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目的:对陕西省卫生计生资源配置的现状和公平性进行评价。方法:采用基尼系数和卫生资源密度指数评价卫生计生资源配置的人口公平性和地理公平性;使用泰尔指数评价卫生计生资源配置的地区内部和地区间公平性。结果:陕西省卫生计生资源配置的公平性正在提高;按人口分布配置的公平性较好,按地理分布配置的公平性较差;在卫生计生资源中,卫生技术人员短缺,特别是执业(助理)医师短缺,影响了资源配置的效能和公平性。结论:应该加强卫生计生发展规划的引导作用,加大北部和南部地区卫生计生人才队伍建设,建立符合陕西省实际情况的卫生计生服务体系,从而提高卫生计生资源配置的公平性。
Objective: To evaluate the current status and fairness of health planning resources allocation in Shaanxi Province. Methods: The Gini coefficient and health resource density index were used to evaluate the population fairness and geographical fairness of health planning resources allocation. The Theil index was used to evaluate the regional and regional fairness of health planning resources allocation. Results: The fairness of health and family planning resources allocation in Shaanxi Province is improving. The fairness of distribution according to population distribution is better and the fairness of distribution according to geographical distribution is poorer. In health and family planning resources, there is a shortage of health technicians, especially practicing assistant The shortage of physicians has affected the effectiveness and fairness of resource allocation. Conclusion: It is necessary to strengthen the guideline of planning for the development of health care and family planning, increase the construction of health care professionals in the northern and southern regions, and establish a health care and family planning service system that is in line with the actual conditions in Shaanxi Province so as to improve the fairness of health and family planning resources allocation.