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目的:从人口和地理角度分析评价河南省农村床位、执业医师和护士三种卫生资源配置的公平程度,为促进河南省农村卫生事业的发展提供依据。方法:采用洛伦兹曲线和基尼系数对10个样本区的执业医师、护士和床位数配置的人口和地理公平性进行测量。结果:农村卫生资源在人口配置和地理配置上已经达到较好的公平性,且人口公平性与地理公平性趋于一致,执业医师的资源配置公平性相对较差。政府应从加强农村卫生技术人才培养投入等方面促进执业医师配置公平性进一步提高,并把提高农村卫生资源配置效率作为新的发展目标。
Objective: To analyze and evaluate the fairness of the distribution of three kinds of health resources in rural areas in Henan province from the perspective of population and geography, and provide the basis for promoting the development of rural health in Henan Province. METHODS: Population and geographic fairness of 10 physicians, nurses, and bed-count configurations for the 10 sample areas were measured using the Lorenz curve and the Gini coefficient. Results: The rural health resources have reached a fairly fair distribution of population and geographical distribution, and the population fairness and geographical fairness tend to be in line with each other. The fairness of resource allocation among practicing physicians is relatively poor. The government should further improve the fairness of the allocation of practicing physicians in terms of strengthening the investment in training of rural health technicians, and take the improvement of rural health resource allocation as a new development goal.