喀什地区卫生人力资源配置现状及公平性研究

发布时间：2018-01-04 10:10

本文关键词：喀什地区卫生人力资源配置现状及公平性研究　出处：《新疆医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:通过对喀什地区医疗机构进行系统,全面的调查,获得卫生人力资源基本数据,分析喀什地区卫生人力资源配置现状,从地域分布、人口分布等方面评价卫生人力资源公平性,找出喀什地区卫生人力资源配置中存在的问题,为进一步推动喀什地区卫生事业的发展提供参考依据。方法:采用问卷调查法,对喀什地区卫生机构进行问卷调查,采用流行病学描述性分析方法对喀什地区卫生人力资源数量、分布和结构机型分析,同时对2010-2014年喀什地区卫生机构卫生人力资源的动态变化进行统计分析,并与全疆的平均水平进行比较;采用洛伦茨(Lorenz)曲线与基尼(Gini)系数对喀什地区卫生人力资源地域及人口分布的公平性进行评价。结果:截止2014年年底,喀什地区共有医疗卫生机构3168个,其中综合性医院108家,维吾尔医院11家,专科医院10家,社区卫生服务中心17家,乡镇卫生院163家,村卫生室2312家,门诊部13家,妇幼保健院,13家,疾病预防控制中心14家,卫生监督检验机构13家,计划生育服务机构13家;喀什地区卫生人力资源总量为20368人,其中卫生技术人员17283人、其他技术人员487人、管理人员982人、工勤技能人员1616人。喀什地区公立医院卫生人员共12812人,占62.90%、乡镇及以下医疗机构5707人,占28.02%、公共卫生机构1285人,占6.31%、诊所、医务室562人,占2.76%;喀什地区卫生人力资源职称分布主要集中在员/士及以下,员/士及以下人员分别占卫生技术人员、其他人员、管理人员、工勤技能人员的66.13%、52.15%、73.32%、100%。喀什地区卫生人力资源学历分布主要集中在中专及以下,中专及以下人员分别占卫生技术人员、其他人员、管理人员、工勤技能人员的57.96%、25.05%、57.23%、88.92%。年龄分布主要集中在35-44岁,35-44岁人员分别占卫生技术人员、其他人员、管理人员、工勤技能人员的35.41%、33.06%、31.06%、33.04%;喀什地区按人口分布的基尼(Gini)系数由小到大依次为执业医师(G=0.4759),注册护士(G=0.4773),卫生技术人员(G=0.4982),按地理面积分布的基尼(Gini)系数由小到大依次为注册护士(G=0.6211),卫生技术人员(G=0.6321),执业(助理)医师(G=0.759)。结论:喀什地区卫生人力资源总量不足,配置不合理,卫生人力资源地域分布不平衡,公平性差,职称结构、专业结构分布不合理。建议依据科学的理论与方法制定符合实际的卫生人才发展规划,建立科学的区域卫生配置标准加强培训力度,提高卫生人力资源综合水平。
[Abstract]:Objective: to obtain the basic data of health human resources and analyze the present situation of the allocation of health human resources in Kashi area through the systematic and comprehensive investigation of medical institutions in Kashi area and to analyze the regional distribution of health human resources. To evaluate the fairness of health human resources in terms of population distribution and to find out the problems existing in the allocation of health human resources in Kashi. Methods: questionnaire survey was used to investigate the health institutions in Kashi area. Epidemiological descriptive analysis was used to analyze the quantity, distribution and structure of health human resources in Kashi area. At the same time, the dynamic changes of health human resources in health institutions in Kashi region from 2010 to 2014 were statistically analyzed and compared with the average level of the whole Xinjiang. The Lorenz curve and Gini coefficient were used to evaluate the fairness of the distribution of health human resources in Kashi area. Results: by the end of 2014. There are 3168 medical and health institutions in Kashi, including 108 general hospitals, 11 Uygur hospitals, 10 specialized hospitals, 17 community health service centers and 163 township health centers. 2312 village clinics, 13 outpatient departments, 13 maternal and child health hospitals, 14 disease prevention and control centers, 13 health supervision and inspection institutions and 13 family planning services; The total number of health human resources in Kashi is 20368, including 17283 health technicians, 487 other technicians and 982 managers. The total number of health personnel in public hospitals in Kashi is 12812, accounting for 62.90, and that in township and below medical institutions is 5,707, accounting for 28.02%. In public health institutions, 1285 persons (6.31%) and 562 people (2.76%) in clinics and infirmary; The professional titles of health human resources in Kashi area are mainly distributed in the personnel / personnel and below, who account for 66.13% of the health technical personnel, other personnel, management personnel and workers' skills respectively. 52.15 / 73.320.The distribution of the educational background of health human resources in Kashi area is mainly concentrated in the technical secondary school and below, the technical secondary school and the personnel below account for the health technical personnel and other personnel respectively. The management personnel, the working-hand skilled personnel 57.96 and 25.05 are 57.232.The age distribution is mainly in the 35-44 years old. The 35-44 years old persons accounted for 35.41% of the health technicians, other personnel, management personnel, workers and skilled workers respectively, and 33.060.31.06and 33.04; The Gini coefficient of the population distribution in Kashi area was 0.4759 and 0.4773 respectively. The Gini coefficient of health technicians was 0.4982, and the Gini coefficient of Gini in the distribution of geographical area was from small to large in order of registered nurses' Gou (0.6211). The health technicians were 0.6321, and the practicing (assistant) doctors were 0.759.Conclusion: the total amount of health human resources in Kashi area is insufficient and the allocation is unreasonable. The regional distribution of health human resources is unbalanced, the equity is poor, the structure of professional title and professional structure is unreasonable. It is suggested that the development plan of health talents should be formulated according to scientific theory and method. To establish scientific regional health allocation standards and strengthen training to improve the comprehensive level of health human resources.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R197.1

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