【摘要】 目的 了解河北省县级疾控机构人力资源配置及公平程度，为提升河北省县级疾控机构公共卫生服务能力建设提供科学依据。方法 发放调查表并结合中国疾病预防控制综合管理信息系统收集2014—2021年河北省县级疾控机构人员信息，采用描述分析和基尼系数、聚集度方法对全省县级疾控机构中心的人力资源现状和公平性进行分析。结果 2021年河北省县级疾控机构缺编2 825人，缺编率为21.64%，其中36个县（区）缺编率达50%以上，8个县（区）缺编率达到80%以上；虽与2014年相比增长了14.65%，但仍未达到国家标准要求；公卫人员、其他技术人员呈上升趋势，分别增长26.48%和88.42%；基尼系数按照人口分布计算，不同专业与整体人员数值均小于临界值0.4，符合一般公平性特征；按地理面积计算，整体人员的数值>0.4，公平性堪忧；聚集度P值统计：张家口、承德地区人员缺口较大。结论 河北省县级疾控机构人员编制不足，人员结构老龄化，学科单一，存在地域差异。建议加强区域间专业技术人员的配置公平度，适度引进高层次人才，加强复合型交叉学科人才培养。更多还原

【Abstract】 Objective To understand the human resource allocation and fairness degree of county-level centers for disease control and prevention(CDC) in Hebei Province,provide a scientific basis for improving the public health service capacity construction of county-level CDC institutions in Hebei Province. Methods The personnel information of county-level CDC institutions in Hebei Province from 2014-2021 were collected by the questionnaire and China comprehensive management information system for disease prevention and control. The human resources status and fairness of the county-level CDC institutions were analyzed by description analysis,Gini coefficient and aggregation degree. Results In 2021,there were 2 825 people in vacancy from the county-level CDC institutions in Hebei Province,with the vacancy rate of 21.64%,and 36 counties(districts) had a vacancy rate of more than 50%,8 counties(districts) had a vacancy rate of more than 80%. Although it had increased by 14.65% compared with 2014,but it still did not meet the national standard requirements. The public health personnel and other technicians were on the rise,which was increased by 26.48% and 88.42% respectively. The Gini coefficient was calculated from the population distribution,the value of different specialties and overall personnel was less than the critical value of 0.4,which were in line with the general fairness characteristics. The Gini coefficient was calculated from the geographical area,the overall personnel value was>0.4,indicating a worrying fairness. The aggregation degree P value statistics showed that there was a large personnel gap in Zhangjiakou and Chengde. Conclusions The county-level CDC institutions in Hebei Province have insufficient staffing,aging personnel structure,single discipline and regional differences. It is suggested that the fairness of the allocation of professional and technical personnel among regions should be strengthened,the high-level talents should be appropriately introduced,and the training of interdisciplinary talents should be improved.更多还原