泰国的健康不平等：各省份医疗用品的地理分布

Health inequalities in Thailand: geographic distribution of medical supplies in the provinces.

作者信息

Nishiura Hiroshi, Barua Sujan, Lawpoolsri Saranath, Kittitrakul Chatporn, Leman Martinus Martin, Maha Masri Sembiring, Muangnoicharoen Sant

机构信息

DTM&H Epidemiology Research Committee, Bangkok School of Tropical Medicine, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.

出版信息

Southeast Asian J Trop Med Public Health. 2004 Sep;35(3):735-40.

PMID:15689097

Abstract

The purpose of this study was to analyze the regional characteristics and geographic distribution of the medical staffs (physicians and nurses) and the patient beds in relation to the population and average death rates in each of the provinces in Thailand, by using the Lorenz curve and Gini coefficients. Those data were obtained from surveys conducted by the Ministry of Public Health and the Office of the National Education Commission. It was demonstrated that there are certain clear uneven distributions in medical personnel, especially physicians (Gini index = 0.433), by province. For physicians, nurses, and patient beds, approximately 39.6%, 25.8% and 20.6% are concentrated in the Bangkok Metropolis. Specific ideas to solve those problems are discussed in order to overcome this health care crisis by the year 2025.

摘要

本研究的目的是通过使用洛伦兹曲线和基尼系数，分析泰国各省份医务人员（医生和护士）及病床数量与人口和平均死亡率之间的区域特征和地理分布。这些数据来自泰国公共卫生部和国家教育委员会办公室进行的调查。结果表明，按省份划分，医疗人员尤其是医生存在明显的分布不均（基尼指数 = 0.433）。对于医生、护士和病床而言，约39.6%、25.8%和20.6%集中在曼谷都会区。为在2025年前克服这一医疗危机，本文讨论了解决这些问题的具体思路。