2008—2014年四川省卫生人力资源的公平性研究

发布时间：2018-02-28 04:43

本文关键词： 卫生人力资源公平性卫生资源集聚度基尼系数　出处：《现代医院管理》2016年04期 　论文类型：期刊论文

【摘要】：目的运用卫生资源集聚度和基尼系数对2008—2014年四川省卫生人力资源的公平性进行研究,为四川省十三五卫生人才规划的制定提供参考依据。方法通过构成比、年均增长率对数据进行描述性分析,使用卫生资源集聚度和基尼系数从人口、地理和经济三个维度评价卫生人力资源的公平性并进行比较。结果四川省卫生人力资源不断增加且增长较快,卫技人员、执业(助理)医师、注册护士的年均增长率较同期国家的年均增长率分别高2.14、1.72、3.63个百分点;2014年卫技人员按集聚度方法计算的人口集聚度值(1.001)较地理集聚度(1.179 8)和经济集聚度(1.258 8)更接近1,而按基尼系数方法计算的按人口分布的基尼系数值(0.073 8)较经济分布值(0.395 8)和地理分布值(0.788 9)低,可见两种方法测算的卫生人力资源按人口配置的公平性均优于按地理配置和按经济配置的公平性。结论卫生资源集聚度和基尼系数作为测算卫生人力资源配置公平性的方法,两者都各有其特点和适用范围,在实际使用中应结合具体的要求选择合适的标准。
[Abstract]:Objective to use the health resource agglomeration and the Gene coefficient of 2008 equity of health human resources in Sichuan province in 2014, provide a reference basis for the development of Sichuan province in 13th Five-Year, health personnel planning. Through the method of proportion, the average annual growth rate of the descriptive analysis of the data, the use of health resources from the population agglomeration degree and the Gene coefficient, comparison the fairness of geographical and economic evaluation of three dimensions of health human resources. And the results of health human resources in Sichuan is increasing and the rapid growth of health professionals, practicing (Assistant) physicians, the average annual growth rate of the average annual growth of registered nurses compared with the national rate of 2.14,1.72,3.63 percentage points higher; agglomeration degree value of health technical personnel in 2014 calculation according to the method of population agglomeration degree (1.001) compared with the geographical agglomeration degree (1.1798) and the degree of economic agglomeration (1.2588) closer to 1, according to Gene coefficient calculation method according to the The Gene coefficient of population distribution (0.0738) compared with the economic value distribution (0.3958) and (0.7889) low value distribution, visible two methods of calculation of health human resources according to the fairness of population distribution are better than the geographical configuration and economic fairness allocation. Conclusion the health resource agglomeration and the Gene coefficient as a method the equity of health human resource allocation measure, both have their own characteristics and scope of application in actual use should be combined with the specific requirements of the appropriate standard.

【作者单位】：成都中医药大学管理学院;
【分类号】：R197.1

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