区域人群相对医疗服务需要的测量方法及其在卫生资源配置中的应用研究

理论模型:医疗服务利用受需要、供给和社会经济学因素影响,供给在影响利用的同时,受到社会经济学因素的影响.方法:采用两阶段最小二乘法估计利用与需要、供给和社会经济学因素的关系模型,找到了合理的需要变量--标化两周患病率.引入反映各市区差异的哑变量,拟合利用与需要的关系模型,得出各市区需要变量系数.结果:将需要变量系数与人口加权后,得到各市区权重人口占总人口的比例,这是各市区医疗资源结构调整的标准和依据.

Study on methodology for measuring relative health need and application in health resource allocation

Throretical framework: Health utilization is determined by needs,supply and other socioeconomic factors, in addition,some of the variation in supply is determined by the socioeconomic factors. Methodology: The utilization model is a function of the supply, need and socioeconomic variables by two stage least square regression, which can provide legitimate need variables, standardized two week prevalence rate. Using an ordinary least square regression to model the utilization as a function of the need with a dummy variable which allow for different counties variance. The model can provide the relative coefficients of health need in different regions. Results: These indices mentioned above were multiplied by the population to yield a weighting population. The proportion of weighting population in total population is the principle and standard of allocating health resource in different regions.