经济学-广州市卫生资源的空间布局及综合评价研究论文

广州市卫生资源的空间布局及综合评价研究【摘要】目的：对 2018 年广州市卫生资源空间布局进行综合评价与分析，为卫生行政部门规划卫生资源分配提供科学依据。方法：进行统计分析，并采用洛伦兹曲线和基尼系数进行测量和分析卫生资源配置的公平性程度，运用Malmquist 指数纵向比较 2008-2018 年全要素生产率。结果：2018 年广州市卫生机构数、床位数、卫生技术人员数按常住人口分布的基尼系数分别为0.18、0.31、0.31;按地理空间配置的基尼系数分别为 0.48、0.71、0.73。结论：广州市卫生资源总体上配置均衡且按人口分布处于合理状态；按地理分布的卫生资源配置处于相对不公平状态。卫生人力资源配置不均衡和物力资源不均衡是卫生资源配置不均衡的主要问题。应通过加大对新城区和卫生资源匮乏地区的卫生资源投入，重点加强技术的提升和优化人力资源配置。【关键词】卫生资源；空间布局；综合评价；基尼系数；洛伦兹曲线Spatial Distribution of Health Resources And Its Comprehensive Evaluation in Guangzhou city [Abstract] Objective: To carry out a comprehensive evaluation and analysis of the spatial layout of health resources in Guangzhou in 2018, and to provide a scientific basis for the health administrative departments to plan the allocation of health resources. Methods: Statistical analysis was carried out, the fairness of the allocation of sanitary resources was measured and analyzed using the Lorenz curve and the Gini coefficient, and the Malmquist index was used to compare the total factor productivity for 2008-2018. Results: In 2018, the Gini coefficient of the number of health institutions, beds and health technicians in Guangzhou by resident population was 0.18, 0.31 and 0.31, respectively, and the Gini coefficient by geospatial configuration was 0.48, 0.71 and 0.73, respectively. Conclusion: The overall allocation of health resources in Guangzhou is balanced and the distribution of population is reasonable, and the allocation of health resources according to geog...