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王媛媛, 王楠, 贾金忠, 郭伟龙, 张驰, 吴珂, 王志锋, 段丽萍. 中国专业公共卫生机构人员现状及配置公平性[J]. 中国公共卫生, 2015, 31(11): 1430-1433. DOI: 10.11847/zgggws2015-31-11-19
引用本文: 王媛媛, 王楠, 贾金忠, 郭伟龙, 张驰, 吴珂, 王志锋, 段丽萍. 中国专业公共卫生机构人员现状及配置公平性[J]. 中国公共卫生, 2015, 31(11): 1430-1433. DOI: 10.11847/zgggws2015-31-11-19
WANG Yuan-yuan, WANG Nan, JIA Jin-zhong.et al, . General status and allocation equity of public health professionals in China[J]. Chinese Journal of Public Health, 2015, 31(11): 1430-1433. DOI: 10.11847/zgggws2015-31-11-19
Citation: WANG Yuan-yuan, WANG Nan, JIA Jin-zhong.et al, . General status and allocation equity of public health professionals in China[J]. Chinese Journal of Public Health, 2015, 31(11): 1430-1433. DOI: 10.11847/zgggws2015-31-11-19

中国专业公共卫生机构人员现状及配置公平性

General status and allocation equity of public health professionals in China

  • 摘要: 目的 了解中国专业公共卫生机构人员的数量、质量和配置公平性及人才队伍的现存问题,为政府部门制定公共卫生人才队伍建设策略提供基础依据。方法 描述性分析中国2005年和2012年各类专业公共卫生机构公共卫生人员的数量、学历、职称、年龄等基本情况,采用基尼系数评价中国2012年专业公共卫生机构人员按人口及地理面积的配置公平性。结果 2012年,中国专业公共卫生机构人员66.7万人,公共卫生执业(助理)医师数量10.8万人,比2005年分别下降24% 和17.6% 。2012年,公共卫生执业(助理)医师人员中本科及以上学历比例低(26.7%),中级以上职称比例不足半数(43.7%),人才结构呈现老龄化趋势。专业公共卫生机构各省级行政区间配置水平存在差异;按人口分布基尼系数均小于0.2,公平性好;按地理面积配置基尼系数均超过0.6,高度不公平。结论 中国专业公共卫生机构人员的数量、质量及配置公平性上仍存在不足。

     

    Abstract: Objective To analyze the quantity,quality and allocation equity of public health professionals in China and to provide evidences for government agencies to enact proper strategies.Methods The number,age,education background,and professional titles of public health professionals were described and population and geographic allocation equity of the professionals were evaluated with Gini coefficient.Results In 2012,the total number of public health professionals reached to 667 thousands and the total number of public health practitioner reached to 108 thousands in China;compared to those in 2005,the two numbers decreased by 24.0% and 17.6%.Of all public health practitioners,only 26.7% had the education of bachelor or above and 43.7% had intermediate or above professional titles;the proportion of the public health practitioners at elder age increased obviously.The allocation of specialized public health institutions in different areas was unbalanced;there was a good equity for the population allocation of the institutions,with a Gini coefficient of less than 0.2,and a severe inequity for the geographic allocation of the institutions,with a Gini coefficient of more than 0.6.Conclusion The quantity,quality and allocation equity of public health professionals in China need to be improved.

     

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