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目的了解中国疾控机构人力资源配置的公平性,为促进疾控机构人力资源的合理配置提供参考。方法对2010—2014年中国疾控机构人力资源状况进行统计描述,应用泰尔指数进行配置公平性分析。结果2010—2014年中国疾控机构人员总数、卫生技术人员数、执业(助理)医师数年均下降率分别为0.4%、0.7%、1.9%,在地区间和地区内均存在配置不公平现象;三类人员全国配置的泰尔指数分别为0.036 4~0.041 3、0.035 8~0.043 0、0.040 5~0.051 2;而在西部地区其泰尔指数分别为0.035 9~0.052 7、0.043 5~0.059 7、0.055 4~0.078 4,明显高于全国水平,而且其泰尔指数的贡献率最高,显示其公平性最差;从区域内泰尔指数变化来看,在东部地区、西部地区及全国范围,执业(助理)医师配置的公平性最差;在中部地区,人员总数配置的公平性最差。结论在增加疾控机构人力资源数量的同时,注重地区内部和地区间人力资源配置的公平性,最终实现全国疾控机构人力资源全面均衡发展。
Objective To understand the fairness of human resource allocation in China’s CDC and to provide reference for promoting the rational allocation of human resources in CDC. Methods A statistical description of the human resource status of CDC in China from 2010 to 2014 was conducted, and the fairness analysis of the configuration was conducted using the Theil index. Results In 2010-2014, the annual average rate of decrease of the number of staff, health technicians and practicing (assistant) physicians in CDC was 0.4%, 0.7% and 1.9%, respectively. All of them were unfairly allocated in different regions and regions . The Thire indices of the three groups were 0.036 4 ~ 0.041 3,0.035 8 ~ 0.043 0,0.040 5 ~ 0.051 2, respectively, while those in the western region were 0.035 9 ~ 0.052 7,0.043 5 ~ 0.059 7,0.055 4-0.078 4, which is obviously higher than the national average, and its Theil index has the highest contribution rate, indicating the worst fairness. From the change of the Theil index in the region, in the eastern region, the western region and the whole country , The practicing (assistant) physician configuration has the poorest fairness; in the central region, the total staffing disposition has the poorest fairness. Conclusions While increasing the number of human resources in CDC, we should pay more attention to the fairness of human resource allocation within and between regions and finally achieve a comprehensive and balanced development of human resources in CDCs nationwide.