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四川省少数民族地区卫生资源配置公平性研究

[Equity of Health Resources Allocation in Minority Regions of Sichuan Province].

作者信息

Chen Nan, Tang Wen, Liang Zhi, Zou Bo, Li Xiao-song

出版信息

Sichuan Da Xue Xue Bao Yi Xue Ban. 2016 Mar;47(2):238-43.

PMID:27263302
Abstract

OBJECTIVE

To determine equity of health resources allocation in minority regions of Sichuan province from 2009 to 2013.

METHODS

Health resources distribution equity among populations and across geographic catchments were measured using coefficients of Inter-Individual differences and Individual-Mean differences.

RESULTS

Health resources, especially human resources, in minority regions increased slowly over the years. Poorer allocation equity was found in nursing resources compared with doctors and hospital beds. Better distribution equity was found among populations than across geographic catchments. High levels of equity in resource distributions among populations and across geographic catchments were found in Aba. In Liangshan, more equitable distributions were found in doctors and hospital beds compared with nurses. The rest of minority regions had poor absolute allocation equity in doctors and hospital beds among populations.

CONCLUSION

Appropriate allocation of health resources can promote health development. Health resources allocation in minority regions of Sichuan province is unreasonable. The government and relevant departments should take actions to optimize health resources allocations.

摘要

目的

确定2009年至2013年四川省少数民族地区卫生资源配置的公平性。

方法

使用个体间差异系数和个体均值差异系数来衡量人群间和地理区域间卫生资源分配的公平性。

结果

多年来,少数民族地区的卫生资源,尤其是人力资源增长缓慢。与医生和医院床位相比,护理资源的配置公平性较差。人群间的分配公平性优于地理区域间。阿坝州在人群间和地理区域间的资源分配公平性较高。在凉山州,医生和医院床位的分配比护士更公平。其余少数民族地区人群间医生和医院床位的绝对配置公平性较差。

结论

合理配置卫生资源可促进健康发展。四川省少数民族地区卫生资源配置不合理。政府及相关部门应采取行动优化卫生资源配置。

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