Analysis On Status Of Human Resources For Health And Its Equity In Jilin Province

Objective: The aim of this study was to understand the situation of humanresources for health, its structure and equity in Jilin Province in2010. Findout advantages and disadvantages, analyze the existing problems and their causes,take positive effective measures. It also aimed to provide scientific basis foroptimizing allocation of human resources for health and drawing up health policy, andcontribute to promoting public health development.Methods: A census of health personnel in Jilin Province was done in2010.Descriptive statistical data was collected on the allocation of health institutions andhealth personnel, including the personnel’s gender, age, education level,authorized strength, title and so on. Lorenz curve, Gini coefficient and Map ofpopulation density were used to assess the equity in the allocation of the main humanresources for health.Results: At the end of2010, there were12761health institutions and156129health personnel in Jilin Province.The ratio of health technicians was69.7%in allhealth personnel. Although the proportion of hospitals accounted for only11.5%of allhealth institutions,59.8%of health personnel were in hospitals. The proportion ofprimary health institutions accounted for53.7%of all health institutions, but only22.9%of health personnel were in primary health institutions. Only8.3%of health personnelwere in public health agencies. Among the health personnel, the ratio of male tofemale was1:1.88. The age group of35to44was the most represented in the study(33.3%), followed by the age group of25to34(26.7%). The number of personnel withtechnical secondary degree and college degree education was the highest (a total of64.5%). The ratio of high, medium and primary technical qualification was1:2.1:2.2;The number of the working life group of10to19and20to29was the most(29.2%and26.0%). Among the health technicians, the ratio of male to female was1:2.25; the agegroup35to44had highest representatives (33.7%), followed by the age group25to34(27.25%) and the group of45to54and (23.42%); The number of people with thecollege degree, technical secondary degree and bachelor degree was the most(34.66%,31.62%and26.38%); The ratio of high, medium and primary technicalqualification was1:2.15:2.0; The number of people in government payroll(employedby the government) was the highest (72.22%), followed by the number of vacancy(14.43%). The numbers of health technicians, practicing doctors(assistant)and registered nurses per1000persons were5.13,2,1.52; and the ratio of physiciansto nurses was1:0.80.Health technicians, practicing doctors (assistant)and registerednurses to population Gini coefficient were