陕西省结核病防治人员现况调查及配置公平性评价

Survey about the Current Situation and Evaluation of Equity of Human Resource Distribution for Tuberculosis Control and Treatment in Shaanxi

目的 了解陕西省结核病防治人员现状,评价配置公平性,为政府制定政策提供依据.方法 运用描述性统计方法分析全省结核病防治人员的数量、质量、结构和分布等情况.运用基尼系数评价各县、区结核病防治人员人口分布公平性.结果 全省结核病防治人员总数为571人,其中省级29人,市级平均5.6人,县级平均4.5人.全省结核病防治人员20～29岁占13.7％,30～39岁占35.7％,40 ～ 49岁占30.8％,50岁以上占19.8％;本科及以上占20.7％,大专占42.6％,中专占31.9％,其他占4.9％;高级职称占6.0％,中级职称占32.6％,初级职称占48.5％,其他占13.0％.省市县专职人员综合素质评分省＞市＞县.县级结核病防治人员人口分布基尼系数为0.3.结论 陕西省市、县级结核病防治人员数量不足.各级结核病防治人员年龄结构合理,以中青年为主.全省专业人员学历和职称以大专和初级职称为主.省级专业人员学历和职称水平最高,其次为市级.县级结防机构专业人员以中专学历和初级职称为主,综合素质较低,数量按人口配备比较均衡.

OBJECTIVE Leaning the situation and evaluation of equity of distribution of human resource for tuberculosis （TB） control and treatment in Shaanxi, to give suggestion for health administrative department to allocate health manpower. METHODS Using de- scriptive statistics analysis in health manpower quantity, quality, structure and distribution, and using the Gini coefficient to evalu- ate the equity of distribution of various counties TB health manpower. RESULTS The total TB health manpower were 571 people in Shaanxi Province, including 29 at the provincial level, municipal average 5.6, an average of 4.3 at the county level. The proportion of provincial TB health manpower in 20 to 29 age was 13.7%, 30 to 39 age was 35.7%, 40 to 49 age was 30.8%, 50 years old of above was 19.8%; bachelor degree or above accounted for 20.7%, college degree was 42.6%, secondary technical college was 31.9%, the other 4.9%; senior titles accounted for 6.0%, intermediate titles was 32.6%, primary title was 32.6%, other was 13.0%. Quality score of full-time TB staff at the provincial was greater than the city＇s and more than counties. Gini coefficient of eq- uity of distribution of counties health manpower for control and treatment tuberculosis was 0.3. CONCLUSION Shaanxi TB health man- power was insufficient. Age structure of them was reasonable, mainly were young and middle-aged. The provincial professional de- gree and title was given priority to with college degree and junior titles. The professional degree and the title at the county level was not high, the overall quality was low, equipped with a more balanced number according to the population.