河南省护理人力资源现状分析及配置公平性研究  

Study on the current status and equity of nursing human resources allocation in Henan Province

作　　者：贾红影 蒋秋焕[2] 刘纬华[2] 尚坤[1] 张海鑫 张红梅[2] JIA Hongying;JIANG Qiuhuan;LIU Weihua;SHANG Kun;ZHANG Haixin;ZHANG Hongmei

机构地区：[1]河南省人民医院疼痛科,郑州市450003 [2]河南省人民医院护理部,郑州市450003

出　　处：《中华护理杂志》2020年第2期187-192,共6页Chinese Journal of Nursing

基　　金：河南省医学科技攻关计划省部共建项目(SBGJ2018065)。

摘　　要：目的对河南省2017年护理人力资源的配置现状及公平性进行分析,为优化河南省护理人力资源配置提供依据。方法利用《河南统计年鉴》和《中国卫生健康统计年鉴》数据,描述性分析2013年—2017年河南省注册护士现状,并利用洛伦兹曲线及基尼系数对河南省护理人力资源配置公平性进行研究。结果2013年—2017年河南省注册护士数有明显增长,但每千人口注册护士数、医护比、床护比均低于全国平均水平,注册护士配置总体数量不足。护理人力资源配置公平性方面,按人口及地域面积配置的基尼系数分别为0.18和0.36,按人口配置优于按地域面积配置。此外,护理人力资源在城乡、不同机构间配置失衡。结论河南省护理人力资源配置有明显改善,但注册护士总量仍显不足。医疗卫生主管部门应进一步优化河南省护理人力资源配置,平衡护理人力资源在城乡、不同机构间的配置。Objective To evaluate the status quo and equity of nursing human resources allocation in Henan Province in 2017,and to provide decision support for optimizing the allocation of nursing human resources in Henan Province.Methods Descriptive analysis of the current status of registered nurses in Henan Province from 2013 to 2017 was performed with the data of Henan Statistical Yearbook and China Health Statistics Yearbook,and equity of nursing human resources allocation in Henan Province was conducted using the Lorenz curve and Gini coefficient.Results From 2013 to 2017 the number of registered nurses had increased largely,but registered nurses per thousand people,ratio of physicians to nurses,and bed-to-nurse ratio in Henan Province were lower than that of the national average,and the total number of registered nurses was insufficient.In terms of equity of nursing human resources allocation,the Gini coefficients according to the resident population and geographical area were 0.18 and 0.36,and allocation based on the resident population was better than on the regional area.In addition,nursing human resources were unbalanced in urban and rural areas and among different institutions.Conclusion Nursing human resources allocation in Henan Province has been improved,but the total amount of registered nurses is insufficient.Health authorities should further optimize the allocation of nursing human resources in Henan Province to balance nursing human resources between urban and rural areas and among different institutions.

关 键 词：护理人力资源 注册护士 卫生保健公平提供 护理管理研究 卫生人力 

分 类 号：R47[医药卫生—护理学]