【摘要】 目的 探讨2019—2023年云南省卫生监督机构卫生健康监督员配置的公平性，为进一步优化云南省卫生监督事业改革提供依据。方法 利用国家卫生健康监督信息报告系统及云南统计年鉴数据，描述云南省卫生监督机构卫生健康监督员配置情况，并采用集聚度和泰尔指数分析其公平性。结果 2019—2023年云南省卫生健康监督员数分别为1 795、1 762、1 824、1 796和1 763名，每万人口卫生健康监督员数分别为0.37、0.36、0.39、0.38和0.38名。2019—2023年云南省四个区域的卫生健康监督员集聚度不同，滇中和滇东北始终大于1,滇西北始终最低且小于1(0.61～0.67);卫生健康监督员集聚度与人口集聚度的差值在-0.68～0.74之间，其中滇西北和滇中的差值在0附近波动，滇东北的差值始终小于0。2019—2023年云南省卫生健康监督员泰尔指数没有明显变化，按土地面积分布计算的泰尔指数(0.073～0.078)始终高于按常住人口分布计算的泰尔指数(0.030～0.032),区域间泰尔指数始终高于区域内泰尔指数。结论 云南省卫生健康监督员配备情况有所改善，但仍低于国家标准，且配置的地理公平性不如人口公平性，应综合考虑人口密度和医疗服务半径进行卫生健康监督员资源分配。更多还原

【Abstract】 Objective To explore the equity of health supervisor allocation in health supervision agencies in Yunnan Province from 2019 to 2023, and to provide a basis for further optimizing the reform of health supervision in Yunnan Province. Methods Using the National Health Supervision Information Reporting System and Yunnan Statistical Yearbook data, the configuration of health supervisors in agencies in Yunnan Province was described, and the equity was analyzed by using the agglomeration degree and the Theil Index. Results The number of health supervisors in Yunnan Province from 2019 to 2023 was 1 795, 1 762, 1 824, 1 796 and 1763, respectively; The numbers of health supervisors per 10 000 population was 0.37, 0.36, 0.39, 0.38, and 0.38, respectively.The health supervisor’s agglomeration degree in the four regions of Yunnan Province from 2019 to 2023 was different, with that in Central and Northeast regions were always greater than 1, and Northwest region was always the lowest and less than 1(0.61-0.67). The difference between the health supervisor agglomeration degree and population agglomeration degreeranged from-0.68 to 0.74, with the difference fluctuating around 0 for Northwest and Central regions, also the difference for Northeast Yunnan was always less than 0. There was no significant change in the Theil Index of health supervisors in Yunnan Province from 2019 to 2023, and the Theil Index by geographical distribution(0.073-0.078) was always higher than that calculated by population distribution(0.030-0.032), and the contribution rate between regions was greater than that with regions. Conclusion The provision of health supervisors in Yunnan Province has improved, but it is still lower than the national standard.The geographic equity of the allocation is not as fair as the demographic equity. The distribution of resources for health supervisors should be conducted with comprehensive consideration of the population density and the radius of the medical services.更多还原