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目的评价新疆维吾尔自治区2009年卫生资源配置人口公平性,为新疆卫生资源配置标准研究提供科学依据。方法采用基尼(Gini)系数和洛伦兹(Lorenz)曲线,从新疆各地州市人口分布的角度出发,分析卫生机构的床位、卫生技术人员、执业(助理)医师、注册护士、万元以上设备等卫生资源的配置公平性。结果卫生资源人口分布基尼系数为0.2~0.5。床位的基尼系数最低,处于最佳公平状态,其他卫生资源均达到警戒水平以上,其中万元以上设备的公平性最差,Gini系数为0.47。结论除床位外,新疆卫生资源人口分布明显不公平,新疆卫生资源地理公平性分析不宜采用基尼系数和洛伦兹曲线的方法。
Objective To evaluate the fairness of population allocation of health resources in Xinjiang Uygur Autonomous Region in 2009 and provide a scientific basis for the research on the allocation standard of health resources in Xinjiang. Methods The Gini coefficient and Lorenz curve were used to analyze the distribution of beds, health technicians, practicing (assistant) physicians, registered nurses, equipment of more than ten thousand yuan Equity in the allocation of health resources. Results The distribution of health resources population Gini coefficient of 0.2 ~ 0.5. The Gini coefficient of the bed was the lowest, at the best fair, other health resources were above the warning level, of which the fairness of the equipment above million yuan the worst, Gini coefficient of 0.47. Conclusion Except for beds, the population distribution of health resources in Xinjiang is obviously unfair. The analysis of geographic fairness of health resources in Xinjiang should not adopt the method of Gini coefficient and Lorenz curve.