以质量求发展，以服务铸品牌

Journal of Nursing ›› 2023, Vol. 30 ›› Issue (3): 45-50.doi: 10.16460/j.issn1008-9969.2023.03.045

Previous Articles     Next Articles

Equity of health resource allocation in Hubei Province during 13th five-year plan period

WANG Yi-nuo1,2, YAN Ping2, XU Yu-ying1, ZHANG Xi1, AN Zi-fen1, YU Li-ping1   

  1. 1. School of Nursing, Wuhan University, Wuhan 430071,China;
    2. Zhongnan Hospital of Wuhan University, Wuhan 430071,China
  • Received:2022-11-09 Online:2023-02-10 Published:2023-03-14

PDF (PC)

393

Like

Abstract: Objective To analyze the allocation of health resources in Hubei Province during the 13th Five-Year Plan period and the differences in equity, and to provide reference for optimizing the allocation of health human resources. Methods Descriptive analysis of the current situation of health human resources in Hubei Province during the 13th Five-Year Plan period was conducted, and the Atkinson index, Theil Index and agglomeration degree were used to analyze the equity of health human resource allocation in Hubei Province in terms of population and geographical area. Results The number of health technicians, practicing (assistant) doctors and registered nurses in Hubei Province increased year by year. During 13th Five-Year Plan period, Atkinson index in terms of geographic distribution of health technicians, practicing (assistant) doctors, registered nurses was 0.430~0.457, 0.421~0.457, and 0.466~0.474, respectively; and that in terms of population distribution was 0.013~0.042, 0.013~0.036, and 0.028~0.062, respectively. The Theil index between the regions was greater than that within regions, and the difference contribution rate between the regions was >85%. Wuhan enjoyed the highest concentration of health resources, and large differences and inequities in the concentration of health resources across regions were found. There were differences in the equity of health human resource allocation, and population distribution was better than geographical area distribution. Conclusion The 13th Five-Year Plan period witnesses the increased number of health technicians, practicing (assistant) doctors and registered nurses in Hubei Province year by year, and there is difference in the equity of allocation. Distribution by population is better than that by region, and practicing (assistant) doctors are configured more equitably than nurses. Government-dominated allocation of health human resources, reduced disparities, and more nursing human resources to less developed areas are conducive to improving the equity of health resource allocation.

Key words: health resource allocation, Atkinson index, Theil Index, agglomeration degree, equity

CLC Number: 

  • R47
[1] 国务院. 《“健康中国2030”规划纲要》[EB/OL].(2016-10-25)[2022-10-20]. http://www.gov.cn/zhengce/2016-10/25/content_5124174.htm.
[2] inlin L. Health workforce and health-related sustainable development goals from 1990 to 2018 in China: a retrospective study based on national statistical data[J].The Lancet, 2020, 396S13.DOI:10.1016/S0140-6736(20)32433-8.
[3] Beks H, Walsh S, Alston L, et al.Approaches Used to Describe, Measure, and Analyze Place of Practice in Dentistry, Medical, Nursing, and Allied Health Rural Graduate Workforce Research in Australia: A Systematic Scoping Review[J].Int J Environ Res Public Health, 2022, 19(3): 1438.DOI:10.3390/ijerph19031438.
[4] 尹欢欢,钱志刚. 2009~2017年安徽省护理人力资源配置状况及公平性研究[J]. 护理学杂志, 2020, 35(08): 48-52.DOI:10.3870/j.issn.1001-4152.2020.08.048.
[5] 翁艳翎,程立辉,柏亚妹,等. 采用集聚度对我国社区护理人力资源的公平性分析[J]. 护理学杂志, 2019, 34(11): 75-78.DOI:10.3870/j.issn.1001-4152.2019.11.075.
[6] 谭静,陈正洪,罗学荣,等. 湖北省旅游景区大气负氧离子浓度分布特征以及气象条件的影响[J]. 长江流域资源与环境, 2017, 26(2):314-323.DOI:10.11870/cjlyzyyhj201602018.
[7] Wang Y, Li Y, Qin S, et al.The disequilibrium in the distribution of the primary health workforce among eight economic regions and between rural and urban areas in China. Int [J] Equity Health. 2020,19(1):28. DOI:10.1186/s12939-020-1139-3.
[8] 汪毅霖,张宁.不平等厌恶的测度与收入不平等调整的人类发展指数——基于阿特金森社会福利函数的研究[J]. 数量经济研究, 2021, 12(2):115-133.DOI:10.16699/b.cnki.jqe.2021.02.009.
[9] 黄丹丹,吴绍棠,梁晓晖. 2012—2018年我国公共卫生人员配置公平性[J]. 中国卫生资源, 2021, 24(6):761-766.DOI:10.13688/j.cnki.chr.2021.210277.
[10] 王璐瑶,曾智.基于HRAD和DEA的全国基层卫生资源配置的公平与效率分析[J]. 中国农村卫生事业管理,2022, 42(9):620-625. DOI:10.19955/j.cnki.1005-5916.2022.09.003.
[11] 湖北省政府办公厅.省人民政府办公厅关于印发湖北省医疗卫生服务体系发展规划(2015—2020年)的通知[EB/OL]. (2015-12-03)[2022-10-20].http://www.hubei.gov.cn/zfwj/ezbf/201512/t20151217_1713320.shtml.
[12] 中华人民共和国国家卫生健康委员会. 2020年我国卫生健康事业发展统计公报[J]. 中国实用乡村医生杂志,2021,28(9):1-10.DOI:10.3969/j.issn.1672-7185.2021.09.001.
[13] 王翔宇,刘梦竹,吴建,等.集聚度视角下我国卫生人力资源配置公平性评价[J].中国医院管理,2022,42(12):60-63.
[14] 黄上玉慧,冯启明,冯俊,等. 基于公平与效率的广西妇幼保健机构卫生人力资源配置研究[J].中国卫生统计, 2022, 39(3):400-404.
[15] 湖北省卫生健康委员会. 湖北省卫生健康事业发展“十四五”规划[EB/OL].(2021-11-19)[2022-10-20].https://wjw.hubei.gov.cn/zfxxgk/fdzdgknr/ghxx/202111/t20211123_3878474.shtml.
[16] 郭娟,李彩丽,蒋艳. 基于秩和比法的四川省2019年护理人力资源配置现状分析[J]. 护理学报, 2021, 28(22): 64-69.DOI:10.16460/j.issn1008-9969.2021.22.064.
[17] 刘鑫,胡宇乐,杨浩杰,等. 我国部分地区护士离职意愿现状及其影响因素分析[J]. 中国护理管理, 2021, 21(10): 1543-1548.DOI:10.3969/j.issn.1672-1756.2021.10.022.
[18] 钱文静,章雅青,钱蒨健. 三级甲等医院手术室护士职业疲劳现况及影响因素分析[J]. 中国护理管理, 2022, 22(2):238-244.DOI:10.3969/j.issn.1672-1756.2022.02.015.
[19] 仝斌. 湖北省城镇长期照护服务供给研究[D]. 武汉:武汉科技大学, 2019.
[20] 李立群,王建宁,詹梦梅,等. 基于PubMed护理人力资源信息化管理研究热点的共词聚类分析[J].护理学报, 2020, 27(19):17-22.DOI:10.16460/j.issn1008-9969.2020.19.017.
[21] 毛秀华,林小丹,贾铭芳,等.“一带一路”沿线国家护理人力资源配置现状分析[J].护理学报, 2022, 29(19):10-14.DOI:10.16460/j.issn1008-9969.2022.19.00.
[1] SHAO Jia-xin, DU Min, LIU Rui-hua. Nursing human resource allocation in Guangdong Province based on aggregation degree and rank sum ratio method [J]. Journal of Nursing, 2023, 30(4): 33-37.
[2] ZHAO Xiao-xiao, HAO Ya-nan. Intermediate Effect of Work Well-being on Equity Sensitivity and Interpersonal Disturbance in New Nurses [J]. Journal of Nursing, 2020, 27(13): 33-35.
Viewed
Full text


