CAJ | 학술논문

目的：分析重庆市1997～2012年卫生人力资源配置的公平性，为区域卫生规划提供科学依据。方法采用统计描述、基尼系数和泰尔指数从人口配置和地理分布分析重庆市16年卫生人力资源配置的公平性及变化趋势。结果1997～2012年重庆市卫生人力资源增长迅速，历年来按人口分布的基尼系数中卫技人员和医师在0．3以下，护士波动于0．4，按地理分布的基尼系数均在0．5以上；一圈的基尼系数大于两翼；总泰尔指数变化趋势与基尼系数一致，按人口配置区域间泰尔指数大于区域内泰尔指数，按地理配置区域间泰尔指数小于区域内泰尔指数。结论重庆市卫生人力资源总量少，按人口配置公平性优于按地理面积配置，经济圈间的差异是导致卫生人力资源配置不公平的主要原因，应强化政府主导作用，加大区域卫生规划实施力度。
목적：분석중경시1997～2012년위생인력자원배치적공평성，위구역위생규화제공과학의거。방법채용통계묘술、기니계수화태이지수종인구배치화지리분포분석중경시16년위생인력자원배치적공평성급변화추세。결과1997～2012년중경시위생인력자원증장신속，력년래안인구분포적기니계수중위기인원화의사재0．3이하，호사파동우0．4，안지리분포적기니계수균재0．5이상；일권적기니계수대우량익；총태이지수변화추세여기니계수일치，안인구배치구역간태이지수대우구역내태이지수，안지리배치구역간태이지수소우구역내태이지수。결론중경시위생인력자원총량소，안인구배치공평성우우안지리면적배치，경제권간적차이시도치위생인력자원배치불공평적주요원인，응강화정부주도작용，가대구역위생규화실시력도。
Objective To analyze the equity of the allocation of the health human resources in Chongqing from 1997 to 2012 , and to provide the basic information for regional health planning .Methods The statistical description ,Gini Coefficient and Theil in-dex are used to analyze the previous allocation and trends of the health human resources and the equity in Chongqing during the 16 years based on the distribution of demography and geography .Results The number of the health human resources grew rapidly from 1997 to 2012 .The Gini coefficients of health professionals and medical practitioners (and assistants) are under 0 .3 based on the distribution of demography ,while registered nurses′are fluctuation in 0 .4 .However ,from the distribution of geography ,the Gi-ni coefficient of health professionals ,medical practitioners (and assistants) and registered nurses are above 0 .5 .The Gini coefficient of the one hour economic circle is higher than two wings areas .The trends about the totle Theil index are consistent with the Gini coefficient .Based on the distribution of demography ,the Theil index between regions is higher than the one within the region .On the contrary ,the Theil index between regions is below the one within the region by the geographic distribution .Conclusion Com-pared to the national ,less total health human resources are reserved in Chongqing .Distribution by demographics about health human resources are more equitably than the one by geographic distribution .The variances between the economic circles contribute more to the total Theil index than those within the economic circles .The government′s leading role should be strengthen ,and enhancing the regional health planning .