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目的通过对2013年广西壮族自治区14个市妇幼保健卫生资源配置的公平性和利用有效性进行评价分析,为提高资源配置公平性和利用效率提供参考依据。方法采用基尼系数,从14个市人口分布和地理分布的角度,分析各市妇幼保健卫生资源配置的公平性;利用数据包络分析法(data envelopment analysis,DEA)对各市妇幼保健卫生资源利用效率进行横向评价。结果 3项妇幼保健卫生资源按人口分布配置均优于按地理分布配置;10/14的城市处于非DEA有效,在非DEA有效的城市中有90%出现规模效益递减,妇幼卫生资源的投入冗余与产出不足同时并存。结论增加妇幼卫生经费投入,建立人才引进激励机制,制定完善双向转诊制度,加大农村和边远少数民族地区倾斜力度,强化妇幼保健机构内涵发展等系列措施,有助于进一步改善和提高各市妇幼保健卫生资源配置的公平性和利用效率。
Objective To evaluate and evaluate the fairness and utilization of MCH resources in 14 cities in Guangxi Zhuang Autonomous Region in 2013, and provide references for improving the fairness and efficiency of resource allocation. Methods The Gini coefficient was used to analyze the fairness of maternal and child health resource allocation in each city from the perspective of population distribution and geographic distribution in 14 cities. Data envelopment analysis (DEA) was used to evaluate the utilization of maternal and child health resources Horizontal evaluation. Results 3 maternal and child health resources were better than geographically distributed according to population distribution; 10/14 cities were non-DEA effective, 90% of the cities without DEA had economies of scale decreasing, maternal and child health resources investment being redundant I coexist with insufficient output. Conclusions A series of measures to increase funding for MCH and maternal and child health, establish incentive mechanism for the introduction of talents, formulate and improve the two-way referral system, intensify the tilt in rural and remote ethnic minority areas and strengthen the connotation development of MCH institutions will be helpful to further improve and increase the level of maternal and child The fairness and utilization efficiency of health resources allocation.