江苏苏北地区乡镇卫生人力资源现状与配置公平性分析

发布时间：2018-12-23 08:07

【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]:Objective to analyze the quantity and structure of township health human resources in northern Jiangsu province, and to analyze the fairness of rural health manpower allocation based on serving population, so as to provide the basis for optimizing the allocation of rural health manpower. Methods A self-filling questionnaire was used to investigate the health human resources in 5 towns in northern Jiangsu province. The Lorenz curve and Gini coefficient were used to analyze the fairness of human resource allocation. Results in 2012, there were 47,886 township health workers in five cities in northern Jiangsu, including 36,855 (77.0%) health workers, 1.63 township health personnel per 1,000 population, which was higher than the national average of 1.37 people in rural areas. The ratio of male to female is 0.65: 1; the proportion of low age group is low, the proportion of 25 years old is 12.12; the talent of higher education is scarce, the proportion of undergraduate degree is 13.47, the proportion of graduate student is only 0.33; There were significant regional differences in the basic human resource composition, and the level of distribution fairness of health workers according to the population distribution was better (GG 0.33), but there was a great difference between public health doctors (GN 0.53) and stomatologists (GG 0.69). Conclusion governments at all levels should further optimize the human resource planning and development strategy of rural grassroots health based on the needs of rural residents and the realization of basic public health services.
【作者单位】：南京医科大学;盐城卫生职业技术学院;
【基金】：2014年南京医科大学苏北卫生发展研究所开放课题
【分类号】：R197.62

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