基于资源同质性假设的护理人力资源配置现状及公平性分析  

Analysis of Status and Equity of the Allocation of Nursing Human Resources Based on the Resource Homogeneity Assumption

作　　者：黄燕[1] 孙蓉 朱鹏瞻 张岩[1] 刘童童 HUANG Yan;SUN Rong;ZHU Peng-zhan(The Affiliated Hospital of Qingdao University,Qingdao,Shandong,266000,China;不详)

机构地区：[1]青岛大学附属医院,山东青岛266000

出　　处：《中国医院管理》2021年第5期83-86,共4页Chinese Hospital Management

摘　　要：目的探讨2015-2018年我国护理人力资源配置的现状及公平性。方法运用描述性统计、卫生资源密度指数、洛伦兹曲线、基尼系数、泰尔指数等分析方法从人口、地理面积、经济3个维度进行综合分析。结果我国护理人员总量不足,医护比失调,学历和职称结构不合理。2018年,我国护理人力资源按人口、地理面积和经济分布的基尼系数分别为0.0753、0.6607和0.1688。2015-2018年,人口维度的泰尔指数在0.0044~0.0056之间,地理面积维度的泰尔指数在0.5377~0.5509之间,这2个维度的不公平性主要是由组内差异造成的;经济维度的泰尔指数在0.0179~0.0205之间,不公平性主要来源于组间差异。结论政府应制定针对性政策,吸引优秀护理人员,改善学历和职称结构,缩小地区间和地区内的差异,提高我国护理人力资源配置的公平性。Objective To explore the status and equity of the allocation of nursing human resources in China from2015 to 2018.Methods Descriptive statistical analysis method,health resources density index,Lorenz curve,Gini coefficient,and Theil index were integrated applied to estimate the status and equity of the allocation of nursing human resources from three dimensions:population,geographical area and economy.Results The total number of registered nurses was insufficient,the ratio of doctors to nurses was unbalance,and the structures of educational background and professional title were unreasonable.The Gini coefficients of nursing human resources based on population,geographical area and economy distribution were 0.0753,0.6607 and 0.1688,respectively.From2015 to 2018,the Theil index of population dimension were between 0.0044 and 0.0056,and the Theil index of geographical area dimension were between 0.5377 and 0.5509.The unfairness of the two dimensions were mainly caused by the differences within the groups.Theil index of economy dimension was between 0.0179 and 0.0205,and the unfairness of this dimension was mainly derived from the differences between groups.Conclusion The government should formulate targeted policies to attract excellent nursing staff,improve the structures of educational background and professional title,narrow the differences between regions and within regions,and improve the fairness of nursing human resource allocation in China.

关 键 词：护理人力资源 资源配置 公平性 

分 类 号：R192.6[医药卫生—卫生事业管理]