山东省专业公共卫生机构人力资源配置公平性研究
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摘要
目的分析2015年山东省专业公共卫生机构人力资源配置公平性。方法描述山东省专业公共卫生机构人力资源配置基本情况,采用洛伦茨曲线、基尼系数、泰尔指数,从人口、地理面积、经济发展水平三个维度分析山东省专业公共卫生机构人力资源配置公平性。结果截止到2015年末,山东省每万人专业公共卫生机构人员6. 5人,高于全国水平(6. 4人)。除注册护士按地理面积分布(0. 2369)外,其余人员按人口、地理面积分布的基尼系数均在0. 1~0. 2之间;按经济发展水平均在0. 2~0. 3之间,注册护士最大为0. 2889。各类人员的泰尔指数与其基尼系数有相同的趋势,且区域内差异贡献率(88. 1%~96. 6%)高于区域间(3. 4%~11. 9%)。结论山东省专业公共卫生机构人力资源按人口分布的公平性优于按地理面积和经济发展水平,注册护士配置公平性相比于其他人员稍差。区域内差异是导致山东省专业公共卫生机构人力资源配置区域内相对不公平的主要原因。
Objective To analyze the equity of human resource allocation in professional public health agencies in Shandong Province in 2015. Methods Descriptive statistics were used to analyze the basic situation. We also adopted the Lorenz curve,Gini coefficient,and Theil index,from the dimension of the population,geographical area,and economic development level to analyze the equity of human resource allocation. Results By the end of 2015,there were 6. 5 public health workers per ten thousand people,which was higher than the national level( 6. 4). The Gini coefficients of the population and geographical area distribution were between 0. 1 and 0. 2,except the registered nurse( 0. 2369). In terms of the economic development level,they were between 0. 2 and 0. 3,and the largest value was 0. 2889 for the registered nurse. Thiel index had the same trend with the Gini coefficient,and the contribution rate of intra-region( 88. 1 to 96. 6 percent) was higher than that of inter-region( 3. 4 to 11. 9 percent). Conclusion The equity of human resource allocation in view of population distribution is superior to geographical area and economic development level,which in the registered nurse is a bit poor. The differences in intra-region are the main reasons for relative inequity.
Objective To analyze the equity of human resource allocation in professional public health agencies in Shandong Province in 2015. Methods Descriptive statistics were used to analyze the basic situation. We also adopted the Lorenz curve,Gini coefficient,and Theil index,from the dimension of the population,geographical area,and economic development level to analyze the equity of human resource allocation. Results By the end of 2015,there were 6. 5 public health workers per ten thousand people,which was higher than the national level( 6. 4). The Gini coefficients of the population and geographical area distribution were between 0. 1 and 0. 2,except the registered nurse( 0. 2369). In terms of the economic development level,they were between 0. 2 and 0. 3,and the largest value was 0. 2889 for the registered nurse. Thiel index had the same trend with the Gini coefficient,and the contribution rate of intra-region( 88. 1 to 96. 6 percent) was higher than that of inter-region( 3. 4 to 11. 9 percent). Conclusion The equity of human resource allocation in view of population distribution is superior to geographical area and economic development level,which in the registered nurse is a bit poor. The differences in intra-region are the main reasons for relative inequity.
引文
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[8]王瑶,刘鸿宇,李林贵.山东省卫生人力资源配置现状及公平性分析[J].中国初级卫生保健,2017,31(7):10-12.
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[11]杨文兰.基于泰尔指数的卫生资源配置均衡性研究[J].经济问题探索,2011,5(5):160-164.
[12]屈水令,邵晓颖,刘学通,等. 2005-2014年中国医院和专业公共卫生机构发展的比较研究[J].中国公共卫生管理,2017,33(2):259-262.
[13]李玉莲,吕筠,沈艳辉,等.基层疾病预防控制机构人员职业倦怠状况及影响因素分析[J].中国公共卫生,2014,30(12):1545-1549.
[14]梁峥嵘,于贞杰,汤敏,等.基于泰尔指数和集中指数的我国妇幼保健资源配置公平性评价[J].现代预防医学,2015,42(16):2930-2934.
[15]刘楚,王国文,尹爱田.山东省卫生人力资源配置公平性研究[J].中国卫生资源,2016,19(6):466-469,474.
[2]孙健,陈飞,文秋林,等.中国专业公共卫生机构人员配置公平性评价研究[J].农村经济与科技,2017,28(15):258-260.
[3]付金翠.云南省楚雄州公共卫生人力资源配置分析及公平性研究[D].昆明医科大学,2012.
[4]彭小冬,周彦,侯万里,等.深圳市公共卫生人力资源配置及公平性分析[J].中国卫生资源,2017,20(5):374-378.
[5]刘稳,李士雪. 2000-2012年山东省卫生资源配置的公平性研究:基于泰尔指数[J].中国卫生资源,2015,18(2):144-146.
[6] De Maio FG. Income inequality measures[J]. Journal of Epidemiology and Community Health,2007,61(10):849-852.
[7]李贞玉,孔祥金,任苒.辽宁卫生资源配置公平性发展趋势研究:基于Gini系数和Theil指数的分析*[J].中国卫生经济,2013,32(4):12-14.
[8]王瑶,刘鸿宇,李林贵.山东省卫生人力资源配置现状及公平性分析[J].中国初级卫生保健,2017,31(7):10-12.
[9] Fang PQ,Dong SP,Xiao JJ,et al. Regional inequality in health and its determinants:Evidence from China[J]. Health Policy,2010,94(1):14-25.
[10] Tao Y,Henry K,Zou Q,et al. Methods for measuring horizontal equity in health resource allocation:a comparative study[J].Health Economics Review,2014,4:10.
[11]杨文兰.基于泰尔指数的卫生资源配置均衡性研究[J].经济问题探索,2011,5(5):160-164.
[12]屈水令,邵晓颖,刘学通,等. 2005-2014年中国医院和专业公共卫生机构发展的比较研究[J].中国公共卫生管理,2017,33(2):259-262.
[13]李玉莲,吕筠,沈艳辉,等.基层疾病预防控制机构人员职业倦怠状况及影响因素分析[J].中国公共卫生,2014,30(12):1545-1549.
[14]梁峥嵘,于贞杰,汤敏,等.基于泰尔指数和集中指数的我国妇幼保健资源配置公平性评价[J].现代预防医学,2015,42(16):2930-2934.
[15]刘楚,王国文,尹爱田.山东省卫生人力资源配置公平性研究[J].中国卫生资源,2016,19(6):466-469,474.