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江苏卫生事业管理:2023,Vol.>>Issue(8):1026-1030
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基于Kakwani指数的内蒙古自治区基层卫生资源配置公平性分析△
胡嘉靖*
(内蒙古医科大学卫生管理学院)
Analysis on Equity of Primary Health Resources Allocation in Inner Mongolia Based on Kakwani Index△
HU Jiajing*
(College of Health Management,Inner Mongolia University)
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中文摘要: 目的:分析内蒙古自治区基层卫生资源配置的公平性,为推动基层卫生事业改革和发展提供依据和建议。 方法:采用描述性分析方法、集中指数和Kakwani指数,从绝对公平性和相对公平性两个角度评价内蒙古自治区基层卫生资源配置公平性。结果:2018-2021年,内蒙古基层卫生资源中,每万人基层卫生机构数由9.68个增加到9.78个,每千人执业(助理)医师数由1.06人增加到1.29人,每千人注册护士数 由0.58人增加到0.75人,每千人床位数由1.16张减少到1.13张。内蒙古各类基层卫生资源的集中指数均为负数,且绝对值有所增加,说明基层卫生资源存在倾向经济水平较差地区的不公平。Kakwani指数均为负数,说明经济较差地区所获得的基层卫生资源较多。结论:内蒙古基层卫生资源配置总量不足;基层卫生资源配置绝对公平性有待改善;基层卫生资源配置的相对公平性较好。
Abstract:Objective:To examine the equity of health resource distribution in the Inner Mongolia and furnish evidence-based recommendations to advance the primary healthcare reform and development. Methods:This study employs descriptive analysis,concentration index,and Kakwani index to assess the equity of primary healthcare resource allocation in the Inner Mongolia Specifically,it examines the allocation of resources from both an absolute equity perspective and a relative equity perspective. Results:Among the primary health resources in Inner Mongolia between 2018 and 2021,the number of primary healthcare institutions per 10,000 individuals increased from 9.68 to 9.78,the number of practicing and assistant doctors per 1,000 individuals increased from 1.06 to 1.29,the number of registered nurses per 1,000 individuals increased from 0.58 to 0.75,and the number of beds per 1,000 individualsdecreased from 1.16 to 1.13 in Inner Mongolia. The concentration index of primary healthcare resources in Inner Mongolia is negative,with an increased absolute value indicating a higher degree of unequity in economically disadvantaged areas. The Kakwani indices are negative for all types of primary healthcare resources,indicating that economically disadvantaged areas have relatively more access to primary healthcare resources. Conclusion:The total amount of primary healthcare resources in Inner Mongolia is inadequate. Thus,there is a need to enhance the absolute equity of healthcare resource allocation at the grass-roots level. The allocation of health resources at the grass-roots level is comparatively equity.
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基金项目:内蒙古自然科学基金青年项目(2022QN07001);内蒙古健康政策研究项目(HP2022006);内蒙古自治区高等学校科学研究项目(NJSY21607) 内蒙古自然科学基金青年项目(2022QN07001);内蒙古健康政策研究项目(HP2022006);内蒙古自治区高等学校科学研究项目(NJSY21607)
引用文本:
胡嘉靖*.基于Kakwani指数的内蒙古自治区基层卫生资源配置公平性分析△[J].江苏卫生事业管理,2023,34(8):1026-1030.
HU Jiajing*.Analysis on Equity of Primary Health Resources Allocation in Inner Mongolia Based on Kakwani Index△[J].Jiangsu Health System Management,2023,34(8):1026-1030.

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