上海交通大学学报（医学版）

上海交通大学学报（医学版）

• 论著（公共卫生） • 上一篇    下一篇

重庆市医疗卫生资源配置公平性研究

陶艺，钟晓妮，文小焱   

  1. 重庆医科大学 公共卫生与管理学院， 重庆 400016
  • 出版日期:2016-02-28 发布日期:2016-03-29
  • 通讯作者: 钟晓妮, 电子信箱: zxn66@vip.sina.com。
  • 作者简介:陶艺（1990—）， 女， 硕士生; 电子信箱: taoziyi@hotmail.com。

Study on equity of allocating health resources of Chongqing

TAO Yi, ZHONG Xiao-ni, WEN Xiao-yan   

  1. School of Public Health and Management, Chongqing Medical University, Chongqing 400016， China
  • Online:2016-02-28 Published:2016-03-29

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摘要：

目的 基于需求与供给分析重庆市卫生资源配置情况，为进一步优化卫生资源配置提供科学依据。方法 采用灰色关联法分析重庆市38个区县的卫生资源需求与供给。结果 依据各区县卫生资源的相对需求与相对供给情况将重庆市38个区县分为4类地区：第一类为渝中区、南岸区、江北区等；第二类为武隆县、城口县、荣昌县等；第三类为万州区、巴南区、渝北区等；第四类为大渡口区、云阳县、垫江县等。分析结果表明重庆市卫生资源的相对需求与供给存在不平衡，卫生资源配置不公平。结论 重庆市卫生资源配置存在地区不公平。基于需求与供给分析重庆市卫生资源，其分类结果与重庆市都市功能区划分情况基本一致，重庆市卫生资源配置存在地区不公平且结构不合理，多数医疗卫生资源集中在社会经济较发达的地区，而社会经济相对落后地区的居民卫生资源可及性较低。该研究为促进卫生资源配置公平性提供了统计学依据，以帮助政府制定相应政策合理规划卫生资源。

关键词: 卫生资源配置, 公平性, 灰色关联分析

Abstract:

Objective To analyze the status of allocation of health resources in Chongqing and provide scientific evidences for further optimize the allocation of health resources based on the demand and supply. Methods Grey relational analysis was adopted to analyze the demand and supply of health resources of 38 districts and counties in Chongqing. Results The 38 districts and counties were divided into 4 categories according to relative demand and supply of health resources, i.e. category one: Yuzhong, Nanan, Jiangbei, etc; category two: Wulong, Chengkou, Rongchang, etc; category three： Wanzhou, Banan, Yubei, etc; and category four: Dadukou, Yunyang, Dianjiang, etc. Analysis results showed that relative demand and supply of health resources in Chongqing was imbalanced and the allocation of health resources was inequitable. Conclusion The allocation of health resources in Chongqing is inequitable among districts and counties. The classification result based on the demand and supply analysis of health resources in Chongqing is basically consistent with functional classification of districts and counties of Chongqing. The allocation of health resources in Chongqing is inequitable among districts and counties and the structure is unreasonable. Most health resources locate in districts and counties with developed social economy and fewer health resources are available for people in districts and counties with undeveloped social economy. This study provides the statistical evidence for promoting the equity of allocating health resources and facilitates the government to make corresponding policies to reasonably plan health resources.

Key words: health resource allocation, equity, grey relational analysis