Institute of Disaster and Emergency Medicine, Tianjin University, Tianjin, China.
College of Management and Economics, Tianjin University, Tianjin, China.
Front Public Health. 2024 Aug 29;12:1382343. doi: 10.3389/fpubh.2024.1382343. eCollection 2024.
In recent years, the development of global public health has become a matter of great concern and importance for governments worldwide. China, as the largest developing country, plays a crucial role in shaping the development of the public health and its ability to respond to sudden public health emergencies through the fairness of its human resource allocation in center for disease control and prevention (CDC).
This study aims to analyze the situation of health human resource allocation in the China Centers for Disease Control and Prevention (China CDCs), assess the fairness of the allocation, and provide reference for the rational allocation of human resources.
We selected data from the China Health Statistics Yearbook on healthcare technical personnel, other technical personnel, managerial personnel, and workforce technical personnel of China CDCs for the period of 2016-2020. We utilized the Health Resource Density Index to evaluate the level of human resource allocation in China CDCs. Additionally, we used the Gini coefficient and Theil index to assess the fairness of human resource allocation in China CDCs from both a population and geographical perspective.
Firstly, the educational qualifications and professional titles of CDC staff have improved, but the workforce is aging. Secondly, HRDI development trends vary among different personnel types and regions with varying levels of economic development. Finally, the results of the Gini coefficient and Theil index indicate that population distribution fairness is better than geographical distribution fairness. Overall, the unfair population distribution is primarily due to regional disparities.
The China CDCs should tailor different standards for the allocation of health human resources based on regional characteristics, aiming to enhance the accessibility of health human resources in various regions and achieve equitable allocation.
近年来,全球公共卫生的发展成为世界各国政府关注的焦点。中国作为最大的发展中国家,在疾控中心(CDC)人力资源配置公平性方面,对于塑造公共卫生发展和应对突发公共卫生事件的能力方面发挥着关键作用。
本研究旨在分析中国疾病预防控制中心(China CDCs)卫生人力资源配置情况,评估配置公平性,为人力资源的合理配置提供参考。
我们选取了 2016-2020 年中国卫生统计年鉴中关于中国疾控中心卫生技术人员、其他技术人员、管理人员和劳动力技术人员的数据。利用卫生资源密度指数评估中国疾控中心人力资源配置水平。此外,我们还从人口和地理两个方面,利用基尼系数和泰尔指数评估中国疾控中心人力资源配置的公平性。
首先,CDC 工作人员的学历和职称有所提高,但劳动力老龄化。其次,HRDI 发展趋势因不同人员类型和经济发展水平不同的地区而有所不同。最后,基尼系数和泰尔指数的结果表明,人口分布公平性优于地理分布公平性。总体而言,不公平的人口分布主要是由于区域差异造成的。
中国疾控中心应根据区域特点制定不同的卫生人力资源配置标准,旨在提高各地区卫生人力资源的可及性,实现公平配置。