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目的:为制定符合省情、符合各地区实际、方便操作的卫生资源配置标准提供区域分类的科学依据。方法:以湖北省1990～1997年17个地、市、州有关经济、地域、人口学、供方卫生资源及居民健康共五大类计八项观察指标实际资料为例,建立数据库。根据研究目的和资料实际情况,通过SAS FOR WINDOWS(6.12V)软件,经比较研究,结果表明,二阶段密度估计方法最佳。故将全省17个地、市、州按多指标综合作用整体状况进行样本聚类分析。结果:以1997年作为现状资料,经样本聚类分析,将全省17个地、市、州分成3类。在此基础上,进一步酌情按城区及其所辖县(市)细化调整为5个具体类别,作为因地制宜配置卫生资源的可行性分类方案。
Objective: To provide a scientific basis for the regional classification of health resource allocation standards in line with the situation in the province and in accordance with the practical and convenient operation of each region. Methods: A database was established based on the actual data of eight observational indicators including economics, geography, demographics, supply health resources, and residents’ health in 17 counties, cities and counties in Hubei Province from 1990 to 1997. According to the research purpose and data actual situation, through SAS FOR WINDOWS (6.12V) software, after comparative research, the results show that the two-stage density estimation method is the best. Therefore, 17 districts, cities, and states in the province are analyzed according to the overall status of multiple indicators. Results: According to the status quo data in 1997, the cluster analysis of 17 provinces, cities and states in the province was divided into 3 categories. On this basis, further detailed adjustments to five specific categories in the urban areas and counties (cities) under their jurisdiction as a feasible classification scheme for the allocation of health resources according to local conditions.