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鲁志鸿, 孟庆跃, 王颖. 新医改前后中国基层卫生人力资源配置公平性分析[J]. 中国公共卫生, 2017, 33(7): 1086-1088. DOI: 10.11847/zgggws2017-33-07-14
引用本文: 鲁志鸿, 孟庆跃, 王颖. 新医改前后中国基层卫生人力资源配置公平性分析[J]. 中国公共卫生, 2017, 33(7): 1086-1088. DOI: 10.11847/zgggws2017-33-07-14
LU Zhi-hong, MENG Qing-yue, WANG Ying. Equity in basic health human resource allocation in China before and after health reform[J]. Chinese Journal of Public Health, 2017, 33(7): 1086-1088. DOI: 10.11847/zgggws2017-33-07-14
Citation: LU Zhi-hong, MENG Qing-yue, WANG Ying. Equity in basic health human resource allocation in China before and after health reform[J]. Chinese Journal of Public Health, 2017, 33(7): 1086-1088. DOI: 10.11847/zgggws2017-33-07-14

新医改前后中国基层卫生人力资源配置公平性分析

Equity in basic health human resource allocation in China before and after health reform

  • 摘要: 目的 分析中国新医改前后基层卫生人力资源配置的公平变化状况。方法 采用基尼系数和泰尔指数探讨不同区域基层卫生人力资源配置的差距,分析新医改前后卫生人力资源配置公平的变化情况。结果 2008-2013年,我国乡镇卫生院人力资源的基尼系数为0.304 0~0.509 0,除执业医师基尼系数提高(2008年0.444 2,2011年0.453 1,2013年0.461 5),其他所有指标的基尼系数均有不同程度下降。此外,泰尔指数结果显示执业医师数的泰尔指数逐步升高(2008年0.3521,2011年0.366 5,2013年0.375 8)、护士数的泰尔指数出现了波动(2008年0.474 8,2011年0.491 7,2013年0.467 4)、区域内的泰尔指数贡献率远大于区域间的。结论 基尼系数和泰尔指数均表明新医改后基层卫生人力资源配置公平性总体呈改善状态。公平性由好到差排序分别是:千人均卫技人员、卫技人员、在岗人员、医师、大专以上人员、执业医师、护士。

     

    Abstract: Objective To analyze the fairness of basic health human resource distribution in various cities and provinces in China before and after health reform.Methods Theil index and Gini coefficient were adopted to measure the disparity in health human resources allocation and analyze the changes of equity in health human resource distribution before and after health reform.Results The Gini coefficient for human resource of township health centers in China ranged from 0.304 0 to 0.509 0 between 2008 and 2013.During the 6-year period,the Gini coefficients for all aspects of human resource allocation declined except for the increased Gini coefficient for practicing physicians (0.444 2,0.453 1,and 0.461 5 in the year of 2008,2011,and 2013).Furthermore,the Theil index of practicing physicians allocation increased gradually during the period (0.352 1,0.366 5,and 0.375 8 in the year of 2008,2011,and 2013).The Theil index of nurses allocation fluctuated within the duration (0.474 8,0.491 7,and 0.467 4 in the year of t 2008,2011,and 2013).The contribution of within-regional Theil index is much greater than that of inter-regional Theil index.Conclusion The equity in health human resource allocation was generally improved after the health reform based on the assessment with Theil index and Gini coefficient.The rank for the equity in various aspects of resource allocation in descending order is health technicians per one thousand population,health technicians,on-the-job personnel,physicians,staff with education of college or above,practicing physicians,and nurses.

     

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