代预防医学,2021,48(10):1839-1842,1853.
[18] 孟翠香,尹文强,张田田,等.我国公共卫生机构卫生资源配置公平性分析[J].现代预防医学,2021,48(22):4136- 4140,4180.
[19] 陈静静,周波.2015—2018年我国公共卫生机构卫生资源公平性分析[J].中国公共卫生管理,2021,37(1):22- 26,36.
[20] 何刚,李雅红,杨子立,等.基于GIS技术内蒙古自治区卫生资源配置空间评价研究[J].中国卫生统计,2020, 37(5):695-697.
[21] 张华宇,苗豫东,屈晓远,等.基于洛伦兹曲线和基尼系数的中国全科医生资源配置公平性研究[J].中国全科医学,2020,23(4):409-413.
[22] 张新宇,任建萍,朱依滢,等.中国公共卫生机构卫生资源配置公平性分析[J].中国预防医学杂志,2019,20(8):641-645.
[23] 戴萌娜,袭燕,尹文强,等.基于集聚度的山东省区域卫生资源配置公平性分析[J].中国卫生统计,2021,38(5):642-645,649.
[24] 陈志华,麦一峰,刘海容.基于DEA-BCC模型和DEA- Malmquist动态指数的宁波市各区卫生资源配置效率评价[J].现代医院,2022,22(11):1652-1655.
[25] 刘宏伟,贺楠,徐铭遥,等.2016—2020年内蒙古中医类医院资源配置公平性研究[J].卫生软科学,2022,36(9):65-69.
[26] 刘连雪,李敏.2009—2020年内蒙古自治区卫生人力资源水平空间分析[J].现代预防医学,2022,49(11):2006- 2011. |
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