医疗资源布局调整后上海市卫生人力资源变化情况分析

Study on changes of health human resource after health resource layout was adjusted in Shanghai

目的 :对上海市医疗资源布局调整后17个区县卫生人力资源配置状况改善情况进行分析。方法 :采用洛伦兹曲线、基尼系数对卫生人力资源配置的公平性进行评价。结果 :总体上上海市卫生技术人员分配呈现出中心城区远高于周边区县、东部地区高于西部地区的态势;实施"5+3+1"工程对医疗资源布局进行调整之后,卫生人力资源配置的公平性有所提高。结论 :上海城郊之间卫生人力资源分布差距仍然较大,医生增幅慢于人口增长幅度,周边区县卫生人力资源配置有待进一步加强。

Objective：To make clear health human resource allocation among 17 districts after health resource layout was adjusted in Shanghai. Methods：Lorenz Curve and the Gini Coefficient were applied to describe the inequality degree of the distribution of health human resources. Results：The health human resource in urban area was much higher than that in suburban area. After adjusting the health resource layout by the“5＋3＋1”project,the equality of health human resource distribution was improved. Conclusion：Disparities still persisted between urban and suburban areas. The amount of doctors was lagging behind population growth. The health human resource allocation in suburban areas needs to be further strengthened.