基于集中指数和集聚度的贵州省卫生资源配置公平性研究

目的 分析贵州省卫生资源公平性，为贵州省卫生健康事业发展提供科学依据。方法 将贵州省分为黔中经济区、民族地区和非民族地区，采用集中指数和集聚度评价卫生资源的公平性。结果 卫生机构的集中指数在2014、2017和2018年出现了负数，床位、执业（助理）医师和注册护士的集中指数均大于0。2014-2018年，卫生资源集聚度民族地区均小于1，黔中经济区均大于1，非民族地区是卫生机构和床位趋近于1、执业（助理）医师和注册护士均大于1。从HRAD/PAD来看，黔中经济区基本上大于1，民族地区的卫生机构大于1，而床位、执业（助理）医师和注册护士均趋近于1。结论 卫生资源配置倾向于经济水平较高的地区，需综合考虑人口地理等因素。民族地区卫生资源人口和地理配置均存在不足，需加强资源纵向整合。卫生物力资源公平性优于卫生人力资源，需优化卫生人力配置。

Fairness of health resource allocation in Guizhou based on concentration index and agglomeration degree

To analyze the fairness of health resources in Guizhou Province，and to provide scientific basis for thedevelopment of health care in Guizhou Province. Methods Guizhou Province was divided into central Guizhou economic zone，minority areas and non － ethnic areas. The concentration index and health resources agglomeration degree were used to evaluatethe fairness of health resources. Ｒesults The concentration index of health institutions showed negative numbers in 2014，2017and 2018. The concentration index of beds，licensed ( assistant) physicians and registered nurses were all greater thanzero. From 2014 to 2018，the concentration of health resources in minority areas was less than 1，the central Guizhou economiczone was greater than 1，and in non － ethnic areas，health institutions and beds approached 1，and practicing ( assistant)physicians and registered nurses were all greater than 1. From the perspective of HＲAD/PAD，the central Guizhou economiczone was basically greater than 1，the health institutions in ethnic areas are greater than 1，and the beds，practicing ( assistant)physicians，and registered nurses all approach 1. Conclusion The allocation of health resources favorseconomically developedareas，and factors such as population geography need to be considered comprehensively. The population and geographicaldistribution of health resources in areas inhibited by minority areas are insufficient，and vertical integration of resources needs tobe strengthened. The equity of health and material resources is better than that of human resources，and the allocation of humanresources for health needs to be optimized