2018-2022年海南省基层卫生人力资源分布状况及公平性研究  

Distribution and equity of primary health human resources in Hainan Province from 2018 to 2022

作　　者：叶万玲 傅丽雅 郑金丹 李智勇 庞红霞[4] YE Wan-ling;FU Li-ya;ZHENG Jin-dan;LI Zhi-yong;PANG Hong-xia(Department of Medical Records,the First Affiliated Hospital of Hainan Medical University,Haikou 570102,Hainan,CHINA;Center of Statistical Information,Hainan Provincial Health Commission,Haikou 570102,Hainan,CHINA;Department of Hospital Quality and Safety Management,the First Affiliated Hospital of Hainan Medical University,Haikou 570102,Hainan,CHINA;Department of Stomatology,the First Affiliated Hospital of Hainan Medical University,Haikou 570102,Hainan,CHINA)

机构地区：[1]海南医学院第一附属医院病案科,海南海口570102 [2]海南省卫生健康委员会统计信息中心,海南海口570102 [3]海南医学院第一附属医院医院质量与安全管理办公室,海南海口570102 [4]海南医学院第一附属医院口腔科,海南海口570102

出　　处：《海南医学》2024年第15期2230-2237,共8页Hainan Medical Journal

基　　金：海南省卫生统计专题研究课题(编号:WSTJ2023013)。

摘　　要：目的分析2018—2022年海南省基层卫生人力资源的分布现状及其相关的公平性,为优化海南省基层医疗卫生人力资源的配置提供必要的理论参考依据及政策建议。方法收集整理2018—2022年海南省卫生人力资源的数据并进行分析及描述,通过洛伦兹曲线、卫生密度指数、空间分布及基尼系数等统计分析方法分析资源配置公平性是否合理。结果2018—2022年海南省卫生人力资源的配置总量在逐年增长。基尼系数按人口分布(除乡村医生外)均<2,配置结果为绝对公平;基尼系数按地理面积分布处于0.0302~0.3518,配置结果含有绝对公平、比较公平、相对公平。结论2018—2022年海南省基层卫生人力资源总体上增长,地区间存在差异;从人口分布上看,卫生人力资源的基尼系数总体呈下降趋势,配置的公平性明显比地理分布的公平性有优势,因此基层人力资源的配置应向稀缺的地区倾斜,逐步缩小地区间的差距,提升区域间人力资源配置的公平性。Objective To analyze the distribution status and related equity of primary health human resources in Hainan Province from 2018 to 2022,and to provide necessary theoretical reference and policy suggestions for optimiz-ing the allocation of primary health human resources in Hainan Province.Methods The data of health human resources in Hainan Province from 2018 to 2022 were collected,analyzed,and described.The fairness of resource allocation was analyzed by Lorentz curve,health density index,spatial distribution,and Gini coefficient.Results The total allocation of health human resources in Hainan Province increased year by year from 2018 to 2022.According to the population distribution(except rural doctors),the Gini coefficient was all less than 2,and the allocation result was absolute fairness.The Gini coefficient was 0.0302 to 0.3518 according to geographical area,and the allocation results included absolute fairness,relatively fairness,and relative fairness.Conclusion The primary health human resources in Hainan Province increased generally from 2018 to 2022,but there were differences among regions.From the perspective of population distribution,the Gini coefficient of health human resources generally shows a downward trend,and the equity of alloca-tion is obviously superior to the equity of geographical distribution.Therefore,the allocation of grassroots human re-sources should be tilted to the scarce regions,gradually narrow the gap between regions,and improve the equity of in-ter-regional human resources allocation.

关 键 词：洛伦兹曲线 基尼系数 卫生人力资源 公平性 卫生密度 

分 类 号：R19[医药卫生—卫生事业管理]