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本文采用变异系数评价方法和综合评价方法对我国区域间医疗卫生单项指标和综合指标的不均衡程度进行了分析。我国区域间医疗卫生不均衡发展的主要原因有:地方负责、分级管理、以县为主的医疗卫生管理体制;缺乏统一的医疗卫生资源配置标准和制度保障;我国区域间经济社会发展和财力水平的极不平衡。要促进我国医疗卫生区域均衡化应尽快制定全国统一的医疗卫生资源的最低标准,确立医疗卫生责任主体的政府层级,加大中央财政对欠发达省区的医疗卫生转移支付力度。
In this paper, the method of coefficient of variation and the method of comprehensive evaluation were used to analyze the disequilibrium between the single indicators and comprehensive indicators of medical health in China. The main reasons for the unbalanced development of medical and health services in different regions of our country are as follows: local government is responsible for management at different levels, county-based medical and health management system, lack of uniform standards for the allocation of medical and health resources and system guarantee, economic and social development and financial resources among regions in China Very unbalanced. In order to promote regional equalization of medical and health care in our country, a minimum national standard for medical and health resources should be established as soon as possible to establish the government level of the main body responsible for medical and health care and increase the payment of medical and health care transfers by the central government to the less developed provinces.