新医改前后中国基层卫生人力资源配置公平性分析

发布时间：2018-04-30 23:12

本文选题：卫生人力资源配置 + 公平　；参考：《中国公共卫生》2017年07期

【摘要】：目的分析中国新医改前后基层卫生人力资源配置的公平变化状况。方法采用基尼系数和泰尔指数探讨不同区域基层卫生人力资源配置的差距,分析新医改前后卫生人力资源配置公平的变化情况。结果2008—2013年,我国乡镇卫生院人力资源的基尼系数为0.304 0~0.509 0,除执业医师基尼系数提高(2008年0.444 2,2011年0.453 1,2013年0.461 5),其他所有指标的基尼系数均有不同程度下降。此外,泰尔指数结果显示执业医师数的泰尔指数逐步升高(2008年0.3521,2011年0.366 5,2013年0.375 8)、护士数的泰尔指数出现了波动(2008年0.474 8,2011年0.491 7,2013年0.467 4)、区域内的泰尔指数贡献率远大于区域间的。结论基尼系数和泰尔指数均表明新医改后基层卫生人力资源配置公平性总体呈改善状态。公平性由好到差排序分别是:千人均卫技人员、卫技人员、在岗人员、医师、大专以上人员、执业医师、护士。
[Abstract]:Objective to analyze the changes of human resources allocation in primary health care before and after the new medical reform in China. Methods Gini coefficient and Thiel index were used to explore the disparity of human resources allocation in different regions and the changes of health human resources allocation equity before and after the new medical reform were analyzed. Results from 2008 to 2013, the Gini coefficient of human resources of township health centers in China was 0.304 ~ 0.509 0. The Gini coefficient of all other indexes decreased in varying degrees except that of practicing doctors (0.444 2, 0.453 1, and 0.461 5 in 2013). In addition, the Tyr index of the number of practicing physicians increased gradually (0.3521 in 2008, 0.366 in 2011 and 0.375 in 2013, and the number of nurses fluctuated (0.474 8 in 2008, 0.491 7 in 2011 and 0.467 4 in 2013). The contribution rate of the Terre index in the region is much higher than that in the other regions. Conclusion both Gini coefficient and Thiel index indicate that the fairness of basic health human resources allocation is improving after the new medical reform. The order of fairness from good to bad is: thousands of per capita health professionals, health technicians, on the job, doctors, college staff, medical practitioners, nurses.
【作者单位】：国家卫生与计划生育委员会卫生经济与政策研究重点实验室山东大学卫生管理与政策研究中心山东省重点新型智库;山东中医药大学药学院;北京大学中国卫生发展研究中心;山东中医药大学人文社科学院;
【分类号】：R197.1

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