De Haro-García J, Caro A
Applied Economics (Statistics and Econometrics) Department, University of Malaga, Malaga, Spain.
Int J Health Plann Manage. 2025 Sep;40(5):1093-1105. doi: 10.1002/hpm.3944. Epub 2025 May 19.
Achieving horizontal equity in the access and use of public health resources is one of the main goals of the 17 Spanish regions. We analyse geographical inequities in the allocation of human and material resources for specialised care in Spanish hospitals, paying attention to the public-private partnership. We measure inequity using Gini, Concentration and Dissimilarity indices, and Lorenz and Concentration curves, and find that regions having fewer resources in the public sector and less public health spending tend to have higher levels of resources in the private sector, which could contribute to achieve horizontal equity in the public health system.
在公共卫生资源的获取和使用方面实现横向公平是西班牙17个地区的主要目标之一。我们分析了西班牙医院专科护理人力和物力资源分配中的地理不平等情况，同时关注公私伙伴关系。我们使用基尼指数、集中指数和差异指数以及洛伦兹曲线和集中曲线来衡量不平等，发现公共部门资源较少且公共卫生支出较低的地区，其私营部门的资源水平往往较高，这可能有助于在公共卫生系统中实现横向公平。
