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赵宝, 乔学斌, 陆慧, 王中华, 苏益民, 王大鹏. 江苏苏北地区乡镇卫生人力资源现状与配置公平性分析[J]. 中国公共卫生, 2015, 31(9): 1184-1187. DOI: 10.11847/zgggws2015-31-09-23
引用本文: 赵宝, 乔学斌, 陆慧, 王中华, 苏益民, 王大鹏. 江苏苏北地区乡镇卫生人力资源现状与配置公平性分析[J]. 中国公共卫生, 2015, 31(9): 1184-1187. DOI: 10.11847/zgggws2015-31-09-23
ZHAO Bao, QIAO Xue-bin, LU Hui.et al, . Status and equity of health human resources allocation in township health centers in northern Jiangsu province[J]. Chinese Journal of Public Health, 2015, 31(9): 1184-1187. DOI: 10.11847/zgggws2015-31-09-23
Citation: ZHAO Bao, QIAO Xue-bin, LU Hui.et al, . Status and equity of health human resources allocation in township health centers in northern Jiangsu province[J]. Chinese Journal of Public Health, 2015, 31(9): 1184-1187. DOI: 10.11847/zgggws2015-31-09-23

江苏苏北地区乡镇卫生人力资源现状与配置公平性分析

Status and equity of health human resources allocation in township health centers in northern Jiangsu province

  • 摘要: 目的分析江苏省苏北地区乡镇卫生人力资源数量和结构现状,以服务人口为基础分析苏北乡镇卫生人力配置的公平性,为优化配置农村卫生人力提供依据。方法采用自填问卷方式,对苏北5市乡镇卫生人力资源进行普查,利用Lorenz曲线和Gini系数对人力资源配置的公平性进行分析。结果2012年苏北地区5市共有乡镇卫生人员47 886 人,其中卫技人员36 855人(77.0%);每千人口配置乡镇卫生人员数为1.63人,高于全国农村平均水平的1.37人;男女性别比为0.65∶1;低年龄组的比例较低,<25岁组占12.12%;高学历人才稀缺,本科占13.47%,研究生仅为0.33%;且人力资源基本构成指标存在较为明显的地区差异;乡镇卫技人员按人口分布的配置公平性水平较好(G=0.33),但公卫医师(G=0.53)和口腔医师(G=0.69)配置差距悬殊。结论各级政府应进一步优化以农村居民的卫生服务需要为基础、以基本公共卫生服务功能实现为目标的农村基层卫生人力资源规划和开发策略。

     

    Abstract: ObjectiveTo analyze the current situation and equity of human resource(HR) allocation in township health centers(THCs) in the north of Jiangsu province and to provide evidences for optimizing rural health HR allocation.MethodsA self-administered questionnaire survey on health HR was conducted among THCs in 5 municipalities in northern Jiangsu province.Lorenz curve and Gini coefficient were used to analyze the fairness of the HR allocation.ResultsIn 2012,there were 47 886 workers in the THCs in the regions surveyed,of them 36 855 were health technical personnel(77.0%).The average number of health workers in the THCs per 1 000 inhabitants was 1.63,which was higher than that of national average(1.37).The male to female ratio of the health workers was 0.65:1.Of all the health workers,only 12.12% were under the age of 25 years and the proportions of the workers with the education of undergraduate and postgraduate were were 13.47% and 0.33%,respectively.There were significant regional differences in fundamental constituent indicators of health HR.The health HR allocation in the THCs showed a sound equity(Gini coefficientG=0.33),while the allocation of public health practitioners and dentists were seriously inequitable(Gp=0.53 and Gd=0.69).ConclusionGovernmental planning and development for grassroots health HR allocation should be improved to meet the requirements of health service among rural residents.

     

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