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目的从人口和地域面积角度评价厦门市疾控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厦门市级及区级疾控机构的免疫规划人力资源的公平性。结果厦门市区级疾控机构共有免疫规划工作人员16人;每万名7周岁以下儿童拥有免疫规划人员数为0.27人,湖里区最多,为0.38人,海沧区最少,为0.14人;按地域面积计算,厦门市疾控机构免疫规划人员为0.01人/km~2,湖里区人员密度最大,为0.08人/km~2,同安区人员密度最小,不足0.01人;按照7岁以下儿童分布的公平性基尼系数是0.046 3,除中专学历的基尼系数为0.558 6,其它基尼系数均在0.4以下;按照地域面积分布的公平性基尼系数是0.409 7,本科及以上、大专学历、中级、无职称、<35岁的5个基尼系数均超过0.4,表示分布不均匀。结论厦门市区级疾控机构免疫规划人力资源存在着人员不足、地域性分布极不均衡、职称结构不合理、年龄断档问题,可通过扩充人员队伍、加强业务能力培训、均衡城乡人员分配等措施进行解决。
Objective To evaluate the fairness of human resource allocation in immunization programs of CDC in Xiamen from the perspective of population and geographical area. Methods The Gini coefficient was used to measure the fairness of human resources in immunization programs of municipal and district CDC in Xiamen. Results There were 16 immunization planning staff members in Xiamen Municipal CDC. There were 0.27 immunization planners per 10,000 children under 7 years of age, with the maximum of 0.38 in Huli district and 0.14 in Haicang district. According to the geographical area, the immunization planning staff of Xiamen Municipal CDC was 0.01 people / km ~ 2, the highest in Huli District was 0.08 person / km ~ 2, and the staff density was the smallest in Tong’an District, less than 0.01; The Gini coefficient of fairness of children distribution is 0.046 3, the Gini coefficient of secondary school education is 0.558 6, and the other Gini coefficients are all below 0.4. The fair Gini coefficient distributed according to geographical area is 0.409 7, undergraduate and above, college degree, Intermediate, no job title, <35 Gini coefficient of 5 were more than 0.4, said uneven distribution. Conclusion The human resources of immunization planning in municipal CDC in Xiamen are not enough staff, the geographical distribution is extremely unbalanced, the structure of job titles is irrational and the age is interrupted. The measures such as expanding the staff, strengthening the training of business ability and balancing the distribution of urban and rural personnel Solve it.