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目的了解浙江省卫生人力资源配置及公平性状况,为政府优化卫生人力资源配置提供依据。方法根据2012—2016年《浙江卫生年鉴》等资料,描述性分析2011—2015年浙江省卫生人力资源配置情况,采用年度变化百分比(APC)分析发展趋势,利用基尼系数进行公平性评价。结果 2015年浙江省每千人拥有卫生人员数以杭州最多,为12.62人,嘉兴最少,为7.43人;卫技人员杭州最多,为10.32人,温州最少,为6.23人;执业(助理)医师杭州最多,为3.86人,嘉兴最少,为2.15人;注册护士杭州最多,为4.23人,温州最少,为2.42人;每平方千米拥有卫生人员、卫技人员、执业(助理)医师和注册护士数以嘉兴最多,分别为8.06、7.03、2.33和2.86人;丽水最少,分别为1.21、1.00、0.39和0.38人;全省医护比为1∶1.01。2011—2015年浙江省每千人和每平方千米卫生人力资源数逐年上升,其中注册护士升幅最大,APC分别为9.53%和9.86%。上述卫生人力资源各指标的历年基尼系数按服务人口评价均在0.2以下,按服务面积评价均在0.2~0.3之间。结论浙江省卫生人力资源配置呈上升态势,总体公平性高,但基于服务人口配置公平性高于基于服务面积,需关注卫生人力资源区域可及性研究。
Objective To understand the configuration and fairness of health human resources in Zhejiang Province and provide the basis for the government to optimize the allocation of health human resources. Methods According to the “Zhejiang Health Almanac” from 2012 to 2016 and other data, a descriptive analysis of the distribution of health human resources in Zhejiang Province from 2011 to 2015 was carried out. The annual change percentage (APC) was used to analyze the development trend and the Gini coefficient was used to evaluate the fairness. Results The number of health workers per 1000 population in Zhejiang Province in 2015 was the highest in Hangzhou with a population of 12.62 and the lowest in Jiaxing was 7.43. The number of health workers in Hangzhou was the highest with 10.32 in Wenzhou and the lowest in Wenzhou was 6.23. The practicing physician Hangzhou Up to 3.86, Jiaxing at least 2.15; registered nurses in Hangzhou up to 4.23, Wenzhou at least, 2.42; per square kilometer with health workers, health workers, practicing (assistant) physicians and the number of registered nurses The most in Jiaxing, respectively, 8.06,7.03,2.33 and 2.86 people; Lishui at least, respectively, 1.21,1.00,0.39 and 0.38 people; the provincial health care ratio of 1: 1 01. 2011-2015 Zhejiang Province per thousand and per square The number of km of human resources for health has risen year by year with the largest increase of registered nurses, with APC of 9.53% and 9.86% respectively. The above indicators of health human resources over the years the Gini coefficient of service population are below 0.2, according to the service area evaluation are between 0.2 to 0.3. Conclusion The distribution of health human resources in Zhejiang Province is on the rise and the overall fairness is high. However, based on the assumption that the fairness of service population is higher than that of service area, attention should be paid to the study on the regional accessibility of health human resources.