Measuring the inequalities in radiotherapy health resources in Japan: comparison of the Hokkaido-Tohoku and Tokyo districts
Measuring the inequalities in radiotherapy health resources in Japan: comparison of the Hokkaido-Tohoku and Tokyo districts
复制标题
DOI：
10.1007/s11604-009-0376-6
复制
发表时间：
2010-01-01
影响因子：
2.1
通讯作者：
Aoki, Masahiko
中科院分区：
文献类型：
--
作者：
Ohba, Hisateru;Narumi, Masakazu;Aoki, Masahiko
目的。本研究的目的是衡量和比较日本北海道东北地区和东京地区之间放射治疗卫生资源的地理不平等。材料和方法。用放射治疗设施、放射科医生和放射技术人员的数量来代表放射治疗卫生资源。目标地区是北海道东北地区和东京地区的11个都道府县。基尼系数（GC）用于衡量卫生资源相对于各二级医疗卫生区人口和面积的不平等程度。进行相关分析以阐明GC与每10万人中所有癌症死亡率之间的关系。结果。山形县的平均人口和面积GC最小，而东京的平均人口GC和北海道的平均面积GC最大。东京地区放射治疗设施和放射技术人员的平均 GC 高于北海道东北地区。 GC与癌症死亡率之间没有发现显着相关性。结论。东京地区放射治疗卫生资源的地理不平等往往比北海道东北地区更大。预计《肿瘤防治基本方案》将大幅改善放射治疗体系。
Purpose. The aim of this study was to measure and compare the geographical inequalities in radiotherapy health resources between the Hokkaido-Tohoku and Tokyo districts of Japan.Materials and methods. The numbers of radiotherapy facilities, radiologists, and radiological technologists were used to represent radiotherapy health resources. The target areas were 11 prefectures in the Hokkaido-Tohoku and Tokyo districts. The Gini coefficient (GC) was used to measure inequalities in health resources in relation to the population and area of each secondary medical care zone. Correlation analysis was performed to clarify the relation between the GC and the all-cancer mortality rate per 100 000 people.Results. The mean population and area GCs of Yamagata Prefecture were the smallest, whereas the mean population GC of Tokyo and the mean area GC of Hokkaido were the largest. The mean GCs of radiotherapy facilities and radiological technologists were higher in the Tokyo district than in the Hokkaido-Tohoku district. No significant correlation was found between GC and cancer mortality.Conclusion. Geographical inequalities in radiotherapy health resources tended to be larger in the Tokyo district than in the Hokkaido-Tohoku district. It is expected that the radiotherapy system will be substantially improved by the Basic Plan to Promote Cancer Control Programs.