论文部分内容阅读
目的探讨喀什地区卫生人力资源配置的公平性,为喀什地区卫生人力资源的优化配置提供参考依据。方法基于人口和地理面积分布量的角度,采用洛伦茨(Lorenz)曲线和基尼(Gini)系数对喀什地区卫生人力资源配置的公平性进行评价。结果 2015年喀什地区总人口为448.82万人。卫生技术人员17 283人,其中执业医师5 390人(31.19%),注册护士5 803人(33.58%),药师873人(5.05%),技师1 050人(6.07%),其他人员4 167人(24.11%)。喀什地区医护比为1∶1.08。喀什市和泽普县卫生人力资源配置密度高于全疆平均水平,其他县低于全疆平均水平。按人口分布的基尼(Gini)系数由小到大依次为执业医师(G=0.4759)、注册护士(G=0.4773)、卫生技术人员(G=0.4982)。按地理面积分布的基尼(Gini)系数由小到大依次为注册护士(G=0.6211)、卫生技术人员(G=0.6321)、执业(助理)医师(G=0.759)。结论喀什地区卫生人力资源按人口和地理面积分布的公平性差,需引起高度重视。
Objective To explore the fairness of health human resources allocation in Kashgar region and provide reference for the optimal allocation of health human resources in Kashgar region. Methods Based on the distribution of population and geographical area, the Lorenz curve and Gini coefficient were used to evaluate the fairness of human resource allocation in Kashi Prefecture. Results The total population of Kashgar in 2015 was 4,488,200. There were 17,283 health technicians, including 5,390 (31.19%) practicing doctors, 5,803 registered nurses (33.58%), 873 pharmacists (5.05%), 1,050 technicians (6.07%) and 4,167 other staff (24.11%). Kashi Prefecture health care ratio of 1: 1.08. The distribution density of health human resources in Kashgar and Zepu County is higher than the average level in Xinjiang and other counties are lower than the average level in Xinjiang. The distribution of Gini coefficients followed the order of practicing doctors (G = 0.4759), registered nurses (G = 0.4773) and health technicians (G = 0.4982). According to geographical area, the Gini coefficients were registered nurses (G = 0.6211), health technicians (G = 0.6321) and practicing (assistant) doctors (G = 0.759) in descending order. Conclusion The unfair distribution of health human resources in Kashgar region according to the population and geographical area needs great attention.