基于集聚度的山东省卫生人力资源配置的公平性研究  

Research on the equity of health human resource allocation in Shandong Province based on the agglomeration degree

作　　者：眭淑娟 张泉 吴海波[1] SUI Shujuan;ZHANG Quan;WU Haibo(School of Economics and Management,Jiangxi University of Traditional Chinese Medicine,Nanchang Jiangxi 330004,China)

机构地区：[1]江西中医药大学经济与管理学院,江西南昌330004

出　　处：《卫生软科学》2024年第4期56-62,共7页Soft Science of Health

摘　　要：[目的]分析2016-2021年山东省16个地级市卫生人力资源配置的公平性及变化趋势,为政府进一步优化资源配置提供参考。[方法]选取山东省16个地级市2016-2021年卫生机构人员数、卫生技术人员数、执业(助理)医师数、注册护士数为指标,运用集聚度方法计算卫生人力资源集聚水平,从年份、地区、人口等维度分析山东省6年卫生人力资源配置的相对公平性。[结果]2016-2021年,山东省东部、中部与西部地区卫生人力资源的配置趋势基本一致,西部地区整体呈上升趋势。东部地区各类卫生人力资源HRAD均大于1,提示按地理配置的公平性较好;西部地区卫生技术人员、执业助理医师HRAD-PAD的差值小于0,提示按人口配置的公平性较差。[结论]2016-2021年,山东省地区卫生人力资源配置公平性存在显著差别,但是在不断优化当中。为促进山东省卫生人力资源配置的公平性,合理配置资源的同时应制定兼顾多种因素的政策,并完善“育、引、留、用”政策,倡导“区域协调”发展理念,使卫生服务体系能向居民提供公平且有效的卫生服务。Objective To analyze the equity and change trend of health human resource allocation in 16 prefecture-level cities in Shandong Province from 2016 to 2021,and to provide the reference for the government to further optimize resource allocation.Methods The number of personnel in health institutions,health technicians,practicing(assistant)physicians and registered nurses in 16 prefecture-level cities in Shandong Province from 2016 to 2021 was selected as indicators,and the agglomeration degree was used to calculate the agglomeration level of health human resources.The relative equity of health human resources allocation in Shandong Province in the past six years was analyzed from the dimensions of year,region and population.Results From 2016 to 2021,the trend of health human resources allocation in eastern,central and western regions of Shandong Province was basically the same,and the western region showed an overall upward trend.The HRAD of all types of health human resources in the eastern region was greater than 1,indicating that the equity of geographical allocation was better.The difference of HRAD-PAD between health technicians and practicing assistant physicians in western China was less than 0,indicating that the equity of allocation by population was poor.Conclusions From 2016 to 2021,there are significant differences in the equity of regional health human resources allocation in Shandong Province,but it is constantly optimized.In order to promote the equity of the health human resources allocation in Shandong Province,it is necessary to formulate policies taking into account multiple factors while rationally allocating resources,improve the policies of“cultivation,introduction,retention and employment”,advocate the development philosophy of“regional coordination”,so that the health service system can provide fair and effective health services to residents.

关 键 词：卫生人力资源 公平性 集聚度 地理信息系统 山东省 

分 类 号：R197[医药卫生—卫生事业管理]