我国疾病预防控制中心卫生人力资源配置公平性分析

目的 分析东部、中部和西部地区疾病预防控制中心的卫生人力资源配置及其公平性，为优化人力资源配置提供依据。方法 人力资源数据来源于《中国疾病预防控制中心基本信息系统》，人口学数据来源于传染病网络直报系统，描述不同级别（省、地市、县区）和不同地区（东部、中部、西部）疾病预防控制中心的职工数、年龄结构、学位结构和职称结构；分析卫生人力资源按人口分布的公平性，计算基尼系数。结果 东部地区三级疾病预防控制中心35岁以下年龄组所占比例为31.54%、有学位人员比例为39.13%，正高和副高比例为12.83%，均高于中部和西部；卫生人力资源按人口分布的基尼系数为0.117 0，低于中部和西部。结论 我国疾病预防控制中心卫生人力资源配置公平性较好，其中东部地区疾病预防控制中心人员素质较高，人力资源配置也更为均衡。应加强中西部地区疾病预防控制队伍建设，改善卫生人力资源配置不公平性。

Human Resources Allocation Equity in Centers for Disease Control and Prevention in China

Objective To analyze and evaluate the human resources allocation of Centers for Disease Control and Prevention in east, middle and west areas, so as to provide foundation for making scientific manpower plans. Methods The manpower data was drawn from Chinese Center for Disease Control and Prevention basic information system and the population data was from infectious disease network reporting system. The CDC's staff number was described, as well as structure of age, degree and title, in different levels (province, city and county) and different areas (east, middle and west), in China. And manpower allocation equity against population was analyzed by Gini coefficient. Results In East Areas, the staffs under age of 35 years comprised 31.54%. Those with degree accounted 39.13%. The proportion of employees with senior and vice-senior title were 12.83%,which were all higher than those in the Middle and West Areas. The demographic Gini index was 0.117 0, which was lower than those in the other two areas. Conclusions The human resources for health is distributed equally in Centers for Disease Control and Prevention, in China. However, not only the overall quality was higher, but also HRH configuration was more balanced in CDCs in east areas. More attention is needed to reduce HRH maldistribution in CDCs in middle and west areas.