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中国口腔卫生人力资源配置的结构变化及影响因素

Structural changes and influencing factors of human resource allocation for oral health in China.

作者信息

Tan Hong

机构信息

Department of Periodontal Mucosal Disease, The Affiliated Stomatology Hospital of Southwest Medical University, Oral & Maxillofacial Reconstruction and Regeneration of Luzhou Key Laboratory, Luzhou, Sichuan, China.

出版信息

PLoS One. 2025 May 22;20(5):e0324454. doi: 10.1371/journal.pone.0324454. eCollection 2025.

Abstract

OBJECTIVE

In the context of the implementation of the Action Program for a Healthy Dentition in China, to analyze the structural changes and influencing factors of human resource allocation for oral health in China, and to provide a scientific basis for promoting the development of human resources for oral health.

METHODS

Structural change degree analysis (by analyzing the structural change of the components of things to reflect the overall characteristics of the structural change of things) and grey relational analysis (by determining the degree of similarity of the geometric shapes of the reference series and a number of comparison series to determine whether they are closely related) were used to analyze the structural changes and influencing factors of human resources for oral health from 2017 to 2022.

RESULTS

The age of human resources for oral health in China is mainly 25 ~ 34 years old and 35 ~ 44 years old, with a proportion of 37.30% and 33.30%, respectively, in 2022. The number of years of work experience is mainly 10-19 years, with a proportion of 26.80% in 2022. Educational qualifications are mainly at the college level, with a proportion of 41.20% in 2022. Professional and technical qualifications are mainly at the division/assistant level, with a proportion of 52.30% in 2022. The structural change values for ages 45 ~ 54 and 60 and over are negative overall, with a negative trend. The structural change degree of age reaches 13.60% in 2020, which is a dynamic structural change. The structural change values for work experience of 10 years or more are negative overall, with a negative trend. The structural change values for post-secondary and undergraduate education are positive, with a positive trend. The structural change degree of education fluctuates range from 2.60% to 5.20%. The structural change values for associate and intermediate levels are negative, with a negative trend. The structural change degree of professional and technical qualifications reaches its highest value of 8.80% in 2021. The most influential factor was per capita health expenditure, with a relational of 0.787, followed by per capita disposable income, with a relational of 0.682, and thirdly, per capita GDP, with a relational of 0.667.

CONCLUSION

Age of 45 ~ 54 and years of work experience of more than 10 years show an overall negative trend. College and undergraduate education show a positive trend. Per capita health expenditure and per capita disposable income are the main factors influencing the allocation of human resources for oral health. Therefore, the administration should formulate inclined policies to continuously strengthen the introduction and cultivation of human resources for oral health, and all medical institutions should emphasize the academic education and continuing education of dentists, so as to comprehensively promote the development of oral health in China.

摘要

目的

在中国实施健康口腔行动计划的背景下,分析中国口腔卫生人力资源的结构变化及影响因素,为促进口腔卫生人力资源发展提供科学依据。

方法

采用结构变化度分析(通过分析事物组成部分的结构变化来反映事物结构变化的整体特征)和灰色关联分析(通过确定参考序列与多个比较序列几何形状的相似程度来判断它们是否密切相关),对2017年至2022年口腔卫生人力资源的结构变化及影响因素进行分析。

结果

2022年,中国口腔卫生人力资源年龄主要集中在25~34岁和35~44岁,占比分别为37.30%和33.30%。工作年限主要集中在10~19年,2022年占比为26.80%。学历主要为大专学历,2022年占比为41.20%。专业技术职称主要为师/士级,2022年占比为52.30%。45~54岁及60岁及以上年龄结构变化值总体为负,呈下降趋势。2020年年龄结构变化度达到13.60%,为动态结构变化。工作年限10年及以上结构变化值总体为负,呈下降趋势。大专及本科学历结构变化值为正,呈上升趋势。学历结构变化度波动范围为2.60%~5.20%。中级及副高级结构变化值为负,呈下降趋势。专业技术职称结构变化度在2021年达到最高值8.80%。影响最大的因素是人均卫生支出,关联度为0.787,其次是人均可支配收入,关联度为0.682,第三是人均GDP,关联度为0.667。

结论

45~54岁年龄及工作年限10年以上总体呈下降趋势。大专及本科学历呈上升趋势。人均卫生支出和人均可支配收入是影响口腔卫生人力资源配置的主要因素。因此,行政管理部门应制定倾斜政策,持续加强口腔卫生人力资源的引进和培养,各医疗机构应重视口腔医师的学历教育和继续教育,以全面促进中国口腔卫生事业发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/199e/12097567/599d2bf79160/pone.0324454.g001.jpg

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