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目的了解2013年新疆生产建设兵团(简称兵团)医疗机构卫生人力资源现状并评价人力资源分布的公平性,为政府制定人力资源改革措施提供依据。方法采用问卷调查的方法对兵团3个师医疗机构卫生人员进行调查,收集卫生人力资源配置的原始数据,包括性别、年龄、学历、职称等,描述人力资源配置现状;采用Lorenz曲线和Gini系数法评价卫生人力资源配置的公平性。结果 2013年兵团3个师共484个医疗卫生机构,共有人员4 397人;卫生技术人员共有3 371人,所占比例最高,占总人数的76.7%;35岁以下占35.2%,其中男性占32.9%,女性36.0%;本科以上学历不足20.0%,明显较低;人员构成以大、中专学历为主,占近80.0%;初级职称比例最大,占50.8%,其次为中级职称,占32.9%,高级职称仅占6.1%,高、中、初级职称(实聘职称)比例为1∶5.3∶8.2;每千人口卫生技术人员、医师、护士数分别为6.4、2.9、2.7人,医护比为1∶0.93;卫生技术人员按人口、面积分布的基尼系数分别为0.331 7、0.531 2。结论新疆兵团卫生技术人员学历相对较低,基层高技术人才相对较少,护理人员缺乏,人力资源配置的公平性按人口计算在合理范围,按服务范围计算处于警戒状态。
Objective To understand the status quo of health human resources in medical institutions of Xinjiang Production and Construction Corps in 2013 and evaluate the fairness of human resource distribution so as to provide the basis for government to formulate human resources reform measures. Methods A questionnaire survey was conducted to investigate the health personnel of the three Corps medical institutions and to collect the original data of the distribution of health human resources, including the gender, age, academic record, job title and so on. The current situation of human resources allocation was described. The Lorenz curve and Gini coefficient Evaluate the fairness of the allocation of health human resources. Results In 2013, the Corps had 484 medical and health institutions in 3 divisions and a total of 4 397 staff. The number of health technicians was 3 371, accounting for the highest proportion, accounting for 76.7% of the total; 35.2% of those under the age of 35, of whom men Accounting for 32.0%, 32.9% for women and 36.0% for women; bachelor’s degree or above is less than 20.0%, obviously lower; staff composition is mainly composed of large and secondary technical secondary schools, accounting for nearly 80.0% of the total; junior titles occupy the largest proportion, accounting for 50.8% %, Senior professional titles accounted for only 6.1%, high, middle and junior titles (job title) ratio of 1: 5.3: 8.2; per thousand population health technicians, physicians, nurses were 6.4,2.9,2.7 people, 1: 0.93. The Gini coefficients of health technicians by population and area were 0.331 7 and 0.531 2, respectively. Conclusions The educational level of health technicians in Xinjiang Corps is relatively low. There are relatively few high-tech talents at the grass-roots level, lack of nurses, and the fairness of human resources allocation is calculated according to population within a reasonable range. It is on alert according to the service range.