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张丽, 苏启表, 蔡帆, 邱琇, 邢菲艳, 翁振坤, 张建华. 广州市儿科医生资源配置现状及公平性分析[J]. 中国公共卫生, 2017, 33(12): 1739-1741. DOI: 10.11847/zgggws2017-33-12-17
引用本文: 张丽, 苏启表, 蔡帆, 邱琇, 邢菲艳, 翁振坤, 张建华. 广州市儿科医生资源配置现状及公平性分析[J]. 中国公共卫生, 2017, 33(12): 1739-1741. DOI: 10.11847/zgggws2017-33-12-17
ZHANG Li, SU Qi-biao, CAI Fan.et al, . Allocation of pediatricians and its equity in Guangzhou municipality[J]. Chinese Journal of Public Health, 2017, 33(12): 1739-1741. DOI: 10.11847/zgggws2017-33-12-17
Citation: ZHANG Li, SU Qi-biao, CAI Fan.et al, . Allocation of pediatricians and its equity in Guangzhou municipality[J]. Chinese Journal of Public Health, 2017, 33(12): 1739-1741. DOI: 10.11847/zgggws2017-33-12-17

广州市儿科医生资源配置现状及公平性分析

Allocation of pediatricians and its equity in Guangzhou municipality

  • 摘要: 目的 了解广州市儿科医生资源配置现状及公平性,为广州市儿科医生资源的优化配置提供参考。方法 通过调查问卷,收集2012年10月31日-2013年10月31日广州市12个区(县级市)所有儿科医疗机构服务能力等情况,采用基尼系数分析儿科医生资源配置现状和公平性。结果 广州市儿科医生资源按人口分布的基尼系数为0.46,处于较为不公平状态,按人口医生数平均为0.97人/千人,按人口医生数最高的是天河区,达4.08人/千人,最少的是南沙区,仅有0.24人/千人。儿科医生资源按面积分布的基尼系数为0.72,处于绝对不公平状态,儿科医生数区域按面积为3.31人/km2,最高的是越秀区,达10.15人/km2,最少的是从化区,仅有0.02人/km2结论 广州市儿科医生医疗资源总量不足,儿科医生资源配置现状不合理,床位医疗资源按人口和区域面积配置均不公平。

     

    Abstract: Objective To explore the status quo and equity of pediatricians allocation in Guangzhou municipality and to provide a basis for reasonable allocation of pediatricians in the region.Methods A questionnaire survey on medical service capability was conducted among all pediatric institutions (110) in 12 districts or counties of Guangzhou municipality between October 2012 and October 2013.Lorenz curve and Gini coefficient were used to analyze the equity of pediatricians allocation.Results The Gini coefficient for the pediatricians allocation by population was 0.46,suggesting a mildly inequitable allocation.The average number of pediatrician per 1 000 population was 0.97 for Guangzhou municipality,with the highest of 4.08 for Tianhe district and the lowest of 0.24 for Nansha district.The Gini coefficient for the allocation of pediatrician by area was 0.72,suggesting an absolutely inequitable allocation.The average number of pediatrician per 1 000 square meters was 3.31 for Guangzhou municipality,with the highest of 10.15 for Yuexiu district and the lowest of 0.02 for Conghua district.Conclusion There is a deficit for overall resource of pediatric medical service and the pediatrician allocation by population and area is inequitable in Guangzhou municipality.

     

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