在西班牙实现公共医疗资源横向公平时，公私合作是一个重要因素吗？

IF 1.9 4区医学 Q3 HEALTH POLICY & SERVICES

International Journal of Health Planning and Management Pub Date : 2025-05-19 DOI:10.1002/hpm.3944

J De Haro-García, A Caro

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引用次数: 0

摘要

在获得和使用公共卫生资源方面实现横向公平是西班牙17个大区的主要目标之一。我们分析了西班牙医院专业护理人力和物质资源分配方面的地域不平等，注意公私伙伴关系。我们使用基尼系数、集中度和差异指数以及洛伦兹和集中度曲线来衡量不平等，发现公共部门资源较少、公共卫生支出较少的地区往往拥有较高的私营部门资源水平，这有助于实现公共卫生系统的横向公平。

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Is Public-Private Partnership a Significant Factor when Achieving Horizontal Equity in Public Healthcare Resources in Spain?

Achieving horizontal equity in the access and use of public health resources is one of the main goals of the 17 Spanish regions. We analyse geographical inequities in the allocation of human and material resources for specialised care in Spanish hospitals, paying attention to the public-private partnership. We measure inequity using Gini, Concentration and Dissimilarity indices, and Lorenz and Concentration curves, and find that regions having fewer resources in the public sector and less public health spending tend to have higher levels of resources in the private sector, which could contribute to achieve horizontal equity in the public health system.

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来源期刊

International Journal of Health Planning and Management Multiple-

CiteScore

4.50

自引率

3.70%

发文量

197

期刊介绍： Policy making and implementation, planning and management are widely recognized as central to effective health systems and services and to better health. Globalization, and the economic circumstances facing groups of countries worldwide, meanwhile present a great challenge for health planning and management. The aim of this quarterly journal is to offer a forum for publications which direct attention to major issues in health policy, planning and management. The intention is to maintain a balance between theory and practice, from a variety of disciplines, fields and perspectives. The Journal is explicitly international and multidisciplinary in scope and appeal: articles about policy, planning and management in countries at various stages of political, social, cultural and economic development are welcomed, as are those directed at the different levels (national, regional, local) of the health sector. Manuscripts are invited from a spectrum of different disciplines e.g., (the social sciences, management and medicine) as long as they advance our knowledge and understanding of the health sector. The Journal is therefore global, and eclectic.