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目的:对广东省2000-2010年卫生资源配置的公平性进行分析,为卫生资源的优化配置提供科学依据。方法:采用基尼系数和泰尔指数分析广东省2000-2010年卫生机构、医院卫生院床位及卫生技术人员配置的公平程度与变化趋势。结果:广东省的卫生资源主要集中于珠三角地区。卫生资源按人口分布的基尼系数均不大于0.30,且总体呈下降趋势;床位及卫生技术人员按地理分布的基尼系数均介于0.40～0.60之间,且总体呈上升态势。区域内差异对总泰尔指数的贡献率高于区域间差异,且从区域内差异逐步转向区域间差异。结论:广东省卫生资源的配置为人口分布优于地理分布,不同经济水平地区之间公平性呈降低趋势。
Objective: To analyze the fairness of health resource allocation in Guangdong Province from 2000 to 2010, and provide a scientific basis for the optimal allocation of health resources. Methods: The Gini coefficient and the Theil index were used to analyze the fairness and trend of the allocation of beds and health technicians in health institutions and hospital clinics in Guangdong from 2000 to 2010. Results: The health resources in Guangdong mainly concentrated in the Pearl River Delta. The Gini coefficient of distribution of health resources by population is no more than 0.30, and the overall trend is declining. The Gini coefficients of beds and health technicians geographically distributed range from 0.40 to 0.60, and generally show an upward trend. The contribution rate of the intra-regional differences to the total Theil index is higher than that of the inter-regional differences and gradually shifts from intra-regional differences to inter-regional differences. Conclusion: The distribution of health resources in Guangdong Province is better than the geographical distribution of population distribution, and the fairness of different economic levels tends to decrease.