■分析疾病预防控制中心(CDC)人力资源配置的公平性,并预测中国未来五年的发展,为促进人力资源开发提供科学依据。
■2017年至2021年的CDC数据来自“中国卫生统计年鉴”,和描述性分析,卫生资源密度指数(HRDI)泰尔指数,和卫生资源集聚度(HRAD)来评价公平性,采用灰色预测模型GM(1,1)对2022-2026年的发展进行预测。
■由HRDI测量,西部地区人力资源短缺比较明显,卫生技术人员不足11656多人,超过6418名执业(助理)医师,和超过693名注册护士。按人口分配的人力资源配置的泰尔指数在0.016和0.071之间,按地理分配的人力资源配置的泰尔指数在0.312和0.359之间。按地理位置分配的人力资源比按人口分配的人力资源更不平等。就HRAD而言,东部和中部地区的人力资源被地理公平地过度分配,而西部地区的地理资源分配不足。就HRAD和PAD之间的差异而言,相对于人口集中,东部地区人力资源短缺,相对于集中人口,西部地区人力资源过剩。
■中国疾控中心的人力资源配置不均衡。CDC的人力资源按人口比按地理分配更公平。在这种情况下,CDC的人力资源分配公平性与对医疗保健的实际需求背道而驰。
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.