Study On The Current Situation And Arrangement Of Health Manpower In Hami Area

Objective:Describing the the quantity and quality of health human resource and finding the problem in Ha Mi,forcasting the target year’s health workforce demand which may provide reference for the health workforce planning. Methods:Analysis the quantity and quality of health workforce in 2006 to 2013 by Health Statistics Annual Data, using the health workforce census data to analysis the constitute of qualifications and titles,and compare with Xin Jiang and Nation,evaluating the status of supply and demand balance by supply and demand ratio method;Other,using the method of demand for health services, the ratio of doctors and nurses, the ratio of workforce/population,to estimate the demand amount of practicing(assistant) physicians,registered nurses in medical institutions and the demand amount of professional public health agencies in 2020,and estimates the amount of doctors and nurses in nursing homes;Using the methods of Lorenz curve,Gini coefficient,Theil index,to evaluate the fairness of health workforce resource allocation. Results:1.It had increased 865 from 3362 to 4227 in 2006 and 2013,the annual growth rate of health staff,health workers,practicing(assistant) physicians and registered nurses,is 3.3%,3.5%,1.0% and 5.0%.Doctors of per 1000 population between 2006-2013 from 2.6 to 2.9.Registered Nurse of per 1000 population,growth from 2.1 in 2006 to 2.7 in 2013,doctors to nurses ration from 1:0.77 to 1:1.00,structure gradually reasonable.2.The bachel degree or above of health personnel is 26.1%, practicing(assistant) physicians of Hami is 51.3% and higher than Xin Jiang(41.0%),but lower than the national average(57.2%) in 2013;The tertiary and higher education degree of Registered Nurse(55.7%) is higher than the degree in Xin Jiang level(41.1%),but that is lower than the nationwide(59.9%);The senior percent of health workers is 8.2, which practicing(assistant) physicians is 17.8%,and higher than the Xin Jiang and national average(Xin Jiang 14.3%,nationwide 15.4%);Registered nurse intermediate and above title(18.4.0%) to Xinjiang(18.3%) is similar, and below the national(20.8%) slightly.3.The number of practicing(assistant) physician supply and demand ratio of hospitals, CHS, township hospitals,were 1:1.11,1:0.39,1:1.40;To compare with the actual data, the supply and demand of hospital practicing(assistant) physicians is balance,CHS configuration is insufficient and township hospitals serving a population imbalance between supply and demand.CDC and MCH and Health Authority were 1:1.07,1:0.94,1:0.48,the health workforce supply and demand of CDC and MCH is balance,but the health workforce of health oversight agencies is inadequate.4.It needs practice(assistant) physicians 1589~1757 in 2020,practicing(assistant) physicians per 1000 population who reaches 2.8 to 3.1 in 2020,and is higher than the "National Program for medical and health service system(2015-2020)" requirements(2.5),of which medical institutions need 1285~1453,nursing homes need 70;Hami needs registered nurses 2433~2752 in 2020,the per 1000 population of registered nurse reaches 4.3 to 4.9,is higher than the "National Health Service Medical Plan(2015-2020)" requirements(3.14) in 2020,the doctors to nurses ration reach to 1:1.53~1.57 in 2020,it needs public health personnel 420 in 2020,and nursing homes need 742.5.The Gini coefficient of Primary health workforce is 0.4708,ID is 0.3709 in 2013, the distribution is unfair,Theil index is 0.1680,it showed that kinds of unfair 79.2% caused regional differences by internal configuration.The Gini coefficient and ID of doctors is 0.1537 and 0.1534, the Gini coefficient and ID of nurses is 0.1681 and 0.1676 in hospital in 2013,after configuring the Gini coefficient(0.1394~1378)and ID(0.1391~0.1376)are lower than the numbers in 2013,which is indicating that the configuration fairness of hospital doctors and nurses has improved. Conclusion:1.The practicing(assistant) physicians supply and demand OF Hospital is balance, CHS and health oversight agencies is inadequate.2.The per 1000 population of practicing(assistant) physicians who reach 2.8 to 3.1 in 2020,the per 1000 population of registered nurses reaches 4.3 to 4.9,they are higher than the "National Health Service Medical Plan(2015-2020)" requirements,the per 1000 population of public health personnel is less than the "National Health Service Medical Plan(2015-2020)" requirement.3.After configuring,the Gini coefficient and ID are lower than they are in 2013, it indicates that hospital doctors and nurses configuration fairness has improved.