济南市放射诊疗设备资源配置现状及公平性分析

辐射防护通讯 ›› 2026, Vol. 46 ›› Issue (2): 12-18.

济南市放射诊疗设备资源配置现状及公平性分析

宁国英, 辛江波, 翟爱华, 顾玉江

济南市疾病预防控制中心,济南 250021

收稿日期:2025-03-26 出版日期:2026-04-20 发布日期:2026-05-07
作者简介:宁国英(1979—),女,2007年毕业于山东省医学科学院劳动卫生与环境卫生学专业,硕士,副主任医师。E-mail:ninggy365@126.com

Current situation and equity analysis of resources allocation of radioactive medical equipment in Jinan

NING Guoying, XIN Jiangbo, ZHAI Aihua, GU Yujiang, QIN Yiwen

Jinan Center for Disease Control and Prevention, Jinan 250021

Received:2025-03-26 Online:2026-04-20 Published:2026-05-07

摘要/Abstract

摘要： 采用普查的方式,对济南市放射诊疗机构(不含牙科诊所)进行调查,收集济南市12个区县放射诊疗设备资源和放射诊疗频次等数据,运用洛伦兹曲线和基尼系数对设备资源基于人口和地理分布的公平性进行分析。在人口维度上,放射诊疗机构处于绝对公平状态,放射诊断设备处于相对公平状态。在地理维度上,放射诊疗机构处于差距较大水平,放射诊疗设备为差距悬殊水平。济南市放射诊疗设备资源配置和放射诊疗频度地域间差距较大,建议优化区域分布,提高资源配置整体公平性。

关键词: 放射诊疗资源, 公平性, 洛伦兹曲线, 基尼系数, 照射频度

Abstract: A census-based survey was conducted on radioactive medical institutions(excluding dental clinics) in Jinan City. The data on radioactive medical equipment resources and the frequency of radioactive medical applications was collected from 12 districts and counties in Jinan, and equity of equipment resource based on population and geographical distribution was analyzed by Lorenz curve and Gini coefficient.In the population distribution, radioactive medical institutions were in an absolutely fair state,and radioactive medical equipment was in a relatively fair state.In terms of geography,radioactive medical institutions demonstrated significant disparity, with radioactive medical equipment showing extreme disparity. The resource allocation of radioactive medical equipment and the frequency of radioactive medical applications in Jinan City exhibit substantial regional disparities. It is recommended to optimize regional distribution and enhance overall equity in resource allocation.

Key words: radioactive medical resources, equity, Lorenz curve, Gini coefficient, frequency of exposure

中图分类号:

宁国英, 辛江波, 翟爱华, 顾玉江. 济南市放射诊疗设备资源配置现状及公平性分析[J]. 辐射防护通讯, 2026, 46(2): 12-18.

NING Guoying, XIN Jiangbo, ZHAI Aihua, GU Yujiang, QIN Yiwen. Current situation and equity analysis of resources allocation of radioactive medical equipment in Jinan[J]. RADIATION PROTECTION BULLETIN, 2026, 46(2): 12-18.

参考文献

[1] 崔俊丹,程敬亮,郭启勇,等.我国二级以上医院放射医疗设备资源现状分析[J].中国卫生资源,2017,20(03):218-221.
[2] 鲁评,张家瑞,鄢运威,等.基于集聚度的我国放射医疗设备配置公平性分析[J].卫生经济研究,2018,(6):53-57.
[3] 济南市统计局,国家统计局济南调查队.济南统计年鉴.2023[M].北京:中国统计出版社,2023.
[4] Pu L. Fairness of the distribution of public medical and health resources[J]. Front Public Health,2021,9:768728.
[5] Li Q,Wei J,Jiang F,et al. Equity and efficiency of health care resource allocation in Jiangsu Province,China[J]. Int J Equity Health,2020,19(1):211.
[6] Li J, Wu Y,Lu Y. Analysis of medical resources for allocation equity using traditional chinese medicine resource as a model[J].Int J Health Plann Manage,2022,37(6):3205-3217.
[7] 钱雯,魏咏兰,刘璟.成都市口腔卫生资源配置现状及公平性分析[J].现代预防医学,2021,48(6):1034-1037,1088.
[8] 夏千航,杨玉洁,黄仲跃,等.我国大型医用设备CT和MR配置公平性研究[J].中国卫生经济,2023,42(04):46-49.
[9] 袁文辉,苏婉敏,王培席.广东省全科医生配置公平性分析[J].卫生经济研究,2023,40(2):85-88,93.
[10] 范鑫,陈润滋,郭延萍,等.2011—2018年我国精神卫生床位资源配置的公平性趋势分析[J].现代预防医学,2020,47(10):1815-1819.
[11] 陈雪,翁淳光,曹咏梅,等.西部基层乡镇卫生院医疗设备资源的公平性研究—以重庆基层乡镇卫生院为例[J].现代预防医学,2011,38(20):4159-4162.
[12] 牛亚婷,苏垠平,梁婧,等.全国医疗照射频度估算方法研究[J].中华放射医学与防护杂志,2019,39(5):325-330.
[13] 钱前,王海华,杨勇,等.2020年杭州市医疗机构放射诊疗频度调查分析[J].中国辐射卫生,2023,32(2):125-130.
[14] 李清华,朱晓明,曾亚楠.无锡市2020年度放射诊疗资源及医疗照射应用频度调查[J].中华放射医学与防护杂志,2023,43(11):913-917.
[15] 崔俊丹.我国放射医疗设备资源配置现况及其公平性研究[D].河南:郑州大学,2018.
[16] 邢宇.2019年中国27省份地区县级放疗单位人员设备配置现状及公平性分析[D].蚌埠医学院,2022.
[17] 郭元,李明姜,陈建新,等.攀枝花市放射诊疗设备配置公平性调查[J].职业与健康,2018,34(13):1850-1853.
[18] 崔俊丹,程敬亮,郭启勇,等.我国放射医疗资源现况调查分析[J].现代预防医学,2017,44(13):2372-2375.
[19] 李丹,巢健茜.我国卫生资源集聚度对卫生资源利用效率的影响分析[J].中国公共卫生管理,2023,39(05):621-624.
[20] 刘青杰,孙全富.放射卫生的科学问题与关键技术展望[J].中华放射医学与防护杂志,2022,42(10):731-737.
[21] 范海龙,王碧艳.基于集聚度和集中指数的广西区域卫生资源配置公平性分析[J].中国卫生资源,2022,25(06):829-834+841.