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目的通过对内蒙古通辽市科尔沁区乡镇(苏木)卫生院卫生资源配置现状与公平性分析,查找存在的问题,为和谐社会建设和政府决策提供科学依据。方法采用整群分层随机抽样的方法,对通辽市科尔沁区9个乡镇(苏木)卫生院大型仪器设备、实有床位数等进行了调查,结果均采用SPSS15.0软件建立数据库,进行统计分析,用数学软件Matlab7.0绘制Lorenz曲线并计算Gini系数值。结果 2004～2008年五年间科尔沁区乡镇(苏木)卫生院占地面积、固定资产总值、总建筑面积、大型仪器设备、实有床位数呈现较快的增长;大型仪器设备、实有床位数按人口分布、地理分布的Gini系数分别为:0.32、0.46、0.39、0.53。结论通辽市科尔沁区乡镇(苏木)卫生院规模、布局不尽合理,卫生资源拥有量较少,条件较差,床位资源无论是按人口分布,还是按地理分布的公平性较差,在一定程度上造成了看病难,服务差等问题。这些问题可以通过推进乡镇(苏木)卫生院改革,增加资金投入等途径予以解决。
Objective To find out the existing problems by analyzing the current situation and fairness of health resources allocation in villages and towns (Sumu) hospitals in Horqin District, Tongliao City, Inner Mongolia, and to find out the existing problems so as to provide a scientific basis for the construction of a harmonious society and government decision-making. Methods A cluster stratified random sampling method was used to investigate the large-scale equipment and actual beds in nine towns (Hemu) hospitals in Horqin District of Tongliao City. The data were collected by SPSS15.0 software Analysis, using mathematical software Matlab7.0 Lorenz curve drawn and calculated Gini coefficient values. Results From 2004 to 2008, the area of township (Sumu) hospitals in Horqin district, the total fixed assets, the total floor area, the large-sized equipment and the actual number of beds showed a rapid growth. The large-sized equipment and the actual beds According to population distribution, the Gini coefficients of geographical distribution are respectively 0.32, 0.46, 0.39 and 0.53. Conclusion The township (Hemu) hospitals in Horqin District of Tongliao City are not rational in scale and layout, with less health resources and poor conditions. The bedspace resources are poorly distributed either by population or by geographical distribution. To a certain extent, it caused difficulties in seeing a doctor and poor service. These problems can be solved through such measures as promoting the reform of township (Hematoxylin) health centers and increasing capital investment.