新疆地区卫生资源配置空间公平性分析研究
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摘要
目的:评价新疆14个地州市卫生资源配置的人口与地域空间公平程度,为促进新疆卫生资源的合理配置提供依据。方法:采用基尼系数对2010-2015年卫生资源配置人口公平性进行评价;应用全局、局域空间自相关分析对地域空间上卫生资源配置的空间公平性进行探索性分析。结果:2010-2015年新疆各卫生资源指标基尼系数在0.484~0.711之间,从基尼系数变化趋势看,各卫生资源指标基尼系数整体呈现下降趋势;全局空间自相关分析提示,新疆卫生资源配置存在相互影响;局域空间自相关分析提示,卫生资源配置"冷点区域"主要分布在喀什地区、克孜勒苏柯尔克孜族自治州、和田地区、阿克苏地区;卫生资源配置"热点区域"主要分布在昌吉回族自治州。结论:新疆卫生资源配置存在不公平性现象,需针对卫生资源人口、空间分布差异,从人口、地域特征出发,对各地区给予特殊的政策扶持。
Objective: To provide a basis for the rational allocation of health resources in Xinjiang, it evaluated the population and spatial regional equity of the health resource allocation in 14 cities of Xinjiang. Methods: Gini coefficient was used to evaluate the population equity of the health resource allocation from 2010 to 2015. Global and regional research methods were used to explore the spatial equity of the health resource allocation in Xinjiang. Results:The Gini coefficients during 2010-2015 ranged from 0.484 to0.711. There was a decline trend in Gini coefficient. Global spatial autocorrelation analysis of the health resource allocation suggested that the health resource allocation in Xinjiang had a mutual influence. Additionally, the "Low-Low" areas of the health resource allocation in Xinjiang were mainly distributed in Kashi, Aksu, and Hotan and Akesu. The "High-High" areas mainly distributed in Changji. Conclusion: There was an inequity in the health resource allocation in Xinjiang. Therefore, there was a need to give special policy support according to the health resource population, spatial distribution differences, characteristics of population and geography.
Objective: To provide a basis for the rational allocation of health resources in Xinjiang, it evaluated the population and spatial regional equity of the health resource allocation in 14 cities of Xinjiang. Methods: Gini coefficient was used to evaluate the population equity of the health resource allocation from 2010 to 2015. Global and regional research methods were used to explore the spatial equity of the health resource allocation in Xinjiang. Results:The Gini coefficients during 2010-2015 ranged from 0.484 to0.711. There was a decline trend in Gini coefficient. Global spatial autocorrelation analysis of the health resource allocation suggested that the health resource allocation in Xinjiang had a mutual influence. Additionally, the "Low-Low" areas of the health resource allocation in Xinjiang were mainly distributed in Kashi, Aksu, and Hotan and Akesu. The "High-High" areas mainly distributed in Changji. Conclusion: There was an inequity in the health resource allocation in Xinjiang. Therefore, there was a need to give special policy support according to the health resource population, spatial distribution differences, characteristics of population and geography.
引文
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[4]董惠玲,吴炳义,王媛媛,等.基于GIS的2014年山东省卫生资源配置空间分析[J].中国卫生统计,2016,33(4):624-627.
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[8]贺买宏,王林,贺加,等.我国卫生资源配置状况及公平性研究[J].中国卫生事业管理,2013,30(3):197-199.
[9]顾佳峰.医改进程中县级市卫生空间博弈研究[J].中国卫生经济,2013,32(1):57-59.
[2]修燕,徐飚.卫生服务公平性研究[J].中国卫生事业管理,2002,18(6):328-329.
[3]赵晶,刘俊珍,王姗,等.基于Gini系数和空间IDW插值法的山东省卫生资源配置公平性分析[J].中国卫生统计,2016,33(1):56-58.
[4]董惠玲,吴炳义,王媛媛,等.基于GIS的2014年山东省卫生资源配置空间分析[J].中国卫生统计,2016,33(4):624-627.
[5]SRINIVASAN S.Local and global spatial statistics[M].US:Springer,2008.
[6]梁芳.基尼系数法评价我市一般卫生资源公平性[J].中国卫生统计,2007,24(4):398-399.
[7]刘冬梅,李净海,谌孙焕,等.基于基尼系数的天津市卫生资源配置公平性研究[J].现代医院管理,2016,14(3):15-17.
[8]贺买宏,王林,贺加,等.我国卫生资源配置状况及公平性研究[J].中国卫生事业管理,2013,30(3):197-199.
[9]顾佳峰.医改进程中县级市卫生空间博弈研究[J].中国卫生经济,2013,32(1):57-59.