目的:了解浙江省县域水平的卫生资源配置公平性,为更好地配置优化卫生资源提供科学依据。方法:运用洛伦兹曲线、基尼系数和泰尔指数测量卫生资源配置的人口和地理分布的公平性。结果:浙江省县域水平的医院、床位、医生按人口分布的基尼系数分别为0.240、0.158、0.110,按地理分布的基尼系数分别为0.267、0.438、0.425;区域内的泰尔指数为0.03534、0.01178、0.00726,区域间泰尔指数为0.00196、0.00651、0.00166。结论:浙江省县域卫生资源配置的公平性整体较好,人口分布的公平性优于地理分布,不公平性主要由区域内差异引起。政府应更加注重减小区域内的资源配置差异。
Objective To explore the county--level fairness of health resource allocation in Zhejiang Province for pro- viding evidence to optimize allocation. Methods Gini coefficient,Lorenz curve and Theil index were used to measure the fairness of health resource allocation in population and geographic distribution. Results The Gini coefficients of number of hospitals,hospital beds and doctors were 0. 240,0. 158,0. 110 in population distribution respectively, and 0. 267, 0. 438,0. 425 in geography respectively. The Theil indexes were 0. 035 34,0. 011 78,0. 007 26 respectively in the re- gions,and 0. 001 96,0. 006 51 ,and 0. 001 66 respectively between regions. Conclusions The fairness of health resource allocation in Zhejiang province is good on the whole. The fairness in population distribution is better than geographical distribution. The inequity is mainly due to regional differences, therefore, the government should pay more attention to reduce differences in resources allocation within regions.