目的:评价我国2012—2015年中医药人员配置公平性。方法:综合运用HRDI(卫生资源密度指数指标)、洛伦兹曲线、基尼系数及泰尔指数等方法,分别从人口、地理两个方面,测量中医药人员配置的公平性。结果:2012年与2015年我国中医药人员按人口分布的基尼系数分别为0.1470和0.1431;2012年与2015年按地理面积分布的基尼系数分别为0.7378和0.7425:泰尔指数的结果为组内差异大于组间差异。结论:我国中医药人员按地理面积配置的公平性低于按人口配置的公平性;中医药人员配置相对的不公平更多是我国区域内部经济水平的差异造成的;政府应大力发展中医药事业,扩大中医药人员的地理覆盖率。
Objective: To evaluate the allocation equity of Chinese medicine personnel in China from 2012 to 2015. Methods: The equity of the allocation of Chinese medicine personnel was measured from the aspects of population and geography by using Health Resource Density lndex(HRDI), Lorenz curve, Gini coefficient and Theil index. Results: The Gini coefficients of Chinese medicine personnel based on population distribution were 0.147 0 and 0.143 1 respectively in 2012 and 2015. The Gini coefficients were 0.737 8 and 0.742 5, respectively, based on geographic configuration in 2012 and 2015. The intragroup result of the Tyler index was greater than between groups. Conclusion: The equity of Chinese medicine personnel based on population distribution was lower than that of population allocation. The relative equity of Chinese medicine personnel configuration was caused by the difference of the internal economic level in China. The government should vigorously develop Traditional Chinese medicine career and improve the geographical coverage of Chinese medicine personnel.