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[中国牙科医生资源分配公平性分析]

[Analysis on the equity of dentist resource allocation in China].

作者信息

Han J, Yang X

机构信息

Office of Human Resource, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China.

出版信息

Zhonghua Kou Qiang Yi Xue Za Zhi. 2023 Jun 9;58(6):584-591. doi: 10.3760/cma.j.cn112144-20220818-00447.

Abstract

To analyze the equity of national stomatologist resource allocation from 2016 to 2020, providing relevantly referenced basis for further stomatologist resource allocation. Collect data of domestic and international stomatologist resources in 2016, 2018 and 2020, and analyze the relevant data by using the health resources agglomeration degree and population agglomeration degree. At present, at the international level, the number of dentists per 10 000 people ranks 46th in 2010-2019. The quantity of domestic dental resources is on the rise, with a balanced gender distribution and a concentrated age distribution mainly in 25-44 years old. At the specialized technical level, the proportion of junior titles can reach 79.5%-83.0%. The ratio of resource agglomeration of dental practitioners and assistants calculated based on geographical area and population density shows that the ratio of HRAD to PAD in the eastern provinces is greater than 1, while the ratios of most provinces in the central and western regions are less than 1. The eastern regions have excessive allocations, while ones in the central and western regions are insufficient. Unfairness still exists in the allocation of resources for dentists in China. At the national level, it is necessary to continue to cultivate high-quality stomatologists and intensify efforts to support the grass-roots and remote areas. The ability, quality and work competence of on-the-job personnel should be comprehensively improved. Multi-point practice of stomatologists should be standardized and popularized, promoting the rational flow of oral health personnel.

摘要

分析2016年至2020年全国口腔医师资源配置的公平性,为进一步的口腔医师资源配置提供相关参考依据。收集2016年、2018年和2020年国内外口腔医师资源数据,并运用卫生资源集聚度和人口集聚度对相关数据进行分析。目前,在国际层面,2010 - 2019年每万人牙医数量排名第46位。国内口腔资源数量呈上升趋势,性别分布均衡,年龄分布集中在25 - 44岁。在专业技术层面,初级职称比例可达79.5% - 83.0%。基于地理区域和人口密度计算的口腔执业医师与助理资源集聚比显示,东部省份的卫生资源集聚度与人口集聚度之比大于1,而中西部多数省份该比值小于1。东部地区配置过度,中西部地区配置不足。我国口腔医师资源配置仍存在不公平现象。在国家层面,有必要继续培养高素质口腔医师,加大对基层和偏远地区的支持力度。全面提高在职人员的能力、素质和工作水平。规范和推广口腔医师多点执业,促进口腔卫生人员合理流动。

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