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京津冀医疗卫生一体化已经进入到加速推进阶段,而医疗资源配置仍存在较大的区域差异。在河北省、北京和天津的一些落后地区由于投入不足,使其面临着优质医疗短缺的问题,居住在该区域的居民需要采用“走出去”的方式来解决大病就医问题。为了解京津冀医疗资源配置基本情况,作者利用基尼系数、泰尔指数测算京津冀医疗资源配置的公平性程度和变动趋势。结果显示:京津冀按人口配置的医疗资源公平性呈逐年递增的趋势;医疗卫生资源配置区域间差异大于区域内的差异;天津市医疗资源配置公平性较差,河北省医疗资源配置公平性较好;医疗卫生机构床位的公平性高于卫生技术人员的公平性。
Beijing-Tianjin-Hebei integration of health care has entered an accelerated phase, while the allocation of medical resources, there are still large regional differences. In some backward areas of Hebei Province, Beijing and Tianjin, due to inadequate investment, they face the problem of high-quality medical shortage. Residents living in the region need to adopt the “going out” approach to solving the serious illness and medical problems. In order to understand the basic situation of Beijing-Tianjin-Hebei medical resources allocation, the author uses the Gini coefficient and Theil index to calculate the fairness and trend of the medical resources allocation of Beijing-Tianjin-Hebei. The results show that the fairness of medical resources in Beijing, Tianjin and Hebei Provinces is increasing year by year. The difference in the distribution of medical and health resources is greater than that in the region. The fairness of medical resources allocation in Tianjin is poor and the fairness of medical resource allocation in Hebei Province Better; the fairness of beds in medical and health institutions is higher than that of health technicians.