[1]雷 鹏,冯志昕,丁荆妮,等.中国医疗资源配置与服务利用现状评价[J].卫生经济研究,2019,(05):50-55.
 LEI Peng,FENG Zhi-xin,DING Jing-ni,et al.Evaluation of the status quo of medical resource allocation and service utilization in China[J].Journal Press of Health Economics Research,2019,(05):50-55.
点击复制

中国医疗资源配置与服务利用现状评价
分享到:

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
期数:
2019年05期
页码:
50-55
栏目:
卫生资源
出版日期:
2019-04-26

文章信息/Info

Title:
Evaluation of the status quo of medical resource allocation and service utilization in China
作者:
雷 鹏1冯志昕23丁荆妮1段 睿1余 红1刘奇川1
1.荆门市第一人民医院,湖北 荆门 448000
2.英国南安普顿大学老年学研究中心、人口变化研究中心,1SO17 1BJ
3.中山大学地理科学与规划学院,广东 广州 510275
Author(s):
LEI PengFENG Zhi-xinDING Jing-niDUAN RuiYU HongLIU Qi-chuan
Jingmen First People's Hospital,Jingmen Hubei 448000
关键词:
医疗资源医疗服务公平性利用效率
Keywords:
medical resourcesmedical servicesfairnessutilization efficiency
分类号:
R19
文献标志码:
A
摘要:
目的:评价我国医疗资源配置与服务利用状况,为科学制定卫生事业发展规划提供参考。方法:运用卫生资源密度指数、基尼系数、依据理想方案相似性的顺序优选技术,评价各地医疗资源配置公平性和医疗服务利用水平。结果:各地区各类医疗资源指标HRDI值自东向西递减;按土地面积计算的基尼系数远高于按人口数量计算的基尼系数;“高医疗资源配置、高医疗服务利用”的省级行政区仅有4个。结论:着力提升西部地区医疗服务的地理可及性;加强中西部区域医疗中心建设和远程医疗技术应用;优化区域医疗卫生规划、提高医疗资源配置效能。
Abstract:
Objective To evaluate the status of medical resource allocation and service utilization in China,and provide reference for the scientific development of health care development plans. Methods The health resource density index,the Gini coefficient,and the sequential optimization techniques based on the similarity of ideal programs were used to evaluate the fairness of medical resource allocation and the level of medical service utilization. Results The HRDI values of various medical resource indicators in various regions decreased from east to west;the Gini coefficient calculated according to the land area was much higher than the Gini coefficient calculated according to the population;there are only four provincial administrative districts that use resource allocation and high medical service utilization. Conclusion It is necessary to focus on improving the geographical accessibility of medical services in the western region,to strengthen the construction of medical centers in the western region and the application of telemedicine technology and optimize regional medical and health planning and improve the efficiency of medical resource allocation.

参考文献/References:

[1] Yip WC, Hsiao WC, Chen W, et al. Early appraisal of China's huge and complex health-care reforms [J]. Lancet, 2012,379(9818): 833 - 842.
[2] 来有文. 西藏卫生资源配置与利用分析及评价研究[D]. 济南:山东大学, 2014.
[3] 方勇, 斯朗, 郑小华, 等. 卫生人力资源密度指数研究[J]. 中国卫生事业管理, 2000(4): 253-254.
[4] Gastwirth JL. A general definition of the Lorenz Curve [J]. Econometrica, 1971, 39(6): 1037-1039.
[5] 孙振球. 医学综合评价方法及其应用[M]. 北京: 化学工业出版社, 2006: 53-56.
[6] 夏冕,罗五金.我国卫生人力资源配置的公平性分析[J]. 医学与社会, 2009, 22(2): 36-38.
[7] 贺买宏. 我国卫生服务公平性研究[D]. 重庆: 第三军医大学, 2013.
[8] 吴倩倩, 尹文强, 林经纬, 等. 我国全科医生配置与居民利用服务现状评价研究[J]. 中华医院管理杂志, 2018, 34(7): 547-551.

相似文献/References:

[1]张洪源,包胜勇.药企与公立医院合作办医的现状、动因及问题[J].卫生经济研究,2017,(12):42.
[2]吴 丽,邵 琼,卢汉体,等.公立医院医疗服务评价指标可比性的探讨——以住院均次费用为例[J].卫生经济研究,2018,(12):58.
 WU Li,SHAO Qiong,LU Han-ti,et al.Discussion on the Comparability of Medical Service Evaluation Indicators in Public Hospitals——Taking the Average Cost of Hospitalization as An Example[J].Journal Press of Health Economics Research,2018,(05):58.
[3]张梦倩,王艳翚,钱珍光,等.我国互联网医院发展模式分析[J].卫生经济研究,2019,(05):23.
 ZHANG Meng-qian,WANG Yan-hui,QIAN Zhen-guang,et al.Analysis on the Development Model of Internet Hospitals in China[J].Journal Press of Health Economics Research,2019,(05):23.
[4]林 萍,刘 宝.医疗服务价格动态调整机制探讨[J].卫生经济研究,2019,(08):20.
 LIN Ping,LIU Bao.The Dynamic Adjustment Mechanism of Medical Service Price[J].Journal Press of Health Economics Research,2019,(05):20.
[5]郑慧凌,苏敏艳,张娜娜,等.江苏省中医医院医疗资源配置效率评价研究——基于Malmquist指数[J].卫生经济研究,2019,(09):44.
 ZHENG Hui-ling,SU Min-yan,ZHANG Na-na,et al.Study on Evaluation of Medical Resource Allocation Efficiency in Jiangsu Traditional Chinese Medicine Hospital—— Based on the Malmquist Index[J].Journal Press of Health Economics Research,2019,(05):44.
[6]苏丽丽,侯静静,黄晓光,等.县域紧密型医联体的建设与发展研究——以江苏连云港赣榆区实践为例[J].卫生经济研究,2020,(03):36.
 SU Li-li,HOU Jing-jing,HUANG Xiao-guang,et al.Study on Construction and Development of County-level Compact Medical Consortium——Taking the Practice of Ganyu District in Lianyungang,Jiangsu as An Example[J].Journal Press of Health Economics Research,2020,(05):36.
[7]欧日勤.公立医院医疗服务价格补偿效果研究[J].卫生经济研究,2020,(11):51.
 OU Ri-qin.Study on the Effect of Price Compensation for Medical Services in Public Hospitals[J].Journal Press of Health Economics Research,2020,(05):51.
[8]宫芳芳,李亚男,孙喜琢.我国整合照护服务体系的构成与问题研究[J].卫生经济研究,2020,(12):9.
 GONG Fang-fang,LI Ya-nan,SUN Xi-zhuo.Research on Composition and Problems of Integrated Care Service System in China[J].Journal Press of Health Economics Research,2020,(05):9.
[9]钱 明.浙江省医康养整合服务探析——基于卫生服务整合视角[J].卫生经济研究,2021,38(5):42.
 QIAN Ming.Analysis on the Integration of Medical and Rehabilitation and Pension Service in Zhejiang Province——From the Perspective of Health Service Integration[J].Journal Press of Health Economics Research,2021,38(05):42.
[10]陈子梦,张梦茹,路 云,等.基于国际经验的我国医疗服务价格形成机制研究[J].卫生经济研究,2021,38(10):60.
 CHEN Zi-meng,ZHANG Meng-ru,LU Yun,et al.Research on the Price Formation Mechanism of Medical Services in China Based on International Experience[J].Journal Press of Health Economics Research,2021,38(05):60.

更新日期/Last Update: 2019-04-26