湘鄂两省慢性病防治人力资源配置适宜程度研究  

Suitability of human resource allocation for chronic disease prevention and treatment in Hunan and Hubei Provinces

作　　者：董忆晗 陈任[2,7] 陈菲 于芳[4,7] 李程跃 李伯阳[6,7] DONG Yihan;CHEN Ren;CHEN Fei;YU Fang;LI Chengyue;LI Boyang(School of Medicine and Health Management,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei 430030,China;School of Health Management,Anhui Medical University,Hefei,Anhui 230032,China;School of Public Health and Management,Chongqing Medical University,Chongqing 400016,China;School of Public Health and Management,Weifang Medical University,Weifang,Shandong 261053,China;Research Institute of Health Development Strategies,Fudan University,Shanghai 200032,China;School of Political Science and Public Administration,Wuhan University,Wuhan,Hubei 430064,China;Collaborative Innovation Center of Social Risks Governance in Health,Fudan University,Shanghai 200032,China)

机构地区：[1]华中科技大学同济医学院医药卫生管理学院,湖北武汉430030 [2]安徽医科大学卫生管理学院,安徽合肥230032 [3]重庆医科大学公共卫生与管理学院,重庆400016 [4]潍坊医学院公共卫生与管理学院,山东潍坊261053 [5]复旦大学卫生发展战略研究中心,上海200032 [6]武汉大学政治与公共管理学院,湖北武汉430064 [7]健康相关重大社会风险预警协同创新中心,上海200032

出　　处：《中国农村卫生事业管理》2023年第4期286-291,共6页Chinese Rural Health Service Administration

基　　金：教育部哲学人文社会科学研究项目(13YJC630070);国家自然科学基金青年基金项目(71804053);上海市加强公共卫生体系建设三年行动计划项目(GWIV-32);健康相关重大社会风险预警协同创新中心科研基金。

摘　　要：目的分析湖南、湖北两省2000—2019年慢性病防治人力资源配置的适宜程度和慢性病防治效果指标的适宜程度及其之间的关系。方法系统收集湘鄂两省与慢性病防治人力资源配置及慢性病防治效果相关的政策文件及研究文献,量化评价人力资源配置适宜程度和慢性病防治效果指标的适宜程度。运用秩和检验分析两省各指标的差异,运用Spearman秩相关系数法分析和线性回归分析研究二者之间的关系。结果湖南省慢性病人力资源配置适宜程度从2006年的0.00%上升至2019年的53.58%,湖北省从2005年的0.00%上升至2019年的57.02%。湖北省在慢性病人力资源的规模适宜程度(Z=-2.743,P<0.01)、能力胜任程度(Z=-2.204,P<0.05)、有效激励程度(Z=-2.156,P<0.05)和综合适宜程度(Z=-2.780,P<0.01)上都高于湖南省。人力资源配置综合适宜程度、规模适宜程度、能力胜任程度、有效激励程度和收入水平适宜程度与慢性病防治效果呈显著正相关,湖南省人力指标相关系数分别为0.700,0.725,0.725,0.865,0.865,湖北省人力指标相关系数分别为0.855,0.525,0.690,0.904,0.807。结论两省慢性病人力资源配置适宜程度逐年提升,湖北省优于湖南省,但与一流标准相比仍有差距。人力资源配置适宜程度对慢性病防治效果有显著促进作用。应进一步加强人力资源建设,扩大慢性病防治人员规模,提高人员素质,并建立科学有效的激励机制。Objective To analyze the suitability of human resource allocation for chronic diseases and the suitability of effect indicators for chronic disease prevention and treatment and their relationship in Hunan and Hu-bei Provinces from 2000 to 2019.Methods Policy documents and research literature related to human resource allocation and effect of chronic disease prevention and treatment in Hunan and Hubei Provinces were systematically collected.The suitability of human resource allocation and the suitability of effect indicators for chronic disease prevention and treatment were quantitatively evaluated.Rank sum test was used to analyze the difference of eachin-dex between the two prevention and treatment in Hunan and Hubei provinces,and Spearman rank correlation coef-ficient analysis and linear regression analysis were used to study the relationship between them.Results The suit-ability of human resource allocation for chronic diseases increased from 0.00%in 2006 to 53.58%in 2019 in Hu-nan Province,and from 0.00%in 2005 to 57.02%in 2019 in Hubei Province.The size(Z=-2.743,P<0.01),competence(Z=-2.204,P<0.05),incentive(Z=-2.156,P<0.05)and comprehensive suitabili-ty degrees(Z=-2.780,P<0.01)of human resources for chronic diseases in Hubei Province were all higher than those in Hunan Province.The comprehensive suitability degree of human resource allocation and the suitabili-ty degrees of size,competence,incentive and income level were significantly positively correlated with the preven-tion and treatment effect of chronic diseases.The correlation coefficients of human resource indicators in Hunan Province were 0.700,0.725,0.725,0.865,0.865,respectively and those in Hubei Province were 0.855,0.525,0.690,0.904,0.807,respectively.Conclusions The suitability degrees of human resource allocation for chronic diseases in the two provinces areincreasing year by year.Hubei Province is better than Hunan Prov-ince,but there is still a gap in comparison with the first-class standards.The suitability of human resource alloca-tion has

关 键 词：慢性病 慢性病防治 人力资源配置 规模 能力胜任 激励 收入水平 适宜程度 

分 类 号：R192[医药卫生—卫生事业管理]