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廖健宏, 高洪达, 王翾, 陈其伟, 邹榕, 冯启明, 罗萍, 罗红叶. 广西城市社区卫生服务中心卫生技术人员现状及公平性分析[J]. 中国公共卫生, 2016, 32(5): 657-660. DOI: 10.11847/zgggws2016-32-05-25
引用本文: 廖健宏, 高洪达, 王翾, 陈其伟, 邹榕, 冯启明, 罗萍, 罗红叶. 广西城市社区卫生服务中心卫生技术人员现状及公平性分析[J]. 中国公共卫生, 2016, 32(5): 657-660. DOI: 10.11847/zgggws2016-32-05-25
LIAO Jian-hong, GAO Hong-da, WANG Xuan.et al, . Status and equity of medical personnel allocation in urban community health service centers in Guangxi Zhuang Autonomous Region[J]. Chinese Journal of Public Health, 2016, 32(5): 657-660. DOI: 10.11847/zgggws2016-32-05-25
Citation: LIAO Jian-hong, GAO Hong-da, WANG Xuan.et al, . Status and equity of medical personnel allocation in urban community health service centers in Guangxi Zhuang Autonomous Region[J]. Chinese Journal of Public Health, 2016, 32(5): 657-660. DOI: 10.11847/zgggws2016-32-05-25

广西城市社区卫生服务中心卫生技术人员现状及公平性分析

Status and equity of medical personnel allocation in urban community health service centers in Guangxi Zhuang Autonomous Region

  • 摘要: 目的 了解广西城市社区卫生服务中心卫生技术人员的配置现状,评价各类卫生技术人员按人口和面积分布的公平性。方法 2014年8月采用自编问卷对2013年广西壮族自治区133家城市社区卫生服务中心的3050名卫生技术人员进行调查,并通过洛伦兹曲线和基尼系数对卫生技术人员配置的公平性进行分析。结果 在3050名卫生技术人员中,男女性别比例为1:3.6,医护比为1.3:1,卫生技术人员的年龄以25~34岁(41.44%)为主,学历以大专为主(48.07%),工作年限以5~9年为主(26.69%),职称以初级为主(41.74%),高、中、初级卫生技术人员的比例为1:6.3:8.8,执业(助理)医师、注册护士、药剂人员、检验人员、影像人员按常住服务人口分布的基尼系数分别为0.378、0.294、0.354、0.359、0.465,按服务面积分布的基尼系数分别为0.679、0.625、0.652、0.654、0.636。结论 广西城市社区卫生服务中心卫生技术人员男女比例失衡,以女性为主,年龄结构趋向于年轻化,高学历高职称的人才比较稀缺,按照服务人口分布的公平性优于按照服务面积分布的公平性。

     

    Abstract: Objective To examine the status of medical personnel allocation in urban community health centers in Guangxi Zhuang Autonomous Region(Guangxi) and to evaluate the equity of the allocation.Methods A survey was conducted among 3 422 medical professionals working during 2013 at 133 urban community health service centers in Guangxi using a self-designed questionnaire in August 2014.Lorenz curve and Gini coefficient were used to analyze the equity of the medical personnel allocation.Results Among the 3 050 medical professionals with eligible response, the male to female ratio was 1:3.6 and the physician to nurse ratio was 1.3:1;41.44% were at the ages of 25-34 years;48.07% had college education;26.69% had the professional work experience of 5-9 years;and 41.74% were with primary professional titles. The ratios of the professionals with senior, secondary, and primary title were 1:6.3:8.8.The Gini coefficients for the service population-based(service area-based) allocation of practice or assistant physicians, registered nurses, pharmacists, clinic laboratory professinals, and image examination professionals were 0.378(0.679), 0.294(0.625), 0.354(0.652), 0.359(0.654), and 0.465(0.636), respectively.Conclusion There are imbalances in gender, age, and professional title ratios(more female and younger but less senior title) for the medical professionals allocation in urban community health centers in Guangxi and the equity of service population-based allocation is more superior to that of service area-based allocation.

     

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