关键词: 卫生资源配置, 江苏省, 公平性, 基尼系数, 集聚度, 莫兰指数

Abstract: Objective To analyze the equity of health resource allocation in Jiangsu Province from 2018 to 2022,and to provide reference for optimizing health resource allocation in Jiangsu Province. Methods Gini coefficient,agglomeration degree and Moreland index were used to comprehensively evaluate the equity of health resources allocation in Jiangsu Province from 2018 to 2022 from three aspects：overall equity,regional differences and spatial distribution characteristics. Results In 2022,the Gini coefficient of all kinds of health resources allocated by population in Jiangsu Province was <0.2. The Gini coefficient of the number of health institutions based on land area was 0.19,the Gini coefficient of the number of health personnel and the number of beds based on land area was between 0.2 and 0.3,and the Gini coefficient of the total health expenditure based on land area had reached the warning value. Health human,material and financial resources in Jiangsu Province were relatively concentrated in the southern Jiangsu region,and the concentration of health institutions in the northern Jiangsu region was relatively higher,and the regional differences tended to decrease. The number of health institutions in the northern Jiangsu region showed a high-high clustering distribution from 2018 to 2022,and the total health expenditure in the northern Jiangsu region showed a low-low clustering distribution in 2018 and 2019. Conclusion There are regional differences in the allocation of health resources in Jiangsu Province,and the overall fairness is developing well. It is suggested to increase the investment in health resources and policy tilt in the northern Jiangsu region,strengthen the radiation role of Xuzhou City to the surrounding cities,and echo the provincial capital Nanjing to form a North-South dual center pattern.

Key words: Health resource allocation, Jiangsu Province, Equity, Gini coefficient, Agglomeration degree, Moran index