北京市区(县)结核病防治机构人力资源现状调查及配置评价

Human resources survey and staffing assessment of Beijing district level tuberculosis institutions

目的了解北京市区(县)结核病防治(简称"结防")机构卫生人力资源现状,评价卫生资源人口分布和地理分布配置的均衡性。方法2011年8—9月调查全市所辖18个区(县)(包括原宣武区和崇文区)结防机构326名结核病防治专业人员的年龄、学历、职称等信息,同时收集当年人口数和地理面积,并利用洛伦兹曲线(Lorenz curve)和基尼系数(Gini coefficient)测算均衡性。结果实际在职326名,结防专业人员平均年龄(42.04±5.37)岁。结防专业人员以大专及以下学历为主,占74.85%(244/326);其次是本科学历,占21.78%(71/326);硕士学历3.07%(10/326),无博士学历。初级职称占52.15%(170/326);中级职称40.18%(131/326);高级职称4.60%(15/326)。人均服务人口5.38万人,人均服务半径为4.05km。按照人口分布和陆地面积分布的基尼系数分别为0.49和0.62。结论北京市区(县)结防机构专业人员学历偏低,高级职称人员较少,卫生人力资源配置在服务地理分布和人口数方面配置均未达到较好均衡性,北京市区(县)人力资源配置有待进一步加强。

Objective To investigate the situation of human resources of TB prevention and control system at district level in Beijing,and evaluate the fairness of demographic and geographic distribution of health resources.Methods All 326 professionals at 18 district level TB institutions were investigated by questionnaires from August to September in 2011,including their age,educational background,and professional title information.The data related to population and geographical acreage was also collected to estimate the fairness by Lorenz Curve and Gini Coefficient.Results Among the 326 TB professionals at the district level in Beijing,the mean age was（42.04±5.37） years.Most professionals were graduated from college or below,accounting for 74.85 %（244/326）,undergraduate degrees accounted for 21.78%（71/326）,master degrees accounted for 3.07%（10/326）,no doctoral degrees.52.15%（170/326）staff had junior titles,40.18%（131/326） had medium level titles,and only 4.60%（15/326） had senior titles.The average service population per professional was 53 800,and service radius of 4.05 km.According to the demographic and geographic distribution,the Gini Coefficient is 0.49 and 0.62 respectively.Conclusion In Beijing district level TB institutions,the education of TB professionals was inadequate,number of staff with medium or senior title was low,and the staffing did not meet the fairness requirement in geographical and population distribution.Therefore,Beijing district level human resources need to be further strengthened.