Research On The Current Status And Equality Of Health Manpower Resources Of Minority Regions In Sichuan Province

Objective:Based on the 2008 data, to analyse the quantity,structure,distribution and their distribution equity in term of population and geography of health manpower resources of minority regions in Sichuan province,predict the need quantity of health manpower resources by 2015 and 2020; thus reveals the characteristics and the outstanding problems of Minority areas,and puts Specific recommendations and countermeasures;So we can provide scientific basis for the development planning and coordinated development of health manpower resources in minority regions.Methods:(1)Literature analysis method:for making questionnaire;(2)Questionnaire investigation method:used to collect related data of human manpower resources;(3)Interview method:used to make up the deficiency of questionnaire survey and thoroughly understand the deep reason which effect human manpower resources of minority regions and improvement suggestion;(4)Statistics methods:using constitute analogy method,x2 test and rank test,to analyze the quantity and structure characteristics of human manpower resources;(5)Lorenz curve-Gini coefficient and Theil index method:analyzing the distributed equity of human manpower resources;(6)Population forecast method:using the combination model of quadratic multinomial,GM,ARIMA to predicting population;(7)Population ratio method:estimating need quantity of health manpower resources in minority regions by 2015 and 2020.Results and discussion:(1)Existing problems of health manpower resources in minority regions of sichuan province:quantity is not enough, quotas are vacancy; the allocation of existing health staff is unreasonable, showed the proportion of nurse,management personnel,elixir personnel,inspection personnel and TCM personnel is less; the service capabilities of medical technical personnel is low,showed the proportion of personnel gained qualification is less, the structure of age, education and job title is irrational; poor equality, showed a great disparity in management and sanitary supervision personnel's population distribution,a great disparity in all kinds of health personnel's geographic distribution.(2)The main reasons are:the history foundation is weak; the natural environment and working environment is poor, difficult to introduce and keep talents; health industry development lags behind, and influences the health personnel income and personal career development.(3) Methodologys are feasibility and practicality. Combined with Gini coefficient factor decomposition and Theil index group decomposition to analyze the source of inequality:whether population or geographic equity, the differences between minority regions are bigger, and the internal differences are different. In terms of population, source of equity in internal differences mainly come from liangshan and other regions.but elixir personnel mainly comes from ganzi;in terms of geography, internal differences mainly comes from ganzi. Using combination forecast model and population ratio method to draw the existing manpower resources gap:practice (assistant) physicians 14145 people, pegistered nurse 14456 people, elixir personnel 2006 people, inspection personnel 3754 people, maternity and child care staff 933 people, disease prevention and control personnel 696 people,sanitary supervision personnel 284 people; Achieve the target must make up the total annual volume requirements:by 2015, practice (assistant) physicians 17898-28468 people, registered nurse 18072-24691 people, elixir personnel 2473-3608 people,inspection personnel 4582-6543 people,maternity and child care staff 1227-3693 people,disease prevention and control personnel 1026-3869 people,sanitary supervision personnel 402-1311 people;by 2020,practice (assistant) physicians 20989-31824 people, registered nurse 20086-28081 people,elixir personnel 2859-4131 people,inspection personnel 5268-7465 people,maternity and child care staff 1469-4225 people,disease prevention and control personnel 1297-4475 people,sanitary supervision personnel 491-1512 people.Suggestions:(1) Establishing management concept of human resources, strengthening investment of health manpower resources; (2) Taking effective measures to directional bring in health talents and pay attention to optimize the structure and distribution; (3) To improve Counterpart support system; (4) Establishing effective mechanism of health personnel training; (5) Paying attention to construct rural doctor.