2014—2018年天津市卫生人力资源配置情况及公平性研究

目的 比较2014—2018年天津市卫生人力资源配置的公平性情况,为进一步优化资源配置提供参考.方法 采用经济学评价方法从人口、地理2个维度评价2014—2018年天津市卫生人力资源配置情况及公平性.结果 2014—2018年,天津市卫生技术人员数量逐年上升,洛伦兹曲线在人口维度上弯曲度最小.执业(助理)医师、注册护士...

Research on the Current Situation and Equity of Health Human Resources in Tianjin During 2014-2018

Objective To analyze the equity of health human resources in Tianjin from 2014 to 2018,so as to provide a reference for resources allocation.Methods Using economic evaluation methods to evaluate the health human resource allocation and equity of Tianjin from 2014 to 2018 in two dimensions of population and geography.Results From 2014 to 2018,the number of health technicians in Tianjin had increased year by year.The Lorenz curve had the smallest curvature in the population dimension.The range of Gini coefficients for practicing(assistant)physicians and registered nurses in 2014-2018 were 0.236~0.271 and 0.294~0.351 in the population dimension,0.659~0.668 and 0.701~0.726 in the geographic dimension.The total Theil index of health human resources showed a downward trend,with inter group contribution rate greater than intra group contribution rate.Conclusion The allocation of health human resources in Tianjin tends to be balanced.The shortage of nursing staff is obvious,the difference among the regions was bigger than that in the region.It is suggested to strengthen the guidance and education of nursing staff,strengthen the leading role of the government,optimize the allocation of resources and improve the regional distribution differences.