摘要
[目的]分析四川省卫生资源配置的地区差异性,为促进四川省卫生资源协同发展提供参考。[方法]采用熵权TOPSIS法和RSR法综合评价2017-2021年四川各州(市)卫生资源的配置情况。[结果]四川省每千人口床位数、卫生技术人员、执业(助理)医师和注册护士从2017年的6.787张、6.395人、2.356人和2.754人增长到了2021年的7.908张、8.035人、2.991人和3.663人。根据熵权TOPSIS法计算,2017-2021年成都市、攀枝花市、广元市和雅安市的C值较大,排序均在前5位以内;广安市、达州市、甘孜州和凉山州的C值较小,排序均排在后5位以内。按照RSR进行分档,差的档次为甘孜州、凉山州和广安市,好的档次为广元市、雅安市、攀枝花市和成都市,其余14个州(市)为中的档次。[结论]四川省各州(市)卫生资源配置差异性较为明显,四川省卫生资源配置分档结果优质资源相对不足,应逐步缩小卫生资源配置的地区差异,促进卫生资源的协同发展。
Objective To analyze the regional differences of health resource allocation in Sichuan Province,and to provide a scientific basis for promoting the synergistic development of health resources in Sichuan Province.Methods The entropy weight TOPSIS and RSR method were used to comprehensively evaluate the allocation of health resources in prefectures(cities)of Sichuan Province from 2017 to 2021.Results The number of beds,health technicians,practicing(assistant)physicians,and registered nurses per thousand population in Sichuan Province increased from 6.787,6.395,2.356,and 2.754 in 2017 to 7.908,8.035,2.991,and 3.663 in 2021.According to the calculation of entropy weight TOPSIS method,from 2017 to 2021,the C values of Chengdu,Panzhihua,Guangyuan,and Ya an were larger and were all ranked within the top five;the C values of Guang an,Dazhou,Ganzi,and Liangshan were smaller,ranking within the bottom five.According to RSR classification,Ganzi,Liangshan and Guang an were in the poor grade;Guangyuan,Ya an,Panzhihua and Chengdu were in the good grade,and the other 14 prefectures(cities)were in the middle grade.Conclusions The differences of health resource allocation in prefectures(cities)in Sichuan Province are obvious.The classification results of health resource allocation show that the high quality resources are relatively insufficient in Sichuan Province.It is necessary to gradually reduce the regional differences in health resource allocation and promote the synergistic development of health resources.
作者
周明华
ZHOU Minghua(Administration Office,Luzhou People’s Hospital,Luzhou Sichuan 646000,China)
出处
《卫生软科学》
2024年第7期57-61,共5页
Soft Science of Health
基金
四川中医药发展研究中心资助项目(DJKYB202316)
泸州市科学技术和人才工作局2023年科技计划项目(2023ZRK207)
2024年度泸州市社科应用研究提质工程重点研究基地课题(卫生健康发展研究中心JD-WS2410,人口与发展研究中心JD-RK2405,社会公共安全研究中心JD-AQ2403)。
