2011 - 2018年我国精神卫生床位资源配置的公平性趋势分析

目的 分析2011 - 2018年我国精神卫生床位资源配置的公平性，为政府优化资源配置提供参考依据。方法 查阅《中国卫生统计年鉴》等相关资料，对比分析2011年和2018年我国精神卫生床位资源配置的情况，采用基尼系数、泰尔指数评价精神卫生床位资源按人口和地理面积配置的公平性。结果 2011 - 2018年我国精神卫生床位资源配置总量呈上升趋势，按人口配置和按地理面积配置的公平性水平均有所提升，按人口配置的公平性优于按地理面积配置的公平性，资源配置的不公平性主要来自于组内差异。结论 在未来精神卫生床位资源配置相关政策的制定中应兼顾服务人口和面积，提升按地理面积配置的公平性，缩小东、中、西部地区内部差异。

Equity in the distribution of the psychiatric beds in China from 2010 to 2018

Objective The aim of this study was to evaluate the health-related quality of life for rural epilepsy patients in Harbin and analyze the influencing factors. Methods By simple random sampling method, 236 patients with convulsive epilepsy in Harbin were randomly selected to calculate the health effects of epileptic patients based on the EQ-5 D effect value score system of the Chinese population. The rank sum test and Tobit regression model were used to analyze the factors influencing the health level of epileptic patients. Results The survey of 236 patients with epilepsy had difficulty in five dimensions of sorting were as follows: the anxiety or depression(42.74%), pain or discomfort(30.77%), daily activities(28.63%), take care of themselves(18.80%), and action(16.67%). Calculation based on the integral system of epilepsy patient’s health effect value was 0.85. The results of the Tobit regression model showed that there were statistically significant differences in the health effects of occupation(95%CI=0.004 ～ 0.313, P=0.045), physical activity(95%CI=0.001 ～0.438, P=0.049), the most recent seizure time(95%CI=-0.316 ～-0.020, P=0.027), and the total course of disease(95%CI =-0.051 ～-0.387, P=0.011). Conclusion The influence of epilepsy on the psychological aspects of the patients was greater than the physiological aspects. And more attention should be paid to the psychological aspects of the patients with epilepsy. Mental worker, sports, hobby epilepsy patients had high health utility value. Epilepsy patient with fit time in 0-3 months inside, fit frequency more had low utility value.