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中文摘要: 目的:评价北京市门头沟区社区卫生服务机构人力资源配置公平性,为基层医疗卫生防控建设提供决策参考与
政策建议。方法:采用基尼系数和洛伦兹曲线,从服务人口和服务面积的角度分析门头沟区各社区卫生服务机构人力资源配
置的公平性。结果:门头沟区65岁及以上人口数占总人口的12.85%,且有逐年升高的趋势,0~6岁儿童数量不断增长,高
职称和高学历比例逐年增长,医护比为1∶1.245,全区社区卫生服务机构公共卫生医师只有9人,机构中各类人员数量有上
升趋势,社区卫生服务机构卫生人员按服务人口计算基尼系数在0.28~0.36之间,按服务面积计算基尼系数在0.58~0.69之 间。结论:门头沟区社区卫生服务机构承担的基本医疗和公共卫生服务任务在逐年加重,职工素质在不断提升,30~40岁之
间的中青年骨干在逐渐发挥作用,公共卫生和注册护士的队伍建设有待提升,各社区卫生服务机构人力资源配置的公平性总
体上呈现服务人口配置公平性优于服务面积。
Abstract:OBJECTIVE To evaluate the equity of human resource configuration of community health service institutions in Men⁃
tougou District to provide basis for relevant policies improvement and promote primary health care system. METHODS Based on the
perspective of service population and service area, the research analyzed the equity of human resource configuration of community
health services in Mentougou district by Lorenz curves and Gini coefficient. RESULTS In Mentougou District, the proportion of peo⁃
ple above 65 years old was 12.85%, and the number of children between 0 and 6 years old was on the rise. The proportion of higher
professional titles and higher academic qualifications had increased year by year, and the average age had increased from 39.5 to
40.1 since 2015. The ratio of physicians to nurse was 1∶1.245. There were only 9 public health doctors in community health ser⁃
vice institutions in the district. The number of all kinds of personnel had an upward trend. On the ground of the service population,
the Gini coefficient was between 0.28 and 0.36. The geographical distribution was relatively unfair, the Gini coefficient was between
0.58 and 0.69. CONCLUSION The basic medical and public health service tasks undertaken by community health service institution
in Mentougou District were increasing over the years, and the quality of employees was relatively improving. Between 30-40 years
old, the young and middle-aged backbone was playing a role gradually, the construction of public health and registered nurses need⁃
ed to be improved, and the fairness of human resource allocation in community health service institutions was generally superior to
the service area.
文章编号:3202107005 中图分类号:R197 文献标志码:
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