Zhou Minghua
Department of Administration Office, Luzhou People's Hospital, Luzhou, Sichuan, People's Republic of China.
Risk Manag Healthc Policy. 2024 Feb 17;17:341-353. doi: 10.2147/RMHP.S452475. eCollection 2024.
To analyze the equity of human resources allocation of the Centers for Disease Control and Prevention (CDCs) and to predict the development in the next five years in China, and to provide a scientific basis for promoting the development of human resources.
The data of the CDCs from 2017 to 2021 were obtained from the "China Health Statistical Yearbook", and descriptive analysis, health resource density index (HRDI), Theil index, and health resource agglomeration degree (HRAD) were used to evaluate the equity, and the grey prediction model GM (1, 1) was used to predict the development from 2022 to 2026.
Measured by the HRDI, the shortage of human resources in the western region was relatively obvious, with a shortage of more than 11,656 health technicians, more than 6418 licensed (assistant) physicians, and more than 693 registered nurses. The Theil index of human resources allocation by population was between 0.016 and 0.071, and the Theil index of human resources allocation by geography was between 0.312 and 0.359. The allocation of human resources by geography was more unequal than those allocated by population. In terms of HRAD, human resources are over-allocated equitably by geography in the eastern and central regions, while they are under-allocated equitably by geography in the western region. In terms of the difference between the HRAD and PAD, the eastern region has a shortage of human resources relative to the concentration population, and the western region has an excess of human resources relative to the concentration population.
The human resources allocation of the CDCs in China was uneven. The human resources of the CDCs were allocated more equitably by population than by geography. There was a situation where the equity of human resource allocation of the CDCs was contrary to the actual demand for medical care.
分析中国疾病预防控制中心(疾控中心)人力资源配置的公平性,并预测未来五年的发展情况,为促进人力资源发展提供科学依据。
从《中国卫生统计年鉴》获取2017年至2021年疾控中心的数据,采用描述性分析、卫生资源密度指数(HRDI)、泰尔指数和卫生资源集聚度(HRAD)评估公平性,运用灰色预测模型GM(1,1)预测2022年至2026年的发展情况。
以HRDI衡量,西部地区人力资源短缺较为明显,卫生技术人员短缺超过11656人,执业(助理)医师短缺超过6418人,注册护士短缺超过693人。按人口进行人力资源配置的泰尔指数在0.016至0.071之间,按地理区域进行人力资源配置的泰尔指数在0.312至0.359之间。按地理区域进行的人力资源配置比按人口进行的配置更不平等。从HRAD来看,东部和中部地区按地理区域人力资源配置过度公平,而西部地区按地理区域人力资源配置不足公平。就HRAD与PAD的差异而言,东部地区相对于集中人口人力资源短缺,西部地区相对于集中人口人力资源过剩。
中国疾控中心的人力资源配置不均衡。疾控中心的人力资源按人口配置比按地理区域配置更公平。存在疾控中心人力资源配置公平性与实际医疗需求相悖的情况。