【摘要】 目的研究巴彦淖尔乌拉特前旗乡镇(苏木)卫生院卫生人力资源配置公平性,阐述其存在的问题,提出解决方案,为内蒙古少数民族地区基层卫生院卫生人力资源合理配置、和谐社会建设和政府决策提供科学依据。方法本次调查采用整群分层随机抽样的方法对巴彦淖尔市乌拉特前旗乡镇(苏木)卫生院2004～2008年五年间卫生人力资源配置情况进行调查,结果采用SPSS15.0软件进行统计分析,用数学软件Matlab7.0绘制Lorenz曲线并计算Gini系数。结果 2004～2008年五年间巴彦淖尔市乌拉特前旗乡镇(苏木)卫生院拥有卫生技术人员数先降后升;本科和专科学历人员数变化不大,中专学历人员数占有绝对比重,高中及以下学历人员数逐渐减少,但仍然占有较大的比重;高、中、初三级职称人员结构不合理,其职称以初级为主,高级职称缺如,无职称人员也占有较大的比重;31～55岁之间人员数占绝大多数,3 0岁以下人员数也占有较大的比重;医生资源按人口分布、地理分布的Gini系数为:0.32、0.39,公平性较好,护士资源按人口分布、地理分布的Gini系数为:0.6 0、0.5 3,公平性差距较大。结论 2004～2008年五年间巴彦淖尔市乌拉特前旗乡镇(苏木)卫生院在卫生人力资源配置方面取得了一定的成绩;同时也面临着卫生技术人员缺乏,学历、职称层次较低,总体素质不高,技术水平有限,护理资源配置公平性较差等诸多问题急需加以解决。更多还原

【Abstract】 Objective To find out the existing problems and their solutions,and provide scientific bases for reasonably allocating health manpower resources,building harmonious society and making policy by the authority in the minority regions of Inner Mongolia through analyzing the equity of the health manpower resources allocation in the public health centers in the villages and towns in Wulaleqian banner of Bayannaoer city in Inner Mongolia.Methods This investigation utilized the random sampling from the hierarchical group to obtain the situations of health manpower resources allocation in the villages and towns in Wulateqian banner of Banyannaoer city from 2004 to 2008.The survey results were handled with SPSS15.0.The Lorenz curve was drawn and Gini coefficient was calculated by applying Matlab7.0.Results From 2004 to 2008,the number of health technicians in the public health centers in villages and towns in Wulateqian banner of Banyannaoer city changed from the decline at the start to the increase stably.The number of health workers graduated from undergraduate and junior colleges was almost unchangeable while the number of health technicians receiving technical secondary education was predominant.The number of professional technicians graduated from high school and below decreased gradually but still accounted for a high proportion.The title composition of senior,intermediate and junior professional posts was unreasonable because the number of junior professional title dominated over that of the rest,and no person held senior professional title and many health workers owned none of any professional title.The number of 31～55 year-old staff overwhelmed that of the others and the technicians below 30 years old also accounted for the high ratio.The equity of doctor resources is better according to geographical and population distributions(Gini coefficient:0.32、0.39)while the gap in the resource of nurses is very obvious(Gini coefficient:0.60、0.53).Conclusion From 2004 to 2008,the achievements in the health manpower resources allocation of public health centers in the villages and towns in Wulateqian banner of Banyannaoer city is encouraging.But meanwhile many problems are urgent to be solved,such as the shortage of medical technicians,low-level composition of educational background and professional title,poor-quality technicians and unbalanced nursing resource allocation.更多还原