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目的 对湖北省卫生人力资源的现状进行分析和评估 ,探讨改善卫生人力质量及分布结构的对策。方法 采用回顾性分析方法 ,对湖北省 1 952～ 2 0 0 0年卫生人力状况进行描述性分析 ,并采用聚类分析和秩和比评价法对卫生人力资源进行综合评价。结果 1 952～ 2 0 0 0年湖北省卫生人员数量由3 57万增至 30 1 4万 ,卫生人员及卫技人员数平均年递增 2 41 %和 2 44% ;2 0 0 0年千人口拥有卫技人员、医生及护师 (士 )数分别为 4 0 2人、1 74人和 1 0 3人 ,医生护士比为 1 32 ,医生防疫人员比为 9 91 ;武汉市、黄石市等 6个城市卫生人力资源综合评价较优。结论 湖北省卫生人力资源呈增长趋势 ,总体数量趋于饱和 ,但存在素质不高、卫生人力地区间及专业间结构分布不均衡等问题
Objective To analyze and evaluate the status quo of health human resources in Hubei Province and discuss the countermeasures to improve the quality and distribution structure of health workforce. Methods A retrospective analysis method was used to conduct a descriptive analysis of the health manpower situation in Hubei Province from 1952 to 2000. A comprehensive analysis of health manpower resources was conducted using cluster analysis and rank-sum ratio assessment. Results From 1952 to 2000, the number of health workers in Hubei increased from 37.70 million to 301.4 million, and the number of health personnel and health workers increased by an average of 24% and 244% annually; the 2000 population was 2000. The number of health technicians, doctors and nurses (paid) was 4,02, 1,74, and 103 respectively, the ratio of doctors to nurses was 1,32, the ratio of doctors to epidemic prevention personnel was 9,91; Wuhan City, Huangshi City, etc. The comprehensive evaluation of human resources in the six cities is excellent. Conclusion The health manpower resources in Hubei Province show an increasing trend, and the overall number tends to be saturated. However, there are problems such as low quality, unbalanced regional and professional distribution of health workforce, etc.