摘要
目的对2016—2020年贵州省妇幼保健机构卫生资源配置公平性进行分析,并预测“十四五”期间资源发展趋势,为优化贵州省妇幼卫生资源配置提供参考。方法本研究采用洛伦兹曲线、基尼系数及泰尔指数从人口、地理两个维度分析2016—2020年贵州省妇幼卫生资源配置公平性,并采用灰色GM(1,1)模型预测2021—2025年贵州省妇幼卫生资源发展趋势。结果贵州省妇幼卫生资源总量均呈现增长趋势,年均增长率均超过10%,除每万人口执业(助理)医师数(1.1918人)外,其他妇幼卫生资源每万人口和每平方公里占有量均超过全国平均水平;妇幼卫生资源按人口配置公平性高于地理配置公平性;各类妇幼卫生资源的区域内泰尔指数均大于区域间,区域内差异贡献率基本超过91%;预测值显示,2025年每万人口将拥有妇幼保健机构0.023家、床位4.054张、卫生技术人员6.077人、执业(助理)医师1.806人、注册护士2.991人。结论贵州省妇幼保健机构卫生资源配置水平逐步提升,妇幼保健机构卫生资源配置公平性较高,但按地理配置的公平性仍有待提高,区域内差异是影响妇幼保健机构卫生资源配置公平性的主要原因,“十四五”期间妇幼卫生资源总量将持续增长,需完善妇幼卫生资源配置规划。
Objective To analyze the equity of health resource allocation in maternal and child health care facilities in Guizhou Province from 2016 to 2020,and to predict the trajectory of relevant resource development during the"14th Five Year Plan"period,in order to provide evidence for optimizing the allocation of maternal and child health resources in Guizhou Province.Methods Using Lorenz curve,Gini coefficient,and Theil index,this study analyzed the equity of maternal and child health resources allocation in Guizhou Province from 2016 to 2020 from demographic and geographical dimensions.Grey GM(1,1)model(Grey Model First Order One Variable)was used to predict the development trend of maternal and child health resources in Guizhou Province from 2021 to 2025.Results The total amount of maternal and child health resources in Guizhou Province was increasing during the study period,with an average annual growth rate of over 10%.Except for the number of practicing(assistant)doctors per 10000 population(1.1918),the remaining maternal and child health resources per 10000 population and per square kilometer all exceeded the national average.The equity of maternal and child health resources allocation in regard of population was better than that of geographical allocation.The intra-regional Theil index of various maternal and child health resources was larger than that across regions,with intra-regional differences accounted for over 91%of the disparities.The prediction showed that in 2025,every 10000 people would have 0.023 maternal and child health care facilities,4.054 beds,6.077 health technicians,1.806 practicing(assistant)doctors,and 2.991 registered nurses.Conclusions The allocation of health resources in maternal and child health care facilities in Guizhou Province has been improving,with fairly high level of equity in maternal and child health resources allocation.However,geographical allocation still needs to be improved.Regional differences are the main factor affecting the equity of maternal and child health resources allocation.During the"14th Five Year Plan"period,the total amount of maternal and child health resources is predicted to maintain the growing momentum,while a reasonable plan is necessary to improve the allocation of maternal and child health resources.
作者
张衍萍
洪阳
何蕾
洪峰
徐源忆
陈莹
刘治华
ZHANG Yanping;HONG Yang;HE Lei;HONG Feng;XU Yuanyi;CHEN Ying;LIU Zhihua(School of Public Health,Guizhou Medical University,the Key Laboratory of Environmental Pollution Monitoring and Disease Control,Ministry of Education,Guiyang,Guizhou 550025,China)
出处
《中国预防医学杂志》
CAS
CSCD
北大核心
2023年第8期806-813,共8页
Chinese Preventive Medicine
基金
贵州省卫生健康委科学技术基金项目(gzwjkj2020-1-195)
贵州省卫生健康委科学技术基金项目(gzwkj2021-401)。
关键词
妇幼保健
卫生资源
公平性
预测
Maternal and child health care
Health resources
Equity
Prediction
