昭通市公立医院卫生人力资源配置公平性分析

Study on the Equity of Health Human Resource Allocation in Public Hospitals of Zhaotong City

目的分析昭通市2008年1月至2012年12月公立医院卫生人力资源配置的公平性状况,为合理配置资源提供理论依据.方法对昭通市卫生人力拥有量进行统计描述;利用基尼系数、泰尔指数分析其配置的公平性.结果昭通市卫生人力总量逐年增加,但增幅较小,且存在地区分化现象;2008年1月至2012年12月执业医师、注册护士、卫生技术人员的基尼系数均小于0.3;泰尔指数与基尼系数有相同的变化,总体无明显增大或减小趋势;配置的不公平是由区域间差异和区域内差异共同作用的结果,区域内差异对总泰尔指数的贡献率大于区域间差异,是影响昭通市卫生人力配置公平性的主要因素.结论昭通市卫生人力总量不足,三类卫生人员配置的公平性变化不大,区域内差异是造成医院卫生人力资源配置不公平的主要原因.

Objective To analyze the equity of health human resource allocation in public hospitals of Zhao- tong city during 2008-2012, and to provide theoretical basis for the reasonable allocation of health resources. Methods The statistical description was used to analyze the number of the medical health resource, and Gini coefficient and Theli index were used to analyze the equity of health resource allocation in public hospitals of Zhaotong city. Results The amount of medical health resource showed an increasing tendency with low speed, and gaps among different areas were still existed. From 2008 to 2012, Gini coefficients of three medical health resources including the doctors, nurses and health technicians were all under 0.3. And the fluctuant tendency of the Theli Indexes and Gini coefficients were accordant with no significant increase or decrease as a whole.The combination of differences within region and difference between regions leaded to the inequity of health human resource allocation in Zhao tong city, and within region in the contribution rate of the total Theil index was greater than the difference between re- gions. Conclusions The quantity of health human resource is not enough in Zhaotong. The equity fluctuation of three health resources has no significatnt change. The differences within region mainly cause the inequity of health resource allocation in public hospitals of Zhao tong city.