摘要
目的:探究“十三五”以来西部地区中医类医院卫生资源公平性,预测中医类医院卫生资源需求,为西部地区中医类医院卫生资源优化配置提供参考。方法:基于地理和人口维度,采用集聚度和基尼系数评价2016-2020年西部地区中医类医院卫生资源配置公平性,采用卫生资源密度指数进行需求预测。结果:2016-2020年,基于地理维度,西部地区中医类医院的各类卫生资源集聚度为0.29〜0.48,基尼系数均大于0.5,中医类医院卫生资源按地理面积配置较不公平。基于人口维度,西部地区中医类医院的各类卫生资源集聚度与人口集聚度的比值为1.03〜1.25,基尼系数为0.08〜0.20,中医类医院卫生资源按人口规模配置公平性较好。西部地区中医类医院、床位数和卫生技术人员的缺乏比例分别为31.86%、39.62%和49.35%。结论:“十三五”以来西部地区中医类医院卫生资源总量增加,但地理公平性较差,卫生技术人员配置不足。建议综合考虑地理和人口因素,创新中医类医院服务模式,开展互联网医疗,完善人才建设机制等,优化西部地区中医类医院卫生资源配置。
Objective:Exploring the equity of health resources in Traditional Chinese Medicine hospitals in the western region since the“13th Five-Year Plan”,predicting the demand for health resources in Traditional Chinese Medicine hospitals,and providing a reference for the optimal allocation of health resources in Traditional Chinese Medicine hospitals in the western region.Methods:Based on geographical and population dimensions,the equity of health resource allocation in traditional Chinese medicine hospitals in western China from 2016 to 2020 was evaluated by agglomeration degree and Gini coefficient,and demand prediction was carried out by using the health resource density index.Results:From 2016 to 2020,based on the geographical dimension,the concentration of various health resources in Traditional Chinese Medicine hospitals in the western region was between 0.29-0.48,and the Gini coefficient was greater than 0.5,and the allocation of Traditional Chinese Medicine health resources according to the geographical area was unfair.Based on the population dimension,the ratio of the agglomeration degree of the various health resources of Traditional Chinese Medicine hospitals in the western region are between 1.03-1.25,and the Gini coefficient is between 0.08-0.20,and the allocation of health resources of Traditional Chinese Medicine hospitals according to population size is relatively fair.The lack of Traditional Chinese Medicine hospitals,beds,and health technicians in the western region was 31.86%,39.62%,and 49.35%.Conclusion:Since the"13th Five-Year Plan",the total amount of health resources of Traditional Chinese Medicine hospitals in the western region has increased,but geographical fairness is poor and the allocation of health technicians is insufficient.It is recommended to comprehensively consider geographical and demographic factors,innovate the service model of Traditional Chinese Medicine hospitals,carry out Internet medical treatment,improve the talent construction mechanism,and optimize the allocation of health resources in Traditional Chinese Medicine hospitals in the western region.
作者
万圣洁
段桂敏
李家伟
陈丽君
赵富丽
WAN Shengjie;DUAN Guimin;LI Jiawei;CHEN Lijun;ZHAO Fuli(School of Management,Chengdu University of Traditional Chinese Medicine,Chengdu,Sichuan Province,611137,RPC)
出处
《中国医院》
北大核心
2023年第4期5-9,共5页
Chinese Hospitals
基金
教育部人文社科规划项目(21YJAZH016)
成都中医药大学杏林学者青基人才项目(QJRC2022056)。
关键词
中医类医院
卫生资源配置
西部地区
公平性
需求预测
Traditional Chinese Medicine hospitals
health resource allocation
western region
fairness
demand forecast
作者简介
通信作者:段桂敏,成都中医药大学管理学院教授,E-mail:1639359@qq.com。
