“十三五”期间四川省卫生人力资源配置规划完成情况及公平性分析  

Analysis on the implementation and equity of health human resource allocation plan in Sichuan Province during the“13th Five-Year Plan”

作　　者：周明华[1] 谭红 何思长 ZHOU Ming-hua;TAN Hong;HE Si-zhang(Administration Office of Luzhou People s Hospital,Luzhou Sichuan 646000,China;Oral and Maxillofacial Reconstruction and Regeneration Lab of Southwest Medical University/Periodontal Mucosal Disease Department of Affiliated Stomatological Hospital of Southwest Medical University,Luzhou Sichuan 646000,China;Information and Statistics Department of Affiliated Hospital of Southwest Medical University,Luzhou Sichuan 646000,China)

机构地区：[1]泸州市人民医院行政办公室,四川泸州646000 [2]西南医科大学口腔颌面修复重建与再生实验室/西南医科大学附属口腔医院牙周粘膜病科,四川泸州646000 [3]西南医科大学附属医院信息与统计部,四川泸州646000

出　　处：《卫生软科学》2022年第10期55-60,共6页Soft Science of Health

基　　金：泸州市人民政府-西南医科大学科技战略合作项目(2020LZXNYDR10);泸州市哲学社会科学重点研究基地·泸州市人口与发展研究中心项目(RK202204);泸州市哲学社会科学重点研究基地·泸州市乡村振兴与新农教育研究中心项目(SHSK2022005)。

摘　　要：[目的]分析“十三五”期间四川省卫生人力资源配置规划完成情况及公平性,为加强四川省卫生人力资源建设提供参考。[方法]采用对比分析法、卫生资源密度指数和卫生资源集聚度分析四川省卫生人力资源配置规划完成情况及公平性。[结果]四川省每千常住人口卫生技术人员、执业(助理)医师和注册护士已经超过规划目标,其中9个州(市)每千常住人口卫生技术人员数低于规划目标,6个州(市)每千常住人口执业(助理)医师数和注册护士数低于规划目标,四川省整体及15个州(市)的医护比未达到规划目标。以2020年四川省平均水平为标准的卫生资源密度标准指数,卫生技术人员和执业(助理)医师中有雅安市、阿坝州、甘孜州和凉山州低于平均水平,注册护士中有雅安市、巴中市、阿坝州、甘孜州和凉山州低于平均水平。卫生技术人员、执业(助理)医师和注册护士的卫生资源集聚度有广元市、雅安市、阿坝州、甘孜州和凉山州小于1,卫生资源集聚度/人口集聚度有成都市、攀枝花市、雅安市大于1,乐山市、南充市、眉山市等10个州(市)小于1。[结论]四川省部分地区卫生人力资源与规划目标差距较大,医护比失衡;卫生人力资源配置地区间差异较大,存在公平性与实际就医需求相悖的情况。Objective To analyze the completion and fairness of health human resource allocation plan in Sichuan Province during the“13th Five-Year Plan”period so as to provide a scientific basis for strengthening the construction of health human resources in Sichuan Province.Methods The comparative analysis method,health resource density index and health resource agglomeration degree were used to analyze the completion and fairness of health human resource allocation planning in Sichuan Province.Results The number of health technicians,licensed(assistant)physicians and registered nurses per 1000 permanent residents in Sichuan Province had exceeded the planning target,the number of health technicians per 1000 permanent residents in 9 prefectures(cities)was below the planning target,and the number of licensed(assistant)physicians and registered nurses per 1000 permanent residents in prefectures(cities)was below the planning target,the ratio of doctors and nurses in Sichuan Province as a whole and 15 prefectures(cities)did not meet the planning target.Compared with the standard index of health resource density based on the average level of Sichuan Province in 2020,the health technicians and licensed(assistant)physicians of Ya an City,Aba,Ganzi and Liangshan Prefecture were below the average level,and registered nurses of Ya an City,Bazhong City,Aba,Ganzi and Liangshan Prefecture were below the average level.The health resource agglomeration degree of health technicians,licensed(assistant)physicians and registered nurses was less than 1 in Guangyuan City,Ya an City,Aba,Ganzi and Liangshan Prefecture.The health resource agglomeration degree/population agglomeration degree of health technicians,licensed(assistant)physicians and registered nurses were more than 1 in Chengdu,Panzhihua,and Ya an city,but which those were less than 1 in 10 prefectures(cities)including Leshan,Nanchong,and Meishan city.Conclusions There is a large gap between the health human resources and planning goals in some regions in Sichuan Province,and the

关 键 词：卫生人力资源 配置 规划 公平性 卫生资源密度指数 卫生资源集聚度 

分 类 号：R192[医药卫生—卫生事业管理]