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目的通过对河南省18个省辖市卫生资源配置的公平性进行分析,为合理制定河南省区域卫生规划提供依据。方法采用描述性分析方法对河南省卫生资源配置状况进行描述,利用基尼系数和泰尔指数分别计算河南省卫生资源配置的公平性。结果 2006-2010年河南省卫生资源配置均衡,且非公平性呈下降趋势。主要医疗卫生资源的基尼系数均在0.3以下。医疗机构的泰尔指数从0.05661下降到0.04246;床位数的泰尔指数从0.02528下降到0.00835;卫生技术人员数的泰尔指数从0.01375下降到0.00913;医生数的泰尔指数从0.01638下降到0.01034;护师、护士数的泰尔指数从0.03317下降到0.02022。结论河南省卫生资源配置的公平性较好,卫生资源配置的非公平性主要是由于区域间的非公平性所造成的。
Objective To analyze the fairness of health resource allocation in 18 provincial cities in Henan Province and provide the basis for the reasonable formulation of regional health planning in Henan Province. Methods Descriptive analysis was used to describe the allocation of health resources in Henan Province, and the fairness of allocation of health resources in Henan Province was calculated respectively by Gini coefficient and Teller index. Results The distribution of health resources in Henan Province from 2006 to 2010 was balanced and the unfairness showed a downward trend. The Gini coefficients of major medical and health resources are all below 0.3. The Theil index for medical institutions dropped from 0.05661 to 0.04246; the Theil index for beds decreased from 0.02528 to 0.00835; the Theil index for health technicians dropped from 0.01375 to 0.00913; the Theil index for doctors dropped from 0.01638 to 0.01034; The Theil index for nurses and nurses dropped from 0.03317 to 0.02022. Conclusion The fairness of health resource allocation in Henan is better. The unfairness of health resource allocation is mainly caused by the unfairness among regions.