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目的:对甘肃省14个地州市卫生资源公平性和效率进行研究,为甘肃省卫生资源的优化配置和利用效率的提高提供科学依据和政策建议。方法:运用基尼系数分析甘肃省卫生资源配的公平性;运用数据包络分析(DEA)对甘肃省卫生资源的利用效率进行评价。结果:该省卫生资源公平性的人口分布优于地理分布,资源总量不足,结构不合理;资源利用效率总体不高,DEA弱有效市有3个,DEA有效市有4个,DEA无效市有7个。结论:政府应重视资源配置的地理分布公平性,增加卫生资源投入,优化调整资源结构,改进医院管理水平,以促使卫生资源的公平有效利用。
Objective: To study the fairness and efficiency of health resources in 14 prefectures and cities in Gansu Province, and to provide scientific basis and policy suggestions for optimizing the allocation and utilization efficiency of health resources in Gansu Province. Methods: The Gini coefficient was used to analyze the fairness of health resources distribution in Gansu Province. Data envelopment analysis (DEA) was used to evaluate the utilization efficiency of health resources in Gansu Province. Results: The distribution of health resources fairness in the province is better than the geographical distribution, the total amount of resources is insufficient and the structure is irrational. The resource utilization efficiency is generally low. There are 3 DEA weak effective markets, 4 DEA effective markets, and DEA ineffective market There are seven. Conclusion: The government should pay more attention to the fairness of geographical distribution of resources, increase the input of health resources, optimize the adjustment of resource structure, and improve the management level of hospitals in order to promote the fair and effective use of health resources.