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该文应用卫生服务供需平衡法探讨卫生资源优化配置问题。卫生服务投入对卫生服务产出的影响可划分为两级,一是投入对利用的影响,二是投入对效果的影响。把投入、利用和效果的指标作为供需指标,如卫生服务利用指标有:居民年均就诊人次、计划免疫接种率、食品卫生监督监测覆盖率、卫生水普及率;卫生服务投入指标有:每千人口医生数、每千人口医院床位数、卫生总费用占GDP比例、卫生事业费占财政支出比例;卫生服务效果指标有:计划免疫目标疾病报告发病率、传染病发病率、婴儿死亡率、平均期望寿命。通过多元线性回归模型和重权模型计算结果提示需要加强卫生服务投入,尤其是加大财力投入。
This article applies the balance of supply and demand of health services to discuss the optimal allocation of health resources. The impact of health service input on health service output can be divided into two levels. One is the impact of input on use, and the other is the impact of input on the effect. The indicators of input, utilization and effect are taken as indicators of supply and demand. For example, the indicators for the use of health services include: average annual visits to residents, planned immunization coverage, food hygiene supervision and monitoring coverage, and sanitary water penetration rate; health service input indicators: per thousand Number of population doctors, number of hospital beds per 1,000 population, total health expenditure as a percentage of GDP, and health expenditure as a percentage of fiscal expenditure; health service performance indicators: Planned immunization target disease reporting Incidence rate, Incidence of infection, Infant mortality, Average Life expectancy. The multiple linear regression model and weighted model calculations suggest that investment in health services needs to be strengthened, especially in terms of increased financial resources.