Tan Hong
Department of Periodontal Mucosal Disease, The Affiliated Stomatology Hospital of Southwest Medical University, Oral & Maxillofacial Reconstruction and Regeneration of Luzhou Key Laboratory, Luzhou, Sichuan, 646000, People's Republic of China.
Risk Manag Healthc Policy. 2024 Jun 4;17:1465-1476. doi: 10.2147/RMHP.S461085. eCollection 2024.
To analyze the equity of bed allocation of the department of stomatology in Chinese hospitals and predict the development in the next 5 years, so as to provide a scientific basis for promoting the development of oral health.
Data on the beds of the department of stomatology in Chinese hospitals from 2017 to 2021 were obtained from the China Health Statistical Yearbook. The Gini coefficient, Lorenz curve, Theil index and agglomeration degree were used to analyze the equity of the bed allocation, and the grey prediction model GM(1,1) was used to predict the development from 2022 to 2026.
From 2017 to 2020, the Gini coefficient of bed allocation of the department of stomatology in Chinese hospitals was below 0.2 by population. From 2017 to 2021, the Gini coefficient of beds was above 0.6 by geography and between 0.2 and 0.3 by economy. The Theil index of beds ranged from 0.022 to 0.056 by population, from 0.532 to 0.564 by geography, and from 0.042 to 0.047 by economy. The inequity in the allocation by population was mainly from between regions, and the inequity in the allocation by geography and economy was mainly from within regions. Health resource agglomeration degree (HRAD) was greater than 2 in the eastern and central regions and less than 1 in the western region. HRAD/ population agglomeration degree (PAD) was greater than 1 in the northeast, eastern, and central regions and less than 1 in the western region. According to the prediction, the number of beds of the department of stomatology in Chinese hospitals will continue to increase, reaching 47,862.485 in 2026.
The equity of bed allocation was better by population and economy than by geography. The equity of beds in the western region is insufficient equity by population and geography, and the equity of beds in the eastern region is insufficient equity by economy.
分析我国医院口腔科床位配置的公平性，并预测未来5年的发展趋势，为促进口腔卫生事业发展提供科学依据。
从《中国卫生统计年鉴》获取2017 - 2021年我国医院口腔科床位数据。采用基尼系数、洛伦兹曲线、泰尔指数和集聚度分析床位配置公平性，运用灰色预测模型GM(1,1)预测2022 - 2026年的发展情况。
2017 - 2020年，我国医院口腔科床位配置按人口计算的基尼系数低于0.2。2017 - 2021年，按地理区域计算的床位基尼系数高于0.6，按经济区域计算介于0.2至0.3之间。床位泰尔指数按人口计算在0.022至0.056之间，按地理区域计算在0.532至0.564之间，按经济区域计算在0.042至0.047之间。按人口配置的不公平主要来自区域间，按地理和经济配置的不公平主要来自区域内。东部和中部地区卫生资源集聚度（HRAD）大于2，西部地区小于1。东北、东部和中部地区HRAD/人口集聚度（PAD）大于1，西部地区小于1。预测显示，我国医院口腔科床位数将持续增加，2026年将达到47862.485张。
床位配置按人口和经济因素的公平性优于按地理因素。西部地区床位按人口和地理因素的公平性不足，东部地区床位按经济因素的公平性不足。
