2015—2020年天津市基层医疗卫生机构人力资源配置现状与公平性分析

职业与健康 ›› 2023, Vol. 39 ›› Issue (13): 1856-1860.

2015—2020年天津市基层医疗卫生机构人力资源配置现状与公平性分析

何丽莎^1a, 熊文燕^1a, 王猛², 赵帅^1a, 付潇^1a, 马蔚姝^1b

1.天津中医药大学a研究生院,b管理学院,天津 301617;
2.四川大学华西第二医院,四川成都 610041

收稿日期:2022-10-27 修回日期:2022-11-21 发布日期:2026-03-24
通信作者: 马蔚姝,教授,E-mail：maweishu@163.com
作者简介:何丽莎,女,在读硕士研究生,研究方向为医疗保障与健康管理。
基金资助:
天津市2020年度哲学社会科学规划课题（TJGL20-023）; 天津中医药大学第十二届大学生科技创新基金立项资助项目（CXJJ2022ZX09）

Analysis on status and fairness of human resource allocation in primary health care institutions in Tianjin from 2015-2020

HE Lisha^1a, XIONG Wenyan^1a, WANG Meng², ZHAO Shuai^1a, FU xiao^1a, MA Weishu^1b

1. a Graduate School,b School of Management,Tianjin University of Traditional Chinese Medicine,Tianjin,301617,China;
2. West China Second Hospital,Sichuan University,Chengdu Sichuan,610041,China

Received:2022-10-27 Revised:2022-11-21 Published:2026-03-24
Contact: MA Weishu,Professor,E-mail：maweishu@163.com

摘要/Abstract

摘要： 目的探析基层医疗卫生机构人力资源配置现状及其公平性,为天津在“十四五”新阶段优化基层卫生人力资源配置提供参考。方法用卫生人力资源密度指数、基尼系数和泰尔指数分析基层卫生人力资源配置的公平性。结果 2015—2020年基层卫生人力资源数量年均增长速度为7.57%,医护比为1 ∶ 0.503~1 ∶ 0.520。基尼系数：人口为0.135~0.199、经济为0.418~0.494、地理为0.558~0.646。泰尔指数差异贡献率显示,地理维度的差异主要源于区域间,经济维度差异主要源于区域内,分别为89.98%~94.91%和48.71%~65.37%。结论基层卫生人力资源增速较慢,医护比结构失衡,按人口配置的公平性优于按经济、面积配置的公平性。建议要以优化基层卫生人力资源配置为核心,从人员结构、空间分布上做好各区规划,引导优质的医疗资源向经济发展水平低、资源匮乏的区域下沉,促进全市基层卫生人力资源的协同发展。

关键词: 基层卫生人力资源, 公平性, 基尼系数, 泰尔指数, 天津

Abstract: Objective To analyze the current situation and fairness of human resource allocation in primary health care institutions,provide reference for Tianjin to optimize the allocation of primary health human resources in the new stage of the "14th Five-Year Plan". Methods The health human resource density index,Gini coefficient and Theil index were used to analyze the fairness of primary health human resource allocation. Results The average annual growth rate of primary health human resources in 2015-2020 was 7.57%,and the ratio of doctors to nurses was 1 ∶ 0.503-1 ∶ 0.520. The Gini coefficient value was respectively：population（0.135-0.199）,economy（0.418-0.494）,and geography（0.558-0.646）. The difference contribution rate of Theil index showed that the differences in geography originated mainly from inter regional differences,while the differences in economic dimensions mainly originated from within regions,which were 89.98%-94.91% and 48.71%-65.37%,respectively. Conclusions The growth of primary health human resources is slow,and the ratio of doctors and nurses is unbalanced. The fairness of allocation by population is better than that of allocation by economy and area. It is suggested that the allocation of primary health human resources should be optimized as the core,and each district should be well planned from the aspects of personnel structure and spatial distribution,the high-quality medical resources should be guided to sink into areas with low levels of economic development and resource scarcity,so as to promote the coordinated development of the grassroots health human resources in the city.

Key words: Primary health human resources, Fairness, Gini coefficient, Theil index, Tianjin

中图分类号:

R197

何丽莎, 熊文燕, 王猛, 赵帅, 付潇, 马蔚姝. 2015—2020年天津市基层医疗卫生机构人力资源配置现状与公平性分析. [J]职业与健康, 2023, 39(13): 1856-1860.

HE Lisha, XIONG Wenyan, WANG Meng, ZHAO Shuai, FU xiao, MA Weishu. Analysis on status and fairness of human resource allocation in primary health care institutions in Tianjin from 2015-2020. [J]OCCUPATION AND HEALTH, 2023, 39(13): 1856-1860.

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