江苏省中医类医疗卫生资源配置均等化评价研究

Study on the Equalization of Medical and Health Resource Allocation for TCM in Jiangsu

  • 摘要: 中医类医疗卫生资源配置的公平性是影响中医药事业发展的重要因素。以江苏省78家公立中医类医院人力和物力卫生资源数据为基础,采用集聚度法和泰尔指数研究江苏省中医类医疗卫生资源配置的均等化水平。研究发现,江苏省各市地理集聚度介于0.062~4.270之间,使用人口数调整后的人口集聚度差异变小,介于0.085~2.356之间; 各指标泰尔指数变化范围为0.080~0.163,人力资源泰尔指数整体高于物力资源,组内贡献率均大于组间,表明导致中医类医疗卫生资源配置不均等的主要原因在于区域内部资源配置失衡。建议通过中医类资源总量扩容、物力资源均等化布局和人力资源均等化发展三方面协同推进,提升江苏省中医医疗卫生资源配置公平性。

     

    Abstract: The equity of the allocation of traditional Chinese medicine (TCM) healthcare resources is a crucial factor influencing the development of the TCM. This study utilizes data from 78 public TCM hospitals in Jiangsu Province, employing the Agglomeration Degree method and Theil index to examine the level of equalization in the allocation of TCM healthcare resources in Jiangsu province. The findings are as follows: the Health Resource Agglomeration Degree in Jiangsu Province ranged from 0.062 to 4.270, and the Population Agglomeration Degree ranged from 0.085 to 2.356. The Theil index of various indicators of TCM resources in Jiangsu Province ranged from 0.080 to 0.163. The Theil index of human resources was generally higher than that of material resources, and the within-group contribution rate was greater than the between-group contribution rate. This indicates that the main cause of inequality in the allocation of TCM medical resources lies in the imbalance of resource allocation within regions. It is recommended to improve the equity of TCM medical and health resource allocation in Jiangsu Province through coordinated efforts in three areas: expanding the total amount of TCM resources, promoting an equitable layout of material resources, and advancing the equitable development of TCM human resources.

     

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