文章摘要
孙 荣,程向前,戴小婷,邵海亚.南京市基层卫生人力资源的配置与公平性研究[J].南京医科大学学报(社会科学版),2017,(6):447~452
南京市基层卫生人力资源的配置与公平性研究
Analysis on the development and equality of human resource allocation of community health service institutions in Nanjing
投稿时间:2017-08-24  
DOI:10.7655/NYDXBSS20170603
中文关键词: 社区卫生  人力资源  医护比  基尼系数  公平性
英文关键词: community health service  human resources  ratio of doctors to nurses  Gini coefficient  equity
基金项目:2016年江苏省社科基金一般项目“新医改背景下社区卫生服务机构行动逻辑模型构建及其困局破解”(16ZHB006);2016年南京医科大学卫生政策研究中心重点课题“南京市社区卫生人力资源现状分析及对策研究”
作者单位
孙 荣 南京医科大学公共卫生学院, 江苏 南京 211166 
程向前 南京市第二医院人事科, 江苏 南京 210003 
戴小婷 南京医科大学第四临床医学院, 江苏 南京 210029 
邵海亚 南京医科大学第四临床医学院, 江苏 南京 210029 
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中文摘要:
      目的:探讨南京市社区卫生人力资源配置的发展情况和公平性,为重塑新医改背景下的社区卫生服务机构定位提供政策建议。方法:以南京市2011—2014年城市社区卫生工作年报和《南京市卫生统计年鉴》为基础,从社区卫生服务人力数量、学历、职称、医护比、全科医生数量等方面分析南京市社区卫生人力配置发展情况,并运用基尼系数法对南京市社区卫生人力资源配置的公平性进行评估。结果:南京市社区卫生机构卫技人员专业素质不高,医护比例不合理,全科医生数量少且有逐年减少趋势,人力资源按人口分布相对公平,各行政区之间有差异。结论:创新社区卫生人才培养模式,采取有效措施增加社区卫生服务机构的护士数量,健全全科医生人才的培养和培训制度。
英文摘要:
      Objective: To discuss the situation of community health service′s human resources and its equity, and to provide suggestions for reposition of the community health service institutions under the background of New Health Care Reform. Methods: Based on Nanjing community health work report and Nanjing health statistical yearbook from year 2011 to 2014, we analyzed the development of community health human resource allocation from the aspects of the quantity of human resource, education background, professional title, ratio of doctors to nurses and the quantity of general practitioners. Lorenz curve and Gini coefficient were performed to evaluate the equality of human resource distribution on the population distribution. Results: The professional quality of human resources of community health service in Nanjing was not high. Ratio of doctors and nurses was unreasonable. Quantity of general practitioners was shortage with downward trend. Human resource allocation with the population distribution was relative equity, and there were some differences in different districts. Conclusion: The cultivation mode of community human resources should be innovated, effective measures should be performed to increase the number of nurses in community health service institutions and general practitioners’ team cultivation should be improved.
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