【摘要】 目的 对2018年甘肃省乡村医生配置情况及公平性进行分析，为合理配置乡村医生人力资源提供科学依据。方法 以人均GDP为分类依据将甘肃省14个市州划分为四类经济地区，描述不同地区乡村医生分布现状及年龄、学历组间差异。以基尼系数、洛伦兹曲线、泰尔系数、卫生资源聚集度为指标评价乡村医生人力资源配置公平性。结果 不同经济地区间人均GDP水平、每千总人口乡村医生人数、乡村医生年龄和学历分布存在差异(P<0.05)。按总人口和乡村人口分布的乡村医生在总体及各经济地区间配置公平性较好，各经济地区间资源聚集度接近；按地理分布的乡村医生人力资源配置不公平，其差异主要来自于各经济地区内部差异，各经济地区间资源聚集度差距较大。结论 2018年甘肃省乡村医生总量满足国家规划要求，但按地理配置公平性较差，年龄和学历结构有待优化。更多还原

【Abstract】 Objective To analyze the allocation of rural doctors and its equity in Gansu Province in 2018, andto provide a scientific basis for rational allocation of rural doctors. Methods Cities in Gansu Province were assigned into four types of regions by GDP per capita. The distribution of rural doctors in different regions and the differences between groups in age and education were described. The equity of rural doctor allocation was evaluated by using Gini index, Lorenz curve, Theil index and health resource agglomeration. Results There were differences in the GDP per capita, the number of rural doctors per 1000 total population, age and education of rural doctors among different regions(P<0.05). Total or regional distribution of rural doctors was relatively equal based on total population and rural population, and the resource aggregation was close to each other in different regions. The allocation of rural doctors was unfair based on geographic distribution, which was mainly due to the internal differences within regions. There was a large gap in the resource aggregation among regions. Conclusions The number of rural doctors in Gansu Province in 2018 met the requirements of the national plan, but the equity of geographical distribution was poor, and the age and education structure of rural doctors also needed to be optimized.更多还原