Please wait a minute...
文章检索
预防医学  2017, Vol. 29 Issue (6): 541-544,549    DOI: 10.19485/j.cnki.issn1007-0931.2017.06.001
  论著 本期目录 | 过刊浏览 | 高级检索 |
浙江省卫生人力资源配置及公平性研究
刘碧瑶, 赵艳荣, 戚小华, 王臻
浙江省疾病预防控制中心,浙江 杭州 310051
A study on the status and equity of human resource allocation for health in Zhejiang Province
LIU Bi-yao, ZHAO Yan-rong, QI Xiao-hua, WANG Zhen
Zhejiang Provincial Center for Disease Control and Prevention ,Hangzhou,Zhejiang,310051,China
全文: PDF(355 KB)  
输出: BibTeX | EndNote (RIS)      
摘要 目的 了解浙江省卫生人力资源配置及公平性状况,为政府优化卫生人力资源配置提供依据。方法 根据2012—2016年《浙江卫生年鉴》等资料,描述性分析2011—2015年浙江省卫生人力资源配置情况,采用年度变化百分比(APC)分析发展趋势,利用基尼系数进行公平性评价。结果 2015年浙江省每千人拥有卫生人员数以杭州最多,为12.62人,嘉兴最少,为7.43人;卫技人员杭州最多,为10.32人,温州最少,为6.23人;执业(助理)医师杭州最多,为3.86人,嘉兴最少,为2.15人;注册护士杭州最多,为4.23人,温州最少,为2.42人;每平方千米拥有卫生人员、卫技人员、执业(助理)医师和注册护士数以嘉兴最多,分别为8.06、7.03、2.33和2.86人;丽水最少,分别为1.21、1.00、0.39和0.38人;全省医护比为1∶1.01。2011—2015年浙江省每千人和每平方千米卫生人力资源数逐年上升,其中注册护士升幅最大,APC分别为9.53%和9.86%。上述卫生人力资源各指标的历年基尼系数按服务人口评价均在0.2以下,按服务面积评价均在0.2~0.3之间。结论 浙江省卫生人力资源配置呈上升态势,总体公平性高,但基于服务人口配置公平性高于基于服务面积,需关注卫生人力资源区域可及性研究。
服务
把本文推荐给朋友
加入引用管理器
E-mail Alert
RSS
作者相关文章
刘碧瑶
赵艳荣
戚小华
王臻
关键词 卫生人力资源公平性基尼系数    
AbstractObjective To learn the status and equity of human resource allocation for health so as to provide evidence for health administrative department. Methods Descriptive analysis and annual percent changes (APC)were used to analyze the numbers and trends of human resource allocation for health from 2011 to 2015,and Gini coefficients were used for equity evaluation. Results In 2015, Hangzhou had the largest number(12.62)of medical personnel per 1000 persons while Jiaxing had the least amount(7.43). Hangzhou had the largest number(10.32)of medical technical personnel per 1000 persons while Wenzhou had the least amount(6.23). Hangzhou had the largest number(3.86)of licensed(assistant)doctors per 1000 persons while Jiaxing had the least amount(2.15). Hangzhou had the largest number (4.23)of registered nurses per 1000 persons while Wenzhou had the least amount(2.42). Jiaxing had 8.06 medical personnel,7.03 medical technical personnel,2.33 licensed(assistant)doctors and 2.86 registered nurses per square kilometer which were all the largest number while Lishui had 1.21 medical personnel, 1.00 medical technical personnel,0.39 licensed(assistant)doctors and 0.38 registered nurses per square kilometer which were all the least. The doctor-to-nurse ratio was only 1∶1.01 in 2015. Both numbers of human resources for health per 1000 persons and per square kilometer increased year by year from 2011 to 2015, and Gini coefficients of each index expressed by per 1000 persons were all under 0.2,while it ranged from 0.2 to 0.3 when they were expressed by per square kilometer. Conclusion Numbers of human resource allocation for health had an increasing trend and the allocation was fair,but the equity evaluated by service population was better than by service areas,and the research about accessibility of regional human resource allocation for health needs to be concerned.
Key wordsHuman resource for health    Equity    Gini coefficient
收稿日期: 2016-12-28      修回日期: 2017-02-07      出版日期: 2017-06-10
中图分类号:  R197.1  
基金资助:浙江省人力资源和社会保障科学研究课题(2016075)
通信作者: 王臻,E-mail:zhwang@cdc.zj.cn   
作者简介: 刘碧瑶,硕士,主管医师,主要从事卫生应急管理工作
引用本文:   
刘碧瑶, 赵艳荣, 戚小华, 王臻. 浙江省卫生人力资源配置及公平性研究[J]. 预防医学, 2017, 29(6): 541-544,549.
