Inequalities in the geographic distribution of hospital beds and doctors in traditional Chinese medicine from 2004 to 2014.
Inequalities in the geographic distribution of hospital beds and doctors in traditional Chinese medicine from 2004 to 2014.
复制标题
2004年至2014年中医医院床位和医生地理分布的不平等
DOI：
10.1186/s12939-018-0882-1
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发表时间：
2018-11-12
影响因子：
4.8
通讯作者：
Zeng J
中科院分区：
文献类型：
--
作者：
Lu L;Zeng J
该研究确定了2004年至2014年中国省级中医医院床位和医生地理分布的不公平性。这为中医药卫生资源的优化配置提供了政策启示。我们的研究使用了2004年至2014年省级中医院床位和医生的数据。数据来源于《中国中医药年鉴2004-2014》和《中国统计年鉴2004- 2014》。采用Moran指数和局部Moran指数进行全局和局部空间自相关分析，描述中医医院床位（医生）的空间分布和密度。根据中医医院床位（医生）的分布密度，采用基尼系数估计中医医院床位（医生）地理分布的不平等性。采用Pearson相关分析法计算中医医院床位与医生基尼系数的相关性。11年来，中医院床位和医生密度的各项指标都有所增加。每万人口中医医院床位数增长最快。中医医院床位和医生密度分布的地理聚集性不明显，没有发现显著的空间自相关性;基尼系数显示，2004 - 2014年，各地区每万人口中医医院床位和每万人口医生分布较为均衡。各地区每平方公里中医医院床位（医生）的分布不均衡性存在较大差距。有针对性的卫生政策，每平方公里中医医院床位（医生）的公平分配和相关资源的平衡和协调，应该是中国医疗体系改革的优先事项。
This study identifies inequities in the provincial-level geographical distribution of traditional Chinese Medicine (TCM) hospital beds and doctors in China from 2004 to 2014. This provides policy implications of the optimal allocation of TCM health care resources. Our study used province level data on TCM hospital beds and doctors from 2004 to 2014. These data were obtained from the China TCM Yearbook 2004–2014 and the China Statistical Yearbook 2004–2014.Global and local spatial autocorrelation was performed by using Moran’s index and the local Moran’s index to describe the spatial distribution of TCM hospital beds (doctors) as well as their density. A Gini coefficient was used to estimate inequalities in the geographic distribution of TCM hospital beds (doctors) based on their density. Correlations of the Gini coefficients between TCM hospital beds and doctors were calculated by Pearson correlation analysis. All indicators of TCM hospital beds and doctor density have increased over the past 11 years. The number of TCM hospital beds per 10,000 populations increased the fastest. Geographical clustering was not obvious in the density distribution of TCM hospital beds or doctors, as no significant spatial autocorrelation was found. Gini coefficients showed that from 2004 to 2014 the distribution of TCM hospital beds per 10,000 population and doctors per 10,000 populations were equitable between different regions. A large gap existed in the distribution inequality of TCM hospital beds (doctors) per square kilometer among different regions. Targeted health policy with equitable distribution of TCM hospital beds (doctors) per square kilometer and the balance and coordination of related resources should be a priority in shaping China’s healthcare system reform.
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影响因子：
--
作者：
Asl IM;Abolhallaje M;Raadabadi M;Nazari H;Nazari A;Salimi M;Javani A
通讯作者：
Javani A
影响因子：
4.8
作者：
Tandi TE;Cho Y;Akam AJ;Afoh CO;Ryu SH;Choi MS;Kim K;Choi JW
通讯作者：
Choi JW
影响因子：
3.7
作者：
Chen R;Zhao Y;Du J;Wu T;Huang Y;Guo A
通讯作者：
Guo A
影响因子：
2.7
作者：
MORAN, PAP
通讯作者：
MORAN, PAP
DOI：
10.1590/s1020-49892013000200008
发表时间：
2013-02-01
期刊：
Revista Panamericana de Salud Pública
影响因子：
--
作者：
Petrera, Margarita;Valdivia, Martín;Almeida, Gisele
通讯作者：
Almeida, Gisele