云南省执业(助理)医师发展状况分析

Analysis on the development status of practice (assistant) physicians in Yunnan Province

[目的]了解云南省执业(助理)医师的变化情况,为政府和卫生部门合理配置卫生人力资源提供依据。[方法]对不同时期执业(助理)医师的配置进行描述性分析;利用基尼系数和洛伦兹曲线对2016年云南省执业(助理)医师按人口分布和按面积分布的公平性进行分析。[结果]2006-2016年,云南省执业(助理)医师由5.51万人增加到8.59万人,年平均增长速度为4.55%;每千人口执业(助理)医师数由1.26人增加到1.80人,年均增长速度为3.63%。执业(助理)医师数三分位数分布结果显示:第一个三分位有8个县(市、区),涵盖全省总人口的12.43%;第二个三分位有30个县(市、区),涵盖了34.96%的人口;第三个三分位则有91个县,涵盖了52.62%的人口。2016年云南省执业(助理)医师人数按人口分布计算的基层系数为0.37,按地理分布的基层系数为0.52。[结论]云南省执业(助理)医师总体呈逐年增长趋势;每千人口执业(助理)医师数总体呈逐年增长趋势,但增幅有所起伏;全省执业(助理)医师数量严重不足,地区分布极不平衡。

Objective To know the changes of practice（ assistant） physicians in Yunnan Province so as to provide a basis for the rational allocation of health human resources by government and health department. Methods Descriptive analysis was conducted to practice（ assistant） physicians allocation. It analyzed the equity of distribution of practice（ assistant） physicians according to population and area in 2016 by Gini Coefficient and Lorenz curve. Results From 2006 to 2016,the number of practice（ assistant） physician increased from 55 100 to 85 900,average annual growth rate was 4. 55%. The number of practice（ assistant） physicians per 1000 population increased from 1. 26 to 1. 80,with average annual growth rate of 3. 63%. The distribution result of practice（ assistant） physicians in tertiles showed that there were eight counties（ cities,districts） in the first three-digit place,covered 12. 43% of total population of the province,there were 30 counties（ cities,districts） in the second three-digit place,covered 34. 96% of the population,there were 91 counties in the third-digit place,covered 52. 62% of the population. Gini Coefficient of the number of practice（ assistant） physician according to population distribution of was 0. 37,and 0. 52 according to geographic distribution in 2016 in Yunnan Province. Conclusions The number of practice（ assistant） physicians in Yunnan Province has been increasing year by year,and the number of practice（ assistant） physicians per 1000 population as well,but growing rate is ups and down somewhat. The number of practice（ assistant） physicians is seriously insufficient,and the regional distribution is extremely unbalance.