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目的:探讨我国妇幼保健服务资源在各省间配置的均衡性和公平性。方法:收集2009年全国各省妇幼卫生保健服务资源配置相关数据,包括各省的妇幼保健机构数,妇幼机构医师数、护士数、床位数,其他医院的妇科床位数、儿科床位数。应用洛仑茨曲线和基尼系数进行资源配置的均衡性和公平性分析。结果:各省的妇幼保健卫生资源配置的公平性较好,6个指标的基尼系数均在0.3以下,且妇幼保健机构数在人口稀少的边远贫困地区配置较高,而妇幼保健拥有量较低的多为人口密集的东部经济发达地区。结论:我国妇幼保健服务的资源配置充分考虑了各地的人口数量和卫生服务的可及性,边远地区的每万人妇幼保健机构占有量高于其他地区。今后应适当增加边远地区妇幼保健服务的医护人员数和床位数。
Objective: To explore the balance and fairness of MCH resources in different provinces. Methods: Data on maternal and child health care resource allocation in all provinces of China were collected in 2009, including the number of maternal and child health institutions, the number of maternal and child institutions physicians, nurses, beds in other provinces, the number of gynecological beds and pediatric beds in other hospitals. The Equilibrium and Equity Analysis of Resource Allocation Based on Lorentz Curve and Gini Coefficient. Results: The M & E health resource allocation in all provinces was relatively fair. The Gini coefficients of the six indicators were all below 0.3, and the number of MCH institutions was relatively high in the remote and poorly populated areas but lower in the proportion of maternal and child health care Mostly densely populated eastern economically developed areas. Conclusion: The allocation of resources for maternal and child health care services in our country fully considers the population and the availability of health services in all areas, and the maternal and child health care institutions in remote areas occupy more places than other regions. The number of health care workers and beds in maternal and child health services in remote areas should be appropriately increased in the future.