本文已被：浏览 5647次 下载 0次
中文摘要: 目的 分析我国2010—2016年基层医疗卫生资源配置现状和均等化水平，为制定优化基层卫生资源配置的政策建议提供科学依据。方法 运用泰尔指数分析我国2010—2016年基层卫生资源配置的均等化水平。结果 2010—2016年，我国基层卫生资源总量增加，差异性逐渐缩小，区域内差异是导致不均等性的主要原因。东部和东北部的基层卫生资源配置泰尔指数均为负值，基层卫生资源占比低于人口占比。基层人员的配置均衡性优于基层机构和床位配置。东部基层卫生服务诊疗人次增长速度最快，其次是中部、东北部和西部。结论 中央政府应通过转移支付功能加大对经济落后地区的卫生投入；加快区域卫生资源共享力度，引导优质卫生资源向基层下沉；制定科学合理的服务价格体系，建立以政府为主导的多元化供给机制，提升基层卫生服务的活力和服务水平。
Abstract:OBJECTIVE To analyze the status and equity of grassroots health resources allocation in China from 2010 to 2016，to provide scientific basis for optimizing grassroots health resources allocation．METHODS The Theil Index was used to analyze the equity of grassroots health resources allocation in China from 2010 to 2016．RESULTS The quantity of grassroots health resources allocation has been increased, while the inequity has been broaden which is mainly due to differences in regional internal. The Theil Index is negative value in both east region and northeast region, showing proportion of grassroots health resources is lower than that of the population in these two areas. The equity of the grassroots staff is configuration superior to that of the grassroots organizations and bed configuration. East region has the fastest growth rate in grassroots health service visits, followed by the central, northeast and the west. CONCLUSION The central government should increase the health investment in economic backward areas through the transfer payment function. Regional health resources sharing needs to be accelerated and the high quality health resources should be guided to the grassroots level increasingly. Scientific and reasonable service price system should be made and a diversified supply mechanism led by the government should be established, to improve the vitality and service level of grassroots health services.
文章编号：3201902001 中图分类号：R197 文献标志码：
基金项目:
| Author Name | Affiliation |
引用文本：