新医改后天津医院药师配置状况及公平性研究δ-中国药房.pdfVIP

新医改后天津市医院药师配置状况及公平性研究Δ ＊ 何永志 （天津中医药大学中药学院，天津 300193） 中图分类号 R95 文献标志码 A 文章编号 1001-0408（2014）13-1159-03 DOI 10.6039/j.issn. 1001-0408.2014.13.03 摘 要 目的：了解新医改后天津市医院药师的配置状况及公平性，为进一步深化医改提供决策参考。方法：运用描述性方法分 析新医改后天津市医院药师配置的变化情况，采用Lorenz 曲线与Gini 系数、Theil 指数分析其配置公平性程度。结果：新医改后天 津市医院药师按人口分布Gini 系数均＞0.4，按地理面积分布Gini 系数均＞0.8；反映配置公平性的总Theil 指数与Gini 系数变化趋 势基本一致，区域间差异对总Theil 指数贡献率超过80％。结论：新医改后天津市医院药师总量依然不足，配置公平性较低，“高水 平的不公平”和“低水平的公平”并存，城乡差距较大。需以农村地区医疗机构为重点大力发展医院药师队伍，并针对不同区域采 取不同的发展策略。 关键词 天津市；医院药师；新医改；Gini 系数；Theil 指数 Study on Allocation of Hospital Pharmacist and Its Fairness in Tianjin after New Medical Reform HE Yong-zhi （College of Chinese Material Medical ，Tianjin University of Traditional Chinese Medicine ，Tianjin 300193，China ） ABSTRACT OBJECTIVE ：To realize allocation of hospital pharmacist and its fairness in Tianjin after new medical reform ，and to provide policy-making reference for the further development of medical reform. METHODS ：General descriptions were used to analyze the changes of hospital pharmacist allocation in Tianjin after new medical reform. The extent of allocation fairness was ana- lyzed by Lorenz curve ，Gini coefficient and Theil index. RESULTS ：The Gini coefficients of Tianjin hospital pharmacists after new medical reform were greater than 0.4 and 0.8，according to population distribution and geography area distribution respectively. The total variation tendencies of Gini coefficient and Theil index were generally consistent. Rate of contribution of inter-regional differ- ence for the total Theil index was more than 80％. CONCLUSIONS ：The total amounts of hospital pharmacists in Tianjin after new medical reform are not enough ，and allocation fairness is lower ；“high-level unfairness”coexists with “low-level fairness”；the dif- ference between urban and rural is huge. So the government should strongly emphasis on the developme