文献类型：期刊文献

中文题名：宁夏回族自治区医疗卫生人力资源配置公平性调查

英文题名：Survey on the equity of health human resource allocation in Ningxia

作者：张文学[1];温俊娜[2];徐静[3];梁蒙蒙[3];李正直[1]

第一作者：张文学

机构：[1]宁夏医科大学理学院,宁夏银川750004;[2]甘肃中医药大学教务处;[3]宁夏医科大学公共管理研究中心

第一机构：宁夏医科大学理学院,宁夏银川750004

年份：2019

卷号：35

期号：1

起止页码：5

中文期刊名：中国公共卫生管理

外文期刊名：Chinese Journal of Public Health Management

收录：国家哲学社会科学学术期刊数据库

基金：国家社会科学基金西部项目(17XGL016);宁夏医科大学重点科研项目(XZ201404);2017年宁夏医科大学优秀青年后备骨干培育对象(宁医校发[2017]119号)

语种：中文

中文关键词：医疗卫生;人力资源;资源配置;公平性;基尼系数;泰尔指数

外文关键词：health care;human resources;resource allocation;equity;Gini coefficient;Theil index

摘要：目的分析宁夏回族自治区2014年卫生人力资源配置的数据,探索宁夏医疗卫生人力资源配置及其公平性,为相关部门优化宁夏卫生人力资源配置提供参考依据。方法通过查阅2015年《宁夏卫生和计划生育统计资料汇编》确立评价指标为执业医师、注册护士、药师、检验师和见习医师5个因子,并从人口和地理配量两个维度采用Lorenz曲线、Gini系数和Theil指数对宁夏医疗卫生人力资源配置数据进行测算。结果 2014年宁夏回族5项医疗卫生人力资源中,注册护士的Gini系数和Theil指数均最高;医疗卫生人力资源地理配置的Gini系数和Theil指数高于人口配置;区域间Theil指数贡献率高于区域内。结论 2014年宁夏回族自治区医疗卫生人力资源按人口配置优于地理配置,注册护士配置公平性差,地区间资源配置差距较大。政府应加大对注册护士和艰苦偏远地区及基层医疗卫生人力资源的投入力度,促进全自治区卫生事业协调发展。
Objective To analyze the data of health human resources allocation in Ningxia Hui Autonomous Region in 2014,provide the references for the relevant government department to optimize Ningxia’s health human resource allocation by exploring current situation and equity.Methods By consulting Ningxia Health and Family Planning Statistical Data Compilation in 2015,the evaluation index was established as five factors of practitioners,registered nurses,pharmacists,inspectors and probationers.Lorenz curve,Gini coefficient and Theil index were used to measure the allocation data of medical and health human resources in Ningxia from two dimensions of population and geography.Results Both Gini coefficient and Theil index of registered nurses were the highest in 5 items of health human resources in Ningxia in 2014.Gini coefficient and Theil index in geography allocation of health human resources were higher than those in population allocation.The contribution of the inter-regional differences was higher than the differences within regions.Conclusion In 2014,the population allocation of health human resources was better than the geography allocation.The registered nurse’s allocation equity was poor and there were significant gaps among regions.The government should increase registered nurse investment and focus on the health human resources of grass roots and difficult and remote areas to promote the coordinated development of health work in the region.