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目的从人口和地理角度评价广东省疾病预防控制机构免疫规划人力资源配置公平性。方法采用基尼系数测量广东省不同区域免疫规划人力资源的公平性。结果广东省疾控机构免疫规划人员配置总量按人口分布及按面积分布的基尼系数分别为0.353和0.279。韶关市每万名儿童拥有免疫规划人员5.78人,中山市仅为0.36人,二者相差16倍。高级职称人员50.42%集中在珠三角地区,按人口分布及按面积分布的基尼系数分别为0.475和0.580。免疫规划人员高、中、初级的比例为1:1.98:8.15。结论广东省疾控机构免疫规划人员配置总量在人口、地理分布上体现出较好的公平性,但人力资源职称结构有待优化调整,且人力资源配置存在区域性差异,优质人力资源分布不公平。
Objective To evaluate the fairness of human resource allocation in immunization programs of CDC in Guangdong Province from the perspective of population and geography. Methods The Gini coefficient was used to measure the fairness of human resources in immunization programs in different regions of Guangdong Province. Results The total number of immunization planners in CDCs in Guangdong Province was 0.353 and 0.279, respectively, according to population distribution and area distribution. Shaoguan City, every 10,000 children have immunization planning staff 5.78 people, Zhongshan City, only 0.36 people, a difference of 16 times. 50.42% of the senior professional titles are concentrated in the PRD. The Gini coefficients distributed by population and by area are 0.475 and 0.580 respectively. Immunization planners high, middle and primary ratio of 1: 1.98: 8.15. Conclusion The total amount of immunization planners in Guangdong CDC shows good fairness in terms of population and geographical distribution. However, the structure of human resources titles needs to be optimized and adjusted. There are regional differences in the allocation of human resources and unfair distribution of high-quality human resources .