江苏省基层卫生人力资源配置公平性分析

发布时间：2018-01-17 17:36

本文关键词：江苏省基层卫生人力资源配置公平性分析　出处：《中华疾病控制杂志》2014年08期 　论文类型：期刊论文

【摘要】：目的分析江苏省13市基层医疗卫生机构医师和护士分布现状、公平性以及社会经济发展状况对基层卫生人力分布的影响。方法利用2011年江苏省基层卫生人力资源统计数据,按服务人口描述13辖市基层医师和护士分布现状,评价其分布公平性;运用不平等相对指数与相关分析评价不同地区经济发展对基层卫生人力配置影响。结果 2011年江苏省每万人口平均配有医师数6.79名,护士数4.16名,市际间医师和护士分布的基尼系数分别为0.117 8和0.108 0,差异指数分别为7.43%和7.87%,公平性较好;调整与未调整的不平等相对指数以及相关性分析均无统计学意义,表明不同地区经济发展水平对基层卫生人力分布影响较小。结论江苏省基层医师和护士分布公平性较好,但个别地区配置水平相对薄弱,仍需进一步调整。
[Abstract]:Objective to analyze the distribution of doctors and nurses in primary medical and health institutions in 13 cities of Jiangsu Province. Methods the influence of equity and social economic development on the distribution of primary health manpower in Jiangsu Province in 2011. The distribution of primary level doctors and nurses in 13 jurisdictions was described according to the service population, and the fairness of distribution was evaluated. The relative inequality index and correlation analysis were used to evaluate the impact of economic development in different regions on the allocation of primary health manpower. Results in 2011, the average number of doctors per 10,000 population in Jiangsu Province was 6.79. The number of nurses was 4.16. The Gini coefficient of the distribution of intercity doctors and nurses was 0.117 8 and 0.108 respectively, and the difference index was 7.43% and 7.87 respectively. There was no statistical significance between adjusted and unadjusted relative inequality index and correlation analysis. Conclusion the distribution fairness of primary doctors and nurses in Jiangsu Province is better, but the allocation level of individual regions is relatively weak, which still needs further adjustment.
【作者单位】：南京医科大学公共卫生学院流行病与卫生统计学系;东南大学公共卫生学院医疗保险系;
【基金】：江苏省高校优势学科项目基金(PAPD)
【分类号】：R197.1
【正文快照】： 基层卫生人员作为提供基本医疗服务和公共卫生服务的主要载体,其配置是否合理,将直接影响到基层卫生服务的质量[1]。主要评价江苏省基层卫生人力配置不公平性情况,并分析地区经济发展状况与基层卫生人力分布的关系,为政府相关部门制定卫生人力发展决策提供参考依据。1资料与方

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