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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0.035 34、0.011 78、0.007 26,区域间泰尔指数为0.001 96、0.006 51、0.001 66。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 understand the fairness of health resource allocation at the county level in Zhejiang Province and to provide a scientific basis for better allocation of optimal health resources. METHODS: The fairness of population and geographical distribution of health resource allocation was measured using Lorentz curve, Gini coefficient and Theil index. Results: The Gini coefficients of hospitals, beds and doctors in population distribution in Zhejiang Province were 0.240,0.158 and 0.110, respectively. The Gini coefficients of geographical distribution were 0.267, 0.438 and 0.425, respectively. The Theil index in the region was 0.035 34, 0.011 78,0.007 26, the inter-region Theil index was 0.001 96,0.006 51,0.001 66. Conclusion: The fairness of county health resources allocation in Zhejiang Province is better on the whole, the fairness of population distribution is better than the geographical distribution, and the unfairness is mainly caused by the intra-regional differences. The government should pay more attention to reducing the differences in resource allocation in the region.