四川省民族地区卫生资源配置及需求预测研究

目的 评价“十三五”以来四川省民族地区卫生资源配置公平性和利用效率，并预测其卫生资源需求，为民族地区进一步优化卫生资源配置提供参考。方法 基于人口、地理维度，利用集聚度评价四川省民族地区卫生资源配置公平性，借助数据包络分析评价卫生资源利用效率，并采用卫生资源密度指数进行需求预测。结果 每千人口卫生资源拥有量和每平方公里卫生资源拥有量均呈增长趋势；基于人口配置的卫生资源公平性优于地理维度；甘孜、阿坝的卫生资源集聚度最低；2020年四川省民族地区卫生资源综合效率、纯技术效率、规模效率均值分别为0.815、0.905、0.898;民族地区执业(助理)医师(271.27%)、注册护士(190.23%)、卫技人员(172.68%)的缺乏比例高。结论 四川省民族地区卫生资源地理公平性差，区域内差异显著；甘孜、阿坝的卫生资源配置公平性亟需改善；卫生资源利用效率有待提升，规模收益差异明显。

Research on the allocation of health resources and demand forecast in ethnic areas,Sichuan

Objective To evaluate the fairness and utilization efficiency of the allocation of health resources in ethnic minority areas in Sichuan Province since the "13th Five-Year Plan" period, and to predict the demand for health resources in order to provide reference for further optimizing the allocation of health resources in ethnic areas. Methods Based on the dimensions of population and geography, the agglomeration degree was used to evaluate the fairness of health resource allocation in ethnic areas of Sichuan Province, evaluating health resource utilization efficiency by means of data envelopment analysis, and the Health Resource Density Index was used to forecast demand. Results Both the amount of health resources per thousand population and the amount of health resources per square kilometer showed an increasing trend. And the fairness of health resources based on population allocation was better than geographic dimensions; the concentration of health resources in Ganzi and Aba was the lowest. In 2020, the comprehensive efficiency, pure technical efficiency, and scale efficiency of health resources in ethnic areas of Sichuan Province were 0.815, 0.905, and 0.898 respectively. Minority areas had high shortages of licensed(assistant)physicians(271.27%), registered nurses(190.23%), and health technicians(172.68%). Conclusion The geographic fairness of health resources in ethnic areas in Sichuan Province is poor, with significant differences within the region. The fairness of health resource allocation in Ganzi and Aba needs to be improved urgently. Health resource utilization efficiency needs to be improved, and the difference in scale returns is obvious.