基于资源异质性的四川省医师资源公平性研究.pdfVIP

人力资源管理 Renli ziyuan guanli 仰自医院琶ID第36卷 111 崩(总第制翔)拟畸11 同 基于资源异质性的四川省医师资源公平性研究 何恩长① 赵大仁@ 孙渤星@ 刘志会@ 张瑞华① 摘要 目的基于医师资源异质性假设对2008-2014军四川省医师资源配置公平性进行研究， 为进一步优化医师资 漂配置提供参苦。万寇在对医师数量调整的基础上.运用基尼系数和密度指数从人口、地理和经济3个维度评价医师资源 配童的公平性。结果基层医疗机，构医师占比逐1:1=下降;四川省卫生资源密度指数高于全国;调整后，搜人口和撞地理分布 的基尼系数值均变大，表明医师素质差异会影响医师资源、配置的人口和地理公平性;而受经济分布的影响较小。结话在医 师资源配置申需誓虑医师的素质差异，同时兼顾地理和经济因素。 关键词 资源异质性基尼系数 E生资源密度指数新医~ 中回分自是号 R197.32 文献标志码 A 文章编号 1001-5329(2016)11-0065币03 Equity of Sichuan Provincial P,,ysician Resou rces 8ased on Resource Heterogeneity/H E Si-chang , ZHAO Da- ren . SUN 80-xin. etal.//Chinese Hospital Management . 2016 , 36 ( 11 ) : 65-67 Abstract Objective 8ased on physician resource heterogeneity assumptions in Sichuan Province from 2008 to 2014. to explore physician resource allocation fairness , in order to further optimize the physician resource reference configuration. Metlwd￥ Adjusting the number, the Gini coefficient index to assess the fairness of the density and the al- location of resources from physician demographic , geographic and economic dimensions. ResuUs Primary care physi- cians decl ines; Sichuan HRDI value is higher than the national level; after adjustment. according to the Gini coeffi- cient , population and geographical distribution are larger . which indicates that the quality of physician demographic and geographic differences affect the fairness of the physician resource allocation; and it is less affected bγthe ec。 nomic distribution . Conc伽sωn Physicians need to consider the allocation of resources in the difference in the quality of doctors , taking into account of the geographical and economic factors. Key word