CAJ | 학술논문

目的：：了解广东省不同区域妇幼保健机构卫生资源配置的现状，为提高卫生资源配置的公平性及卫生资源利用效率提供决策依据。方法：分层抽样与随机抽样相结合，共计选取粤东、粤西及粤北地区3个样本地市的9个县(区)级妇幼保健机构作为调查对象，通过机构调查表、关键人员半结构化访谈获取相关的研究资料。结果：样本地区妇幼保健机构各主要卫生资源总体配置水平低于全省平均水平；不同地区妇幼保健机构设备结构差异无统计学意义(P>0.05)；卫生技术人员学历及职称结构间的差异有统计学意义(P<0.05)，低学历、低职称卫生技术人员所占比例过大；各区域医护比普遍偏低，粤东地区医务人员业务压力最大。结论：妇幼卫生资源区域配置均衡性较差；卫生技术人员结构亟待优化；卫生人力资源“马太效应”风险不容忽视。
목적：：료해광동성불동구역부유보건궤구위생자원배치적현상，위제고위생자원배치적공평성급위생자원이용효솔제공결책의거。방법：분층추양여수궤추양상결합，공계선취월동、월서급월북지구3개양본지시적9개현(구)급부유보건궤구작위조사대상，통과궤구조사표、관건인원반결구화방담획취상관적연구자료。결과：양본지구부유보건궤구각주요위생자원총체배치수평저우전성평균수평；불동지구부유보건궤구설비결구차이무통계학의의(P>0.05)；위생기술인원학력급직칭결구간적차이유통계학의의(P<0.05)，저학력、저직칭위생기술인원소점비례과대；각구역의호비보편편저，월동지구의무인원업무압력최대。결론：부유위생자원구역배치균형성교차；위생기술인원결구극대우화；위생인력자원“마태효응”풍험불용홀시。
Objective:To understand the current situation of health resource allocation of the agencies for maternal and child care in eastern, western and northern Guangdong, so as to provide basis for the decision which aims at improving the fairness and efficiency of health resources. Methods:Both of the stratified and random sampling method were used to select 9 county-level maternal and child care agencies as samples from 3 prefecture-level cities in eastern, western and northern Guangdong, and get the relevant research data via questionnaires for institutions and semi-structured interviews with the key figures. Results: The major health resource of MCH institutions in the sample areas is generally lower than the average levels of Guangdong Province. The difference in the structure of equipment is not notable, but for the qualifications and titles a-mong the three regions, it is statistically significant (P<0. 05), the proportion of junior education and profession title is too large. The ratio among doctors and nurses is generally low, and the medical personnel in eastern undertake the largest business pressures in all the three regions. Conclu-sion:The configuration of maternal and child health resource between different regions is poor. It's urgent to improve the structure of health per-sonnel, and "Matthew Effect" of the health personnel should be taken seriously.