2009-2015年我国省域间卫生人力资源分布公平性及分解  

Status and decomposition of health human resource distribution equity in China from 2009 to 2015

作　　者：卢若艳 林燕羡[1] LU Ruo - yan1,2, LIN Yan - xian1(1. Department of Health Management, School of Public Health, Fujian Medical University, Fuzhou Fujian 350108, China; 2. Center of Health Policy Studies, Fujian Medical University, Fuzhou Fujian 350108, China)

机构地区：[1]福建医科大学公共卫生学院卫生管理学系,福建福州350108 [2]福建医科大学卫生政策研究中心,福建福州350108

出　　处：《卫生软科学》2018年第10期42-45,共4页Soft Science of Health

基　　金：福建省科技厅软科学基金:基于离散选择实验的福建省农村卫生人力资源整合模式创新研究(2017R0043);福建医科大学启航基金:基于CIMO框架的基层卫生综合改革研究--以长汀县为例(2016QH011)

摘　　要：[目的]了解2009-2015年我国省域间卫生人力资源分布公平性情况,探讨各影响因素对卫生人力资源分布不平等性的贡献程度。[方法]采用集中指数法测量卫生人力资源分布不平等程度,并进行分解分析。[结果] 2009-2015年,我国省域间卫生人员、卫生技术人员、执业(助理)医生、注册护士分布的集中指数逐年下降。GDP以及人口数对执业(助理)医生分布不平等性的贡献率分别为54. 06%、26. 51%,对注册护士的贡献率分别为96. 47%、17. 5%。[结论]新医改以来,我国卫生人力资源分布的公平性有所改善,但不同类别的卫生人力资源分布公平性仍有差异,且经济实力仍然是影响我国省域间卫生人力资源分布公平性的最主要因素。Objective To know the equity situation of health human resource distribution among provinces in China during 2009 -2015 and explore the contributions of each influence factor to inequality of health human resource distribution. Methods Concentration index （CI） was used to measure inequality of health human resource distribution, and made teardown analysis. Results From 2009 to 2015, the CI for the distribution of medical personnel, medical technical personnel, licensed （assistant） doctors, registered nurse decreased year by year. The contribution rate （contribution value/concentration index） of GDP, population to the inequality in licensed （assistant） doctors distribution was 54. 06% , 26. 51% respectively, which to the inequality in registered nurse distribution was 96.47% , 17.5% respectively. Conclusions The equity of health human resource distribution among provinces in China has been improved since new medical reform. But there are still gaps of the equity between different types of health human resource distribution, economic power of province is the most important factor that affect the equity of health human resource distribution in China.

关 键 词：卫生人力资源 集中指数 公平性 

分 类 号：R192[医药卫生—卫生事业管理] R197[医药卫生—公共卫生与预防医学]