北京市全科医师资源配置公平性分析OA

Objective To analyze the equity and changing trend of general practitioners resource allocation in Beijing from 2010 to 2024,and provide evidence for optimizing the resource allocation.Methods The number of general practitioners was ob-tained from the Compilation of Beijing Health Work Statistics from 2010 to 2024,and the geographical area and permanent popula-tion data of each district were obtained from Beijing Statistical Yearbook.The health resource aggregation degree,Gini coefficient and Theil index were used to evaluate the equity of resource allocation from both demographic and geographical dimensions,and the spatial and temporal differences were decomposed by functional areas.Results Although the total number of general practition-ers increased by 1,006.26%from 2010 to 2024,reaching 2.69 general practitioners per 10,000 population in 2024,which still fell short of the 2030 target.HRAD analysis revealed that the ratio of GP resource agglomeration to population agglomeration re-mained＞1 in the core,expansion,and ecological areas,while it was＜1 in the development new area.The Gini coefficient indi-cated that the demographic dimension remained absolutely equitable,while the geographical dimension peaked at 0.41 in 2022 de-clining to 0.28 in 2024,reflecting persistent regional disparities.The Theil index showed that the contribution rate of geographical dimension exceeded 85%,which value consistently higher than that of the demographic dimension,highlighting inter-regional inequities.Conclusion The general practitioner resource allocation in Beijing exhibits a structural contradiction between aggregate growth and lagging regional adaptation,characterized by resource redundancy in core areas and shortages in peripheral areas.However,the equity has generally improved over time.Policy recommendations include optimizing resource distribution based on population mobility and geographical coverage,and strengthening medical alliances and telemedicine to enhance the equity.