北京市医疗资源配置与人口发展关系研究

【作者】 陈颖；

【导师】 李仲生；

【作者基本信息】 首都经济贸易大学 ， 人口、资源与环境经济学， 2008， 硕士

【摘要】 本文以北京市为研究对象,通过对北京市医疗资源配置现状的分析,以人口因素作为对医疗资源的关键影响因素进行分析,分别从人口的数量、密度、分布及人口年龄结构变化等角度出发,从医疗资源的需求与供给两个方面考察了医疗资源配置的公平性、合理性,为北京市政府进一步制定医疗卫生事业改革与发展规划,优化医疗资源配置提供信息和政策性依据。本文收集北京市历年医疗机构、各级医院数、病床数、医护人员等数据;收集全市各地区人口资料。采用动态数列极其分析指标用以描述、分析北京市医疗资源配置情况及其发展趋势。借助洛伦茨曲线(Lorenz curve)和基尼系数(Gini coeffient)方法,测量北京市2005年医疗机构、二级以上医院、医护人员、病床数的人口、老龄人口及地理分布的基尼系数,以评价医疗资源配置的公平性。研究结果表明,随着经济发展、人口城市化和老年化、疾病模式的转变,北京市居民医疗需要量将逐步提高。北京市各区县医疗资源供给不均衡,郊区与城区相差较大。通过基尼系数分析,医疗资源人口分布公平性优于地理分布公平性。医疗资源人口分布公平性和老年人口分布公平性的基尼系数都在0.3以下,为相对公平;而地理分布公平性大于0.4,为不公平状态。因此,要发展北京市的医疗卫生事业,必须强化区域规划,调整资源结构,提高资源绩效。更多还原

【Abstract】 This study takes Beijing as a research project, analyzed the health resources allocationiin Peking,and analyzed population factor as a key impact factor to the health resources allocation from the amount,density of population ,distribute and age structure variety etc.Meanwhile the relationship between its supply and demand was also expunded to analyze the equity and efficiency and some problems of the health resources of Beijing .The study provided lots of valuable information and the policy options for policy makers to make and deepen health sector reform of Beijing ,and to implement regional health planning and to optimize the health resources allocation for the government.This study collected the date through the years health organization, all levels hospital number, sickbed number, medical personnel etc. ,and collected the whole city area population data in everyplace.Adopt the dynamic series and its indexes in order to analysis health resources allocation in Beijing and its development trend.The Gini coefficients of population and geographic distribution on health-skilled personnel (certified physicians and registered nurses) , sickbed numbers and secondary hospital in Beijing were determined in 2005 applying Lorenz curve and Gini coefficient method to evaluate the distribution equity of health resources in population ,advanced age population and geographic areas.The Beijing health resource allocation structure investigating result show:Due to economic development,population urbanization and aging and change in illness pattern,people in Peking will require more medical care.The distribution is unbalanced as there is quite a difference between urban and suburb.The population distribution in medical resource is better than that in geography.In view of the population distribution and aging population distribution of health resources,the Gini coefficients were both below 0.3,which were in the range of relaive equity.Considering on the geographic distribution of health resources ,the coefficients were above 0.4,which were in the range of unfairmess.So to develop health sector in Beijing,it is necessary to enhance a district programming, adjust resources structure, raise resources results.更多还原