乡村两级卫生人员现状与配置公平性评价  

Study on Status and Equity of the Health Personnel Allocation at the Township and Village Level

作　　者：郭伟龙[1] 贾金忠[2] 石洪兴 张和龙[1] 杨蕾[1] 段琳[1] 王志锋[1] 

机构地区：[1]北京大学医学部卫生政策与管理学系,北京100191 [2]北京大学研究生院医学部分院,北京100191 [3]黑龙江出入境检验检疫局,黑龙江150001

出　　处：《中国卫生经济》2012年第7期53-56,共4页Chinese Health Economics

基　　金：国家卫生部农村管理司资助项目(2010)

摘　　要：目的:了解我国乡村两级卫生人员的现状,同时从人口、地域空间的角度评价其配置的公平性,发现存在的问题并提出相应的建议。方法:按照分层抽样的方法,在全国选择400个县级行政单位进行调查,借助洛伦兹曲线和基尼系数对乡村两级卫生人员配置的公平性进行测量和评价。结果:乡村两级卫生人员中执业(助理)医师的比例仍然较低;乡村两级卫生人员配置的人口公平性较好,地理不公平现象较为严重。建议:加强乡村两级卫生人才队伍的稳定性;加强对乡村两级卫生人员的继续教育和技能培训;继续加大对西部地区的扶持力度;科学实施区域卫生规划,提高配置的公平性。Objective： To learn the status of heahh personnel allocation at the township and village level and analyze its distribution equity of population and geography area, in order to find problems and make recommendations accordingly. Methods： Investigating 400 county-level administrative units and analyzing the equity of the heahh personnel alloeation at the township and village level by the Ix^renz curve and Gini coefficient. Results： The proportion of practicing （assistant） doctors at the township and village level is still low; the phenomenon of the distribution inequity of geography area of health personnel allocation at the township and village level is very serious. Recommendation： The stability of the heahh personnel at the township and village level should be strengthened; the filrther education and skill training for the health personnel at the township and village level be increased; efforts to support the western region be continuously increased; and the regional health planning be scientifically implemented.

关 键 词：乡镇卫生院 村卫生室 卫生人员 洛伦兹曲线 基尼系数 公平性 

分 类 号：R197.1[医药卫生—卫生事业管理]