【摘要】 目的 分析四川省2013—2021年妇幼保健机构卫生资源配置城乡差异，为优化全省妇幼保健卫生资源配置提供参考依据。方法 本研究基于2013—2016年《四川省卫生和计划生育统计年鉴》和2017—2021年《四川卫生健康统计年鉴》，以及2013—2021年《中国城市统计年鉴》和《四川统计年鉴》相关数据，采用基尼系数、卫生资源集聚度分析妇幼保健机构卫生资源配置公平性。结果 四川省农村地区每万人口妇幼保健机构数高于城市地区，但每万人口床位数和卫生人员数均低于城市地区。从基于人口的基尼系数来看，四川省各类妇幼保健机构卫生资源的基尼系数均低于0.4，表明公平性较好。城市地区妇幼保健机构数和卫生人员数的基尼系数均低于农村地区，而床位数的基尼系数比农村地区高。从卫生资源集聚度与人口集聚度差值来看，四川省各市（州）妇幼保健机构卫生资源的人口可及性存在较大差异；部分地区表现为相对过剩，而其他地区却相对不足，且在各市（州）内部的城乡之间也存在差异。结论 四川省妇幼保健机构卫生资源配置存在明显的城乡差异和区域差异，卫生决策部门在规划妇幼保健机构卫生资源时，要根据地区实际需求，综合考虑人口、地理面积和服务半径等社会因素，合理配置妇幼保健卫生资源。更多还原

【Abstract】 Objective To analyze and compare the urban-rural difference of health resource allocation of maternal and child health institutions in Sichuan province. Methods Gini coefficient and agglomeration degree was used to analyze the equity of health resource allocation of maternal and child health institutions in Sichuan province. Results The number of maternal and child health institutions per 10 000 population in rural areas was higher than that in urban areas, while the hospital beds and health workers per 10 000 population was lower. In terms of population-based Gini coefficient, the value of three type of health resources of maternal and child health institutions in Sichuan Province were lower than 0.4, indicating a good equity, however, the value of institutions and health workers in urban areas were lower than those in rural areas, the value of hospital beds were higher than those in rural areas. In terms of the difference between HRAD and PAD, there were great differences in the population-based accessibility of health resources of maternal and child health institutions in Sichuan province, relative excess and relative deficiency coexisted in different city(state). Moreover, there were differences in population-based accessibility to health resources of maternal and child health institutions between urban and rural areas in each city(state). Conclusion There are obvious urban-rural and regional differences in health resources allocation of maternal and child health institutions in Sichuan province. Social factors such as population, geographical area and service radius should be comprehensively considered according to the real needs in the planning of rational health resources allocation of maternal and child health institutions.更多还原