LIU Bi-yao, ZHAO Yan-rong, QI Xiao-hua, WANG Zhen. A study on the status and equity of human resource allocation for health in Zhejiang Province. Preventive Medicine, 2017, 29(6): 541-544,549.
链接本文:  
http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn1007-0931.2017.06.001      或      http://www.zjyfyxzz.com/CN/Y2017/V29/I6/541
[1] 浙江省发展和改革委员会,浙江省卫生和计划生育委员会.浙江省卫生和计划生育发展“十三五”规划[Z]. 2016.http://www.zjdpc.gov.cn/art/2016/9/21/art_8_1715568.html.
[2] 杜灵彬,毛伟敏,李辉章,等. 浙江省肿瘤登记膀胱癌发病及死亡特征分析[J]. 浙江预防医学,2014,26(5): 473-476.
[3] CASTILLO-SALGADO C,LOYOLA E,ROCA A,et al. Measuring health inequalities: Gini coefficient and concentration index[J]. Pan American Journal of Public Health,2001,22(1),107-113.
[4] PRICE M. The consequences of health service privatisation for equality and equity in health care in South Africa[J]. Soc Sci Med,1988,27(7): 703-716.
[5] 金涛,郑燕飞. 县级卫生监督机构人力资源现状分析[J]. 浙江预防医学,2015,27(10): 1076-1077.
[6] 黄小菲. 温州市疾病预防控制机构人力资源分析[J]. 预防医学,2016,28(11): 1177-1180.
[7] GIORGI G M. Bibliographic portrait of the Gini concentration ratio.[J]. Metron,1990(1991): 183-221.
[8] 赵艳荣,徐校平,邱银伟,等. 应用基尼系数分析基本公共卫生服务的地区差异[J]. 预防医学,2016,28(8): 766-769,775.
[9] 彭曼华, 史千山, 钟卫军, 等. 2008年—2013年湖南省医疗卫生人力资源配置状况及公平性研究[J]. 中国医疗管理科学, 2016, 6(4): 41-46.
[10] 刘文彬, 李跃平, 卢若艳, 等. 2005—2014年福建省卫生资源配置状况与公平性研究[J]. 中国卫生经济, 2016, 35(4): 57-60.
[11] 毛瑛, 刘锦林, 杨杰, 等. 2011年我国卫生人力资源配置公平性分析[J]. 中国卫生经济, 2013, 32(8): 35-38.
[12] 贺买宏, 王林, 贺加, 等. 我国卫生资源配置状况及公平性研究[J]. 中国卫生事业管理, 2013, 30(3): 197- 199.
[13] 孟强, 张雪海, 张新卫. 浙江省卫生资源配置的公平性分析[J]. 中国预防医学杂志, 2013, 14(12): 922-926.
[14] 胡伟萍, 沈堂彪, 倪荣, 等. 浙江省卫生人力资源配置现状及公平性研究[J]. 中国医院管理, 2015, 35(5): 42-44.
[15] 江苏省统计局.2016江苏统计年鉴[M/OL]. 2016.http://www.jssb.gov.cn/2016nj/indexc.htm.
[16] 中华人民共和国国家统计局. 2016中国统计年鉴[M/OL]. 2016.http://www.stats.gov.cn/tjsj/ndsj/2016/indexch.htm.
[17] 上海市统计局.2016上海统计年鉴[M/OL]. 2016.http://www.stats-sh.gov.cn/data/toTjnj.xhtml?y=2016.
[18] 北京市统计局.2016北京统计年鉴[M/OL]. 2016.http://www.bjstats.gov.cn/nj/main/2016-tjnj/zk/indexch.htm.
[19] 刘莹, 王新建, 仲伟海. 城乡医护人力资源优化配置标准[M]. 沈阳:辽宁科学技术出版社, 2011.
[1] 牟敬锋, 刘美洲, 张少冲. 深圳市医疗机构眼科资源配置公平性分析[J]. 预防医学, 2023, 35(3): 267-270.
[2] 范鑫, 郭延萍, 赵雅娟, 李煦, 蔡军, 谢斌. 上海市精神卫生资源配置现状及公平性分析[J]. 预防医学, 2022, 34(4): 429-432.
[3] 夏晓琼, 梁媛. 2015—2019年深圳市卫生资源配置公平性分析[J]. 预防医学, 2021, 33(3): 320-324.
[4] 翁梅芬, 肖丽华, 王媛媛. 丽水市基层妇幼保健机构及卫生服务公平性调查[J]. 预防医学, 2017, 29(9): 967-968,972.
[5] 赵艳荣, 徐校平, 邱银伟, 杨清, 叶驰宇, 林君芬. 应用基尼系数分析基本公共卫生服务的地区差异[J]. 预防医学, 2016, 28(8): 766-769,775.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed