Xiao J, Yu H M, Yang Y, Liu L, Zhong B, Zhao J S
Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan 611137, China.
Pukou District Center for Disease Control and Prevention, Nanjing City, Jiangsu Province, China.
Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2022 Jun 24;34(3):292-299. doi: 10.16250/j.32.1374.2021190.
To analyze the current status and evaluate the equity of health human resource allocation for echinococcosis control in Ganzi Tibetan Autonomous Prefecture, Sichuan Province, so as to provide the empirical evidence for optimizing the health human resource allocation for echinococcosis control.
A questionnaire survey was performed to collect the numbers of health human sources for echinococcosis control, including health workers, healthcare professionals, certified/assistant physicians and registered nurses, per 1 000 permanent residents, per 1 000 m, per 1 000 residents screened using Bmode ultrasonography and per 1 000 echinococcosis patients in two highly endemic counties and three lowly endemic counties in Ganzi Tibetan Autonomous Prefecture, Sichuan Province from 2016 to 2019. The equity of health human resource allocation for echinococcosis control was evaluated by permanent residents and geographical areas using Lorenz curve and Gini index in Ganzi Tibetan Autonomous Prefecture from 2016 to 2019.
The numbers of health workers, healthcare professionals, certified/assistant physicians and registered nurses per 1 000 permanent residents, per 1 000 permanent residents, per 1 000 m, per 1 000 residents screened using B-mode ultrasonography and per 1 000 echinococcosis patients were 0.99-, 1.06-, 1.78- and 1.88-fold; 3.38-, 3.67-, 6.00- and 6.00-fold; 1.64-, 1.74-, 3.22- and 3.18-fold; and 64.92-, 70.39-, 139.34- and 117.44-fold more in lowly endemic counties than in highly endemic countries in Ganzi Tibetan Autonomous Prefecture, Sichuan Province, 2019. The Gini indexes of health human resource allocation for echinococcosis control were 0.371 to 0.397 by permanent residents and 0.477 to 0.591 by geographical areas in Ganzi Tibetan Autonomous Prefecture from 2016 to 2019, and the Gini indexes (0.469 to 0.730) for allocation of certified/assistant physicians and registered nurses were both higher than those of health workers and healthcare professionals (0.302 to 0.451) by both permanent residents and geographical areas.
The health human resource allocation for echinococcosis control showed general equity by permanent residents and poor equity by geographical areas in Ganzi Tibetan Autonomous Prefecture, Sichuan Province from 2016 to 2019.
分析四川省甘孜藏族自治州包虫病防治卫生人力资源配置现状并评价其公平性，为优化包虫病防治卫生人力资源配置提供实证依据。
采用问卷调查法收集2016 - 2019年四川省甘孜藏族自治州2个高流行县和3个低流行县每千常住人口、每千平方米、每千名采用B超筛查居民及每千名包虫病患者的包虫病防治卫生人力资源数量，包括卫生人员、卫生专业技术人员、执业（助理）医师和注册护士。运用洛伦兹曲线和基尼系数，从常住人口和地理区域两个维度对2016 - 2019年甘孜藏族自治州包虫病防治卫生人力资源配置公平性进行评价。
2019年四川省甘孜藏族自治州低流行县每千常住人口、每千平方米、每千名采用B超筛查居民及每千名包虫病患者的卫生人员、卫生专业技术人员、执业（助理）医师和注册护士数量分别是高流行县的0.99倍、1.06倍、1.78倍和1.88倍；3.38倍、3.67倍、6.00倍和6.00倍；1.64倍、1.74倍、3.22倍和3.18倍；64.92倍、70.39倍、139.34倍和117.44倍。2016 - 2019年甘孜藏族自治州包虫病防治卫生人力资源配置常住人口基尼系数为0.371～0.397，地理区域基尼系数为0.477～0.591，执业（助理）医师和注册护士配置的常住人口和地理区域基尼系数（0.469～0.730）均高于卫生人员和卫生专业技术人员（0.302～0.451）。
2016 - 2019年四川省甘孜藏族自治州包虫病防治卫生人力资源配置常住人口维度呈现总体公平，地理区域维度公平性较差。
