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目的:了解福建省卫生资源配置公平性状况及发展趋势,为实施区域卫生规划、优化卫生资源配置提供科学依据。方法:运用洛伦兹曲线、卫生资源密度指数(HRDI)和基尼系数,对2005—2014年福建省卫生资源按人口和按地理面积配置的公平性进行分析。结果:各类卫生资源人口分布、地理分布以及按HRDI计算的基尼系数分别在0.10~0.21、0.38~0.48和0.17~0.29之间。人口分布公平性明显优于地理分布公平性。与床位资源分布的公平性相比,卫生人力资源分布的公平性相对较差。结论:建议继续加大卫生投入、强化政策引导、重点优化卫生人力资源的区域配置和内部结构,以此提高资源配置公平性。
Objective: To understand the fairness and development trend of health resource allocation in Fujian Province and provide scientific basis for implementing regional health planning and optimizing the allocation of health resources. Methods: By using the Lorenz curve, HRDI and Gini coefficient, the fairness of the distribution of health resources in Fujian Province by population and geographical area from 2005 to 2014 was analyzed. Results: The population distribution, geographic distribution and Gini coefficient calculated by HRDI of all kinds of health resources were 0.10-0.21, 0.38-0.48 and 0.17-0.29, respectively. The fairness of population distribution is obviously better than the geographical distribution of fairness. Compared with the fairness of the distribution of bed resources, the distribution of health and human resources is relatively poor. Conclusions: It is recommended to continue to increase investment in health, strengthen policy guidance, and focus on optimizing the regional distribution and internal structure of health human resources so as to improve the fairness of resource allocation.