山东省社区卫生服务中心卫生人力资源配置公平性比较

Comparative Analysis on the Equity of Health Human Resource Allocation in Community Health Service Centers of Shandong

目的:分析山东省社区卫生服务中心卫生人力资源配置公平性。方法:比较卫生人力资源配置平均水平,采用洛伦兹曲线、基尼系数和泰尔指数分析公平性。结果:每万服务人口拥有全科医师1.05人,医护比为1∶2.98;卫生专技人员、全科医师和注册护士配置的基尼系数分别为0.170、0.248和0.169;泰尔指数量纲与基尼系数基本一致,区域内差异对总泰尔指数的贡献率均在80%以上。结论:全科医师配备不足且公平性相对较差,医护比合理,卫生人力资源配置总体处于相对公平状态,但存在区域内差异。

Objective： To analyze the equity of health human resources in community health service centers of Shandong. Methods： To comprise health human resource allocation of community health service Centers. Lorenz curve, Gini coefficient and Theil index were used to analyze the equity. Results： The number of general practitioners （GPs） per 10 000 population were 1.05, the ratio of doctors to nurses was 1 ： 2.98. The Gini coefficients of health professionals, GPs and registered nurses were 0.170, 0.248 and 0.169. Thcil index was consistent with Gini coefficient mainly, the percent of the contribution of inter-regional differences to total Theft index was above 80%. Conclusion： The GPs configuration was inadequate and inequity relatively. The ratio of doctors to nurs- es was reasonable. The allocation of health human resource was in relative equal status on the whole while the inter-regional difference existed.