【摘要】 目的：分析新疆眼科资源配置现状，为优化地区资源配置提供依据。方法：采用问卷调查收集新疆眼科医疗机构数、床位数、医师数及护士数资料，运用洛伦兹曲线和基尼系数评估其在人口和地域面积的配置公平性。结果：2024年新疆每10万人口有眼科医疗机构0.68个、眼科床位13.90张、眼科医师7.68人、眼科护士5.88人。按人口配置：眼科医疗机构数、眼科床位数、眼科医师数、眼科护士数的基尼系数分别为0.22、0.23、0.26、0.29(相对公平)；按地域面积配置：眼科医疗机构数、眼科床位数、眼科医师数、眼科护士数的基尼系数分别为0.40、0.60、0.59、0.60(高度不公平)。结论：新疆眼科资源总量显著提升，但地域配置公平性极差(基尼系数普遍大于0.4)，护士配置明显不足。亟须优化资源配置策略，重点提升地域(尤其是偏远广阔地区)可及性并加强护士队伍建设。更多还原

【Abstract】 Objective:To analyze the equity of ophthalmic resource allocation in Xinjiang and provide evidence for optimizing distribution.Methods:Data on the number of ophthalmic medical institutions,beds,physicians,and nurses in Xinjiang were collected through questionnaires.The Lorenz curve and Gini coefficient were used to evaluate allocation equity in terms of population and geographic area.Results:In 2024,Xinjiang had 0.68 ophthalmic medical institutions,13.90 ophthalmic beds,7.68 ophthalmic physicians,and 5.88 ophthalmic nurses per 100,000 population.Population-based allocation showed Gini coefficients of 0.22,0.23,0.26,and 0.29 for ophthalmic institutions,beds,physicians,and nurses respectively(relatively equitable).Geographic area-based allocation yielded Gini coefficients of 0.40,0.60,0.59,and 0.60 for the same categories(highly inequitable).Conclusions:While the total ophthalmic resources in Xinjiang have significantly increased,geographic allocation remains extremely inequitable(Gini coefficients generally>0.4),with particularly insufficient nurse staffing.Urgent optimization of resource allocation strategies is needed,focusing on improving accessibility in remote are as and strengthening the nursing workforce.更多还原