甘肃省职业卫生技术服务资源配置公平性分析  

Analysis on the allocation equality in occupational health technology service resource in Gansu Province

作　　者：刘小云[1] 李拥军[1] 张甜[1] 王芳[1] 王玉霞[1] 孙建云[1] Liu Xiaoyun;Li Yongjun;Zhang Tian;Wang Fang;Wang Yuxia;Sun Jianyun(Physical and Chemical Testing Department of Gansu Provincial Center for Disease Control and Prevention,Lanzhou 730020,China)

机构地区：[1]甘肃省疾病预防控制中心理化科,兰州730020

出　　处：《中华劳动卫生职业病杂志》2023年第12期913-917,共5页Chinese Journal of Industrial Hygiene and Occupational Diseases

基　　金：甘肃省技术创新计划引导项目(21CX6ZA034);甘肃省自然科学基金项目(22JR11RA183)。

摘　　要：目的调查分析甘肃省疾病预防控制机构职业卫生技术服务资源配置的公平性,为优化职业卫生技术服务资源配置提供参考依据。方法结合2021年9月的调查资料及甘肃省各地区的地理位置及经济特点,将甘肃省划分为五个经济区域,以服务企业数和服务工人数为分析维度,比较各区域职业卫生技术服务资源的配置水平,通过洛伦兹曲线、基尼系数和泰尔指数评价资源配置的公平性。结果2021年甘肃省疾病预防控制机构共有职业卫生技术人员301人,采样与检测设备1914台,服务企业数1952家,服务工人数46.58万人。以服务企业数和服务工人数分析的各资源洛伦兹曲线弯曲程度均为职业卫生技术人员>放射性因素采样与检测设备>物理因素采样与检测设备>化学因素采样与检测设备,基尼系数大小依次为化学因素采样与检测设备>物理因素采样与检测设备>放射性因素采样与检测设备>职业卫生技术人员;泰尔指数分析显示,职业卫生技术人员和放射性因素采样与检测设备配置不公平的主要来源是区域内差异;化学因素和物理因素采样与检测设备配置不公平的主要来源是区域间差异。结论甘肃省疾病预防控制机构职业卫生技术服务资源配置结构总体公平性不足,区域内和区域间的差异需要引起重视。建议引进较多职业卫生技术人才,职业卫生技术服务资源配置要尽量与当地企业数及企业潜在危害因素类型相匹配。Objective To investigate and analyze the allocation equality of occupational health technology service resource of Gansu disease control and prevention institutions,providing reference basis for optimizing the allocation of occupational health technology service resources.Methods Combined with the survey data in September 2021,Gansu Province was divided into five economic regions by geographical location and economic characteristics.Taking the service number of enterprises and workers as the analysis dimensions,the allocation level of occupational health technology service resources in different regions was compared.The allocation equality was analyzed through Lorentz curve,Gini coefficient and Theil index.Results There were 301 occupational health technicians and 1914 sampling and testing equipments of Gansu Provincial disease control and prevention institutions in 2021.All of the technicians and equipments were used for serving 1952 enterprises and 465800 workers.The curvature of Lorentz curves and Gini coefficient which measured by the service number of enterprises and workers were:occupational health technicians>radioactive factor sampling and testing equipment>physical factor sampling and testing equipment>chemical factor sampling and testing equipment,and chemical factor sampling and testing equipment>physical factor sampling and testing equipment>radioactive factor sampling and testing equipment>occupational health technicians,respectively.Theil index of occupational health technology service resources suggested that differences in regions were the main unfair reason effected the allocation of occupational health technicians and radioactive factor sampling and testing equipment,while the differences between regions were the main unfair reason effected the allocation of chemical and physical factor sampling and testing equipment.Conclusion The allocation equality in occupational health technology service resources of Gansu Provincial disease control and prevention institutions was not enough,and the differe

关 键 词：职业卫生服务 疾病预防控制机构 公平性 基尼系数 泰尔指数 

分 类 号：R13[医药卫生—劳动卫生]