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黄转苦, 冯忠明, 张诚一. 海南省卫生资源配置公平性泰尔指数评价[J]. 中国公共卫生, 2016, 32(4): 527-530. DOI: 10.11847/zgggws2016-32-04-30
引用本文: 黄转苦, 冯忠明, 张诚一. 海南省卫生资源配置公平性泰尔指数评价[J]. 中国公共卫生, 2016, 32(4): 527-530. DOI: 10.11847/zgggws2016-32-04-30
HUANG Zhuan-ku, FENG Zhong-ming, ZHANG Cheng-yi. Equity of health resources allocation in Hainan province: an evaluation with Theil index[J]. Chinese Journal of Public Health, 2016, 32(4): 527-530. DOI: 10.11847/zgggws2016-32-04-30
Citation: HUANG Zhuan-ku, FENG Zhong-ming, ZHANG Cheng-yi. Equity of health resources allocation in Hainan province: an evaluation with Theil index[J]. Chinese Journal of Public Health, 2016, 32(4): 527-530. DOI: 10.11847/zgggws2016-32-04-30

海南省卫生资源配置公平性泰尔指数评价

Equity of health resources allocation in Hainan province: an evaluation with Theil index

  • 摘要: 目的 了解海南省卫生资源配置公平性状况及发展趋势。方法 利用泰尔指数对2009-2012年海南省医疗卫生资源配置的公平性进行分析与评价,其中包括卫生机构、床位、卫生技术人员、医师、注册护士等6项指标。结果 2009-2012年期间,卫生资源配置的总泰尔指数在0.0159~0.1610之间,区域间卫生资源配置的泰尔指数在0.000015~0.111272之间,区域内卫生资源配置的泰尔指数在0.00706~0.050346之间;其中卫生机构区域间泰尔指数对总泰尔指数的贡献率在0.08%~36.62%,区域内泰尔指数对总泰尔指数的贡献率在63.38%~99.50%,其余各类卫生资源配置的区域间泰尔指数对总泰尔指数的贡献率在58.52%~88.92%,区域内泰尔指数对总泰尔指数的贡献率在11.08%~41.47%。结论 海南省卫生资源配置的总体公平性较差,不同经济发展水平区域卫生资源配置的公平性存在较大差异,区域间差异是导致海南省卫生资源配置不公平的主要原因。

     

    Abstract: Objective To explore current situation and change trend of the equity of health resource allocation in Hainan province.Methods Theil Index was used to analyze and evaluate the allocation equity of health resources including health institutions, hospitals beds, health technicians, physicians and nurses from 2009 to 2012 in Hainan province.Results During the period, the Theil index for overall health resource allocation varied between 0.0159 and 0.1610;the Theil index for the allocation within the region was between 0.000015 and 0.111272, and that for the inter-regional allocation was between 0.00706 and 0.050346.The contribution ratio of health institution allocation within the region to the total Theil index was between 0.08% and 36.62%, and that of inter-regional allocation to the total Theil index was between 63.38% and 99.5%;the contribution ratio of the health resources allocation other than institutions within the region to total Theil index was between 58.52% and 88.92%, and that of the inter-regional allocation to total Theil index was between 11.08% and 41.47%.Conclusion The results show that the overall equity of health resources allocation in Hainan is poor and the equity differs by conditions of economic development;the inter-regional difference in health resource allocation is a major reason for the un-balanced health resource allocation in Hainan province.

     

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