| 山东省卫生资源配置公平性及预测研究 |
| |
| 引用本文： | 刘玉琢,徐超,王啸宇,陈倩,陈彤,薛梓晨,罗盛,李伟.山东省卫生资源配置公平性及预测研究[J].现代预防医学,2022,0(16):2986-2991. |
| |
| 作者姓名： | 刘玉琢 徐超 王啸宇 陈倩 陈彤 薛梓晨 罗盛 李伟 |
| |
| 作者单位： | 1.潍坊医学院管理学院，山东 潍坊 261053；2.潍坊医学院护理学院；3.潍坊医学院公共卫生学院，山东 潍坊 261053 |
| |
| 摘 要： | 目的 对山东省2016—2020年卫生资源配置公平性进行分析，比较其区域之间的差异，结合2021—2025年卫生资源发展趋势预测，为卫生资源合理配置提供参考。方法 以差别指数和集聚度分析山东省卫生资源配置的公平性，以灰色预测模型预测2021—2025年山东省卫生资源发展趋势。结果 差别指数下，山东省整体卫生资源配置公平性逐年趋优，各类卫生资源按人口分布的差别指数在0.03～0.09之间，按地理分布的差别指数在0.11～0.16之间，人口公平性优于地理公平性。集聚度下，存在东部区域各类卫生资源HRAD均小于1，按地理配置的公平性较差；西部区域各类卫生资源HRAD - PAD的差值小于0，按人口配置的公平性较差，不同区域之间卫生资源配置不合理。预测结果显示，2025年山东省每千人口医疗机构床位数为7.38张，低于7.5张的预期要求，注册护士数较医师数年增长缓慢。床位、注册护士数量仍有待优化。结论 为促进山东省卫生资源配置公平，要综合考量人口公平与地理公平，使卫生人力资源与卫生物力资源均衡发展，采取措施改善各区域间各类卫生资源配置的不合理。
|
| 关 键 词： | 卫生资源配置 集聚度 差别指数 公平性 预测 |
Research on equity and prediction of health resources allocation in Shandong Province |
| |
| LIU Yu-zhuo,XU Chao,WANG Xiao-yu,CHEN Qian,CHEN Tong,XUE Zi-chen,LUO Sheng,LI Wei.Research on equity and prediction of health resources allocation in Shandong Province[J].Modern Preventive Medicine,2022,0(16):2986-2991. |
| |
| Authors: | LIU Yu-zhuo XU Chao WANG Xiao-yu CHEN Qian CHEN Tong XUE Zi-chen LUO Sheng LI Wei |
| |
| Affiliation: | *School of Management, Weifang Medical university, Weifang, Shandong 261053, China |
| |
| Abstract: | Objective To analyze the equity of health resource allocation in Shandong Province from 2016 to 2020, compare the differences between its regions, and combine with the forecast of health resource development trend from 2021 to 2025 to provide reference for the rational allocation of health resources. Methods The equity of health resource allocation in Shandong Province was analyzed with the difference index and agglomeration degree, and the health resource development trend in Shandong Province from 2021 to 2025 was predicted with a gray prediction model. Results Under the difference index, the equity of overall health resource allocation in Shandong Province tended to be better year by year. The difference index of various types of health resources by population distribution ranged from 0.03 to 0.09, and the difference index by geographical distribution ranged from 0.11 to 0.16, showing better population equity than the geographical equity. In terms of the agglomeration degree, the HRAD of all kinds of health resources in eastern Shandong province was less than 1, and the equity of geographical allocation was poor. The difference of HRAD-PAD of all types of health resources in western regions was less than 0, the equity of allocation by population was poor, and the allocation of health resources between different regions was unreasonable. The forecast results show that the number of beds in medical institutions per 1 000 population in Shandong Province in 2025 will be 7.38, which is lower than the expected requirement of 7.5, and the number of registered nurses grows slowly compared with the number of physicians per year. The number of beds and registered nurses still needs optimization. Conclusion In order to promote the equitable allocation of health resources in Shandong Province, it is necessary to comprehensively consider population equity and geographical equity, make the balanced development of health human resources and health material resources, and take measures to improve the unreasonable allocation of health resources among different regions. |
| |
| Keywords: | Health resources allocation Health resources agglomeration degree Index of dissimilarity Equity Prediction |
|
| 点击此处可从《现代预防医学》浏览原始摘要信息 |
|
点击此处可从《现代预防医学》下载全文 |
|
