基于资源异质性的四川省医师资源公平性研究

目的 基于医师资源异质性假设对2008—2014年四川省医师资源配置公平性进行探讨研究,为进一步优化医师资源配置提供参考。方法 在对医师数量调整的基础上,运用基尼系数和密度指数从人口、地理和经济3个维度评价医师资源配置的公平性。结果 基层医疗机构医师占比逐年下降;四川省卫生资源密度指数高于全国;调整后,按人口和按地理分布的基尼系数值均变大,表明医师素质差异会影响医师资源配置的人口和地理公平性;而受经济分布的影响较小。结论 在医师资源配置中需考虑医师的素质差异,同时兼顾地理和经济因素。

Equity of Sichuan Provincial Physician Resources Based on Resource Heterogeneity

Objective Based on physician resource heterogeneity assumptions in Sichuan Province from 2008 to 2014, to explore physician resource allocation fairness, in order to further optimize the physician resource reference configuration. Methods Adjusting the number, the Gini coefficient index to assess the fairness of the density and the allocation of resources from physician demographic, geographic and economic dimensions. Results Primary care physicians declines; Sichuan HRDI value is higher than the national level; after adjustment, according to the Gini coefficient, population and geographical distribution are larger, which indicates that the quality of physician demographic and geographic differences affect the fairness of the physician resource allocation; and it is less affected by the economic distribution. Conclusion Physicians need to consider the allocation of resources in the difference in the quality of doctors, taking into account of the geographical and economic factors.