摘要目的 了解河南省地方病防治机构卫生资源配置的公平性,为政府制定地方病卫生资源配置标准提供依据.方法 收集2011年河南省地方病防治机构卫生资源相关数据,包括各市地方病防治机构的人员数、业务用房面积、设备价值、卫生经费拨款等.计算人口分布和地理分布卫生资源百分比,绘制人口公平性和地理公平性洛伦茨曲线(I0renz曲线).根据Lorenz曲线,计算各指标的人口和地理分布的基尼系数(Gini系数),利用Gini系数评价地方病防治机构卫生资源配置的公平程度.结果 Lorenz曲线可以看出,河南省18个地区的地方病防治卫生人员的人口公平性最好;但地方病防治高级职称人员的数量和拥有的设备价值总值人口公平性较差;各项卫生资源指标的地理公平性均较差,其中高级人员的地理公平性最差.18个省辖市地方病防治机构的卫生人员、高级职称人员、本科及以上人员、业务用房面积、设备价值、卫生经费拨款的人口Gini系数均＜0.4,人口公平性处于比较公平或相对合理的状态;各指标的地理Gini系数均＞人口Gini系数,并且高级职称人员的地理Gini系数超过了0.4,处于警戒状态.结论 河南省地方病机构卫生资源配置的人口公平性好于地理公平性,不同地区之间地方病卫生资源配置不平衡.

abstractsObjective To understand the fairness of health resources of endemic diseases institutions in Henan Province,to provide evidence for endemic allocation of health resources for the government.Methods Health-related data resources in endemic disease prevention and control institutions were collected in Henan Province,including personnel,business space area,the value of equipment,and health funding,etc.The percentages of population distribution and geographical distribution of health resources were calculated; Lorenz curves of demographic fairness and geographic fairness were drawn.According to Lorenz curve (Gini coefficients of the population and the geographical distribution were calculated based on Lorenz curve),Gini coefficients were used to evaluate the fairness of the endemic disease prevention institutions for health resource allocation.Results As can be seen from Lorenz curve,the population fairness of endemic disease prevention and health personnel was the best,but the number of senior officers was less and the total value of equipment owned was low.The geographical fairness of all the indicators of health resources was poorer,and geographic fairness among senior officers was the worst.The Gini coefficient of health technical personnel,senior personnel,undergraduate or above personnel,value of equipments,area of business room and health funding allocation determined by the population distribution was less than 0.4.The health resources were relatively fair and reasonable according to the distribution of population.The Gini coefficients of all the indicators determined by the distribution of geography were higher than those determined by the distribution of population.Furthermore,the geographic Gini coefficient of senior personnel was above 0.4 which was in the vigilance state.Conclusions The equality of health resources determined by population distribution in the institutions for endemic diseases control in Henan is superior to those determined by geographic distribution.The allocations of health resources of endemic diseases control in different areas are unbalanced.