[目的] 了解厦门市社区卫生服务中心卫生人力资源现状,探讨可能存在的问题,为今后厦门市医疗服务、分级诊疗的规范化,及全市社区卫生服务的规划和区域医学教育发展提供科学依据。[方法] 采用描述性方法分析2009-2016年厦门市社区卫生服务中心(卫生院)的卫生人力资源现状,运用洛伦兹曲线和基尼系数分别从人口和地理分布评价厦门市社区卫生人力资源分布的公平性。[结果] 2009-2016年厦门市社区卫生人力资源总数呈明显上升趋势,其中执业(助理)医师和注册护士分别增长了158.37%和214.62%;湖里区和思明区社区卫生人力资源的平均增长速度最快,分别为30.89%和22.37%。厦门市社区卫生人力资源按人口配置的公平性已有所改善,卫生人员总数基尼系数从由2009年的0.31降到2016年的0.11。但按地理配置的公平性明显不足。[结论] 厦门市社区卫生人力资源总数逐年上升,按人口分布处于公平状态,但地理公平性亟待重视。
Abstract
Objectives To know current status of health human resources in community health centers in Xiamen,explore possible issues so as to provide scientific basis for the standardization of medical service and hierarchical diagnosis and treatment,as well as the programming of community health services and regional medical education development in Xiamen. Methods Descriptive analysis was applied for analyzing current status of health human resources in community health service centers from 2009 to 2016 in Xiamen,and Lorenze curve combined with Gini coefficient were adopted to evaluate the equity of health human resources allocation of community health service centers from the view of demographic and geographical distribution. Results From 2009 to 2016,the total number of health human resources in community health service centers of Xiamen had increased significantly. The number of licensed physicians and nurses increased 158.37% and 214.62% respectively. The average increased speed in Huli and Siming district were the fastest which was 30.89% and 22.37% respectively. The equity of demographic distribution had been improved,Gini coefficient for total number of health workers was from 0.33 in 2009 down to 0.11 in 2016,but the equity of geographical distribution was obviously shortage. Conclusions The total number of health human resources in community health service centers of Xiamen has increased by year. Health human resources in community health service centers according to demographics distribution is relatively fair,but should pay more attention to geographical distribution.
关键词
社区卫生服务中心 /
卫生人力资源 /
公平性 /
洛伦兹曲线 /
基尼系数 /
厦门市
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Key words
community health service centers /
health human resources /
Lorenze curve /
Gini coefficient /
Xaimen
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参考文献
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脚注
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基金
福建省卫生计生软科学研究课题:厦门市社区卫生服务中心卫生人力资源现状与预测研究(2016-RK-12);厦门医学高等专科学校校内教育研究项目:厦门医高专学生培养与本市社区卫生人力资源需求的匹配性分析(J2015-02)。
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