摘要
目的对广东省社区卫生服务人力资源配置的现状及公平性进行分析,为更好地发展广东省社区卫生服务提供理论依据。方法 2013年1月,对广东省2012年的社区卫生服务人力资源情况进行普查,计算人力资源按人口和地理分布的洛伦兹曲线、基尼系数及泰尔指数,并对泰尔指数(泰尔-L指数)进行分解以定量分析公平性。结果洛伦兹曲线显示,广东省全科医师、社区护士人力资源按人口分布的公平性较高,按地理分布的公平性较低;且全科医师人力资源配置公平性优于社区护士。全科医师、社区护士按人口分布的基尼系数分别为0.277和0.311;按地理分布的基尼系数分别为0.557和0.583。泰尔-L指数评价结果与基尼系数一致,区域间差异对总泰尔指数的贡献率高于区域内差异。结论广东省社区卫生服务人力资源整体配置不足,全科医师配置的公平性优于社区护士;按人口分布处于公平状态,但按地理分布公平性较低。卫生行政部门应充分考虑护理人员的合理配置及地理分布对社区卫生服务可及性的影响,克服由于区域间经济发展水平差异所导致的人力资源分布差异,最终实现社区卫生服务人力资源的公平分配与合理使用。
Objective To evaluate the status and equity of human resource configuration of community health services in Guangdong Province to provide basis for relevant policies improvement. Methods In January 2012, in the 2012 census on the status of human resources of community health services, Lorenz Curve, Gini coefficient and Theil index were calculated on local population and geographic distribution, and Theil - L index was decomposed to analyze quantitatively the equity of human resource configuration of general practitioners （GP） in Guangdong. ResUlts By Lorenz Curve, the equity of GPs and community nurses human resource configuration was high based on population distribution, low based on geographic, and that of GPs superior to nurses＇. The Gini coefficients of GPs and community nurses based on population distribution were 0. 277, 0.311, respectively, those based on geographic were 0. 557, 0.583, respectively. The results of Theil- L index was evaluation were consistent with Gini coefficient, the contribution of inter - regional differences to total Theil index higher than that of regional differences. Conclusion The human resource configuration is inadequate in community health services. The equity of GPS configuration is superior to that of community nurses, and it is good based on population distribution, low based on geographic. Health administrative departments should fully consider the effects of rational allocation of nurses and geographic distribution on community health service accessibility, to narrow the differences in human resource distribution due to inter - regional difference in economic development and achieve ultimately the equitable distribution of human resources and rational use.
出处
《中国全科医学》
CAS
CSCD
北大核心
2014年第11期1323-1326,共4页
Chinese General Practice
