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目的立足天津市公共卫生资源配置和服务投入效率,以卫生资源配置的投入效率为切入点,基于优先级配置理论在前期实践和政策梳理基础上进行研究。方法采用IPHS及IRD指数法对2014年天津市各区县公共卫生资源的配置情况进行了分析,提出天津市卫生资源存在的主要问题,包括天津市卫生资源总量,天津市卫生资源配置公平性,天津市卫生资源经费投入,天津市公共卫生服务人员配备,天津市卫生资源费用流向和利用效率等方面。结果对应2012-2014年区位商的数据,得出基本一致的结论。为促进天津市社区基本公共卫生服务可持续发展,为拟定相关政策措施提供参考。结论天津市各区县公共卫生资源的配置情况都有很大改善,但资源配置不均仍是天津市医疗卫生事业可持续发展的障碍。
Aim Based on the allocation efficiency and service input efficiency of public health resources in Tianjin and the input efficiency of health resource allocation as the starting point, based on the prioritized allocation theory, this paper studied on the basis of previous practice and policy combing. Methods The distribution of public health resources in all districts and counties of Tianjin in 2014 was analyzed by IPHS and IRD index. The main problems existed in health resources in Tianjin were analyzed, including the total amount of health resources in Tianjin, the fairness of health resources allocation in Tianjin, Tianjin, the allocation of funds for health resources, public health service personnel in Tianjin, Tianjin, the flow of resources and utilization of health resources efficiency and so on. The results correspond to the data of 2012-2014 location quotients and arrive at basically the same conclusion. In order to promote the sustainable development of community basic public health services in Tianjin, it provides a reference for formulating relevant policies and measures. Conclusion The allocation of public health resources in all districts and counties in Tianjin has been greatly improved, but the uneven allocation of resources is still an obstacle to the sustainable development of medical and health undertakings in Tianjin.