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预防医学  2023, Vol. 35 Issue (3): 267-270    DOI: 10.19485/j.cnki.issn2096-5087.2023.03.019
  卫生管理 本期目录 | 过刊浏览 | 高级检索 |
深圳市医疗机构眼科资源配置公平性分析
牟敬锋1, 刘美洲2, 张少冲2
1.深圳市眼科医院公共卫生中心,广东 深圳 518040;
2.深圳市眼科医院,广东 深圳 518040
Equity of resource allocation in ophthalmology departments of medical institutions in Shenzhen City
MU Jingfeng1, LIU Meizhou2, ZHANG Shaochong2
1. Department of Public Health, Shenzhen Eye Hospital, Shenzhen, Guangdong 518040, China;
2. Shenzhen Eye Hospital, Shenzhen, Guangdong 518040, China
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摘要 目的 分析深圳市医疗机构眼科资源配置公平性,为优化深圳市眼科资源配置提供依据。方法 通过《2019年深圳市卫生统计年鉴》收集深圳市医疗机构眼科床位数和眼科医师数资料,采用洛伦茨曲线和基尼系数分析深圳市眼科资源分布和配置公平性。结果 2019年深圳市每10万常住人口有眼科床位5.95张,眼科医师4.62人;其中原特区内(包括罗湖区、福田区、南山区和盐田区)每10万常住人口有眼科床位13.35张,眼科医师9.51人,原特区外(包括光明区、宝安区、龙华区、龙岗区、坪山区和大鹏新区)每10万常住人口有眼科床位2.17张,眼科医师2.13人。全市眼科床位和眼科医师按照常住人口分布的基尼系数分别为0.348和0.243,原特区内眼科床位和眼科医师基尼系数分别为0.386和0.386,原特区外眼科床位和眼科医师基尼系数分别为0.086和0.012。与原特区内相比,原特区外眼科床位和眼科医师的洛伦茨曲线比较接近公平线。结论 深圳市医疗机构眼科床位和眼科医师总量有待提升,区域配置公平性较差,主要表现为原特区外眼科资源缺乏。
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牟敬锋
刘美洲
张少冲
关键词 眼科医疗资源公平性洛伦茨曲线基尼系数    
AbstractObjective To investigate equity of resource allocation in ophthalmology departments of medical institutions in Shenzhen City, so as to provide insights into the optimization of resource allocation in ophthalmology departments in Shenzhen City. Methods The numbers of beds and ophthalmologists in ophthalmology departments of medical institutions in Shenzhen City were collected through the Shenzhen Health Statistical Yearbook 2019. The distribution of resources and equity of resource allocation were evaluated in ophthalmology departments of Shenzhen City using Lorenz curve and Gini coefficient. Results There were 5.95 beds and 4.62 ophthalmologists in ophthalmology departments per 100 000 permanent residents in Shenzhen City in 2019. There were 13.35 beds and 9.51 ophthalmologists in ophthalmology departments per 100 000 permanent residents within the former special zone (Luohu, Futian, Nanshan and Yantian districts), and 2.17 beds and 2.13 ophthalmologists in ophthalmology departments per 100 000 permanent residents outside the former special zone (Guangming, Baoan, Longhua, Longgang, Pingshan districts and Dapeng New Area). The Gini coefficients of beds and ophthalmologists in ophthalmology departments were 0.348 and 0.243 by permanent residents in Shenzhen City, 0.386 and 0.386 within the former special zone and 0.086 and 0.012 outside the former special zone, respectively. The Lorenz curves of beds and ophthalmologists in ophthalmology departments were closer to the equity line outside the former special zone in relative to within the former special zone. Conclusion The gross number of beds and ophthalmologists remains to be increased in ophthalmology departments of medical institutions in Shenzhen City, and the equity of regional resource allocation is poor, which is mainly characterized by resource scarcity in ophthalmology departments outside the former special zone.
Key wordsophthalmology department    medical resource    equity    Lorenz curve    Gini coefficient
收稿日期: 2022-12-06      修回日期: 2023-01-13      出版日期: 2023-03-10
中图分类号:  R195  
基金资助:广东省临床教学基地教学改革研究项目(2021JD055); 深圳市“医疗卫生三名工程”项目(SZSM202011015)
作者简介: 牟敬锋,硕士,副主任医师,主要从事慢性病防治和流行病学研究工作
通信作者: 张少冲,E-mail:zhangshaochong@gzzoc.com   
引用本文:   
牟敬锋, 刘美洲, 张少冲. 深圳市医疗机构眼科资源配置公平性分析[J]. 预防医学, 2023, 35(3): 267-270.
MU Jingfeng, LIU Meizhou, ZHANG Shaochong. Equity of resource allocation in ophthalmology departments of medical institutions in Shenzhen City. Preventive Medicine, 2023, 35(3): 267-270.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2023.03.019      或      http://www.zjyfyxzz.com/CN/Y2023/V35/I3/267
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