上海市区(县)定点医院结核病诊治岗位人力资源配置公平性分析

Equity of human resources allocation in tuberculosis diagnosis and treatment positions in county/district designated hospitals in Shanghai

目的 :了解上海市区(县)定点医院结核病诊治岗位人力资源配置现状,并评价其按人口分布、患者分布和地理分布配置的均衡性。方法 :对2012年上海市17个行政区(县)共30家定点医院结核病诊治岗位上的264名医务人员进行问卷调查,采用洛伦茨曲线和基尼系数分析上海市区(县)定点医院结核病诊治人力资源配置的公平性。结果 :目前上海市区(县)定点医院结核病诊治人员区(县)均配备15.6人,按照服务人口、结核病患者和地理面积分布的基尼系数分别为0.45、0.69和0.89。结论 :上海市区(县)定点医院结核病诊治医务人员总体数量不少,但区域间配置存在较大差异,今后人员配置应兼顾服务人口、患者数和地理面积的均衡性。

Objective ：To investigate the status of human resources allocation in tuberculosis（TB） diagnosis and treatment positions in county/district designated hospitals in Shanghai;to evaluate the equity from the perspective of population,patients and geography. Methods ：Questionnaire survey was carried out in 264 medical staff for TB diagnosis and treatment in 30 TB designated hospitals in 17 counties/districts of Shanghai;Lorenz curve and Gini coefficient were used to evaluate the equity. Results ：There were 15.6 medical staff per district/county on average for TB diagnosis and treatment in county/district designated hospitals in Shanghai. Gini coefficients for the distribution of population,patients and geography were 0.45,0.69 and 0.89,respectively. Conclusion ：There are a certain number of medical staff for TB diagnosis and treatment in county/district designated hospitals in Shanghai;significant regional differences do exist. Therefore,it is suggested that the balance of population,patients and geography be taken into consideration when TB human resources are allocated.