Abstract

Cited
  Shared   
[1] HE Wan-qiao, GAI Wei, ZHOU Chun-lan, ZHANG Yi-zhen, TAO Yan-ling. Current status of quality of life of maintenance hemodialysis patients from perspective of positive psychology and its influencing factors[J]. Journal of Nursing, 2023, 30(2): 12 -16 .
[2] WANG Chong, LIANG Can, LIU Li-hui. Development of nursing night shift performance management system and its application[J]. Journal of Nursing, 2023, 30(2): 31 -34 .
[3] LIU Sha, CHEN Ling, LI Tian-tian, ZHANG Dan-li, CAI Wen-zhi. Developmental trajectory of pelvic floor muscle training self-efficacy in antenatal and postnatal women and its impact on postpartum urinary incontinence[J]. Journal of Nursing, 2023, 30(3): 1 -5 .
[4] GAO Jie, LI Hui-ping, SONG Jiang-yan, LI Jia-xin, ZHOU Meng-ke, ZHANG Shan-shan, PANG Zi-yun. Construction of coping-focused family resilience intervention program for breast cancer patients[J]. Journal of Nursing, 2023, 30(3): 6 -10 .
[5] DONG Shi-pan, LIANG Xiao-ying, HUANG Lan-yi, LIANG Shan-ying, LIANG Jin-bo, DAI wei, ZHAO Yu-ling, HUANG yi. Translation of Health Promoting Behavior for Bloating scale for patients with functional abdominal distension and its reliability and validity[J]. Journal of Nursing, 2023, 30(3): 11 -15 .
[6] LIU Wei, LI Yu-ling, HAN Qing-hua, LIN Yan-li. Construction of peer support education program for nursing students based on social learning theory[J]. Journal of Nursing, 2023, 30(3): 16 -19 .
[7] ZHANG Yu-fen, WANG Hui, HU Kai-li. Relationship between moral distress and moral sensitivity in clinical nurses: a latent profile analysis[J]. Journal of Nursing, 2023, 30(3): 20 -25 .
[8] ZHENG Wei, QIN Ying, JIANG Qing-hua. Instrument placement in ultrasonic cleaner based on octave software and aluminum foil corrosion method[J]. Journal of Nursing, 2023, 30(3): 26 -29 .
[9] HUANG Shan, YUAN Juan, YAN Gui-ming. Free association-based analysis of group emotion of nursing undergraduates[J]. Journal of Nursing, 2023, 30(3): 30 -34 .
[10] TIAN Tian, LI Zhuan-zhen, DU Fang-fang, ZHU Yong-yan, LI Wei-li, WAN Fei-fei. Construction of nursing safety training system for new nurses based on Transition Shock Theory[J]. Journal of Nursing, 2023, 30(3): 35 -39 .