中国疾病预防控制机构人力资源配置公平性泰尔指数分析

发布时间：2018-04-09 03:42

本文选题：疾病预防控制机构　切入点：人力资源　出处：《中国公共卫生》2017年07期

【摘要】：目的了解中国疾控机构人力资源配置的公平性,为促进疾控机构人力资源的合理配置提供参考。方法对2010—2014年中国疾控机构人力资源状况进行统计描述,应用泰尔指数进行配置公平性分析。结果2010—2014年中国疾控机构人员总数、卫生技术人员数、执业(助理)医师数年均下降率分别为0.4%、0.7%、1.9%,在地区间和地区内均存在配置不公平现象;三类人员全国配置的泰尔指数分别为0.036 4~0.041 3、0.035 8~0.043 0、0.040 5~0.051 2;而在西部地区其泰尔指数分别为0.035 9~0.052 7、0.043 5~0.059 7、0.055 4~0.078 4,明显高于全国水平,而且其泰尔指数的贡献率最高,显示其公平性最差;从区域内泰尔指数变化来看,在东部地区、西部地区及全国范围,执业(助理)医师配置的公平性最差;在中部地区,人员总数配置的公平性最差。结论在增加疾控机构人力资源数量的同时,注重地区内部和地区间人力资源配置的公平性,最终实现全国疾控机构人力资源全面均衡发展。
[Abstract]:Objective to understand the fairness of human resource allocation in Chinese disease control institutions and to provide a reference for the rational allocation of human resources in disease control institutions.Methods the human resource status of China's disease control institutions from 2010 to 2014 was statistically described, and the allocation fairness was analyzed with the Thiel index.Results from 2010 to 2014, the average annual decline rate of the total number of staff, the number of health technicians and the number of practicing (assistant) doctors in China's disease prevention and control institutions were 0.40.70% and 1.9%, respectively. The distribution was unfair in different regions and regions.The Tyr index of the three types of personnel in the whole country was 0.036 4 / 0.041 / 3 / 0.035 / 8 / 0.043 / 0 / 0.040 / 5 / 0.051 / 2 respectively, while in the western region it was 0.035 9 / 0.052 / 7 0.043 / 70.059 / 0.059 / 0.055 / 4 / 0.078 / 4 respectively, which was obviously higher than the national level, and its contribution rate was the highest, indicating that its fairness was the worst.From the point of view of the change of the Terre index in the region, in the eastern region, the western region and the whole country, the fairness of practicing (assistant) physician allocation is the worst, while in the central region, the fairness of the total staffing is the worst.Conclusion while increasing the number of human resources in disease control and prevention institutions, we should pay attention to the fairness of human resources allocation within and among regions, and finally realize the balanced development of human resources in national disease control institutions.
【作者单位】：潍坊医学院公共卫生与管理学院健康风险预警治理协同创新中心;国家卫生计生委卫生发展研究中心;
【基金】：“健康山东”重大社会风险预警与治理协同创新中心基金(XT1404001) 山东省社会科学规划研究项目(11CGLZ09) 山东省教学改革研究项目(2015M206) 潍坊医学院教师进修项目
【分类号】：R197.1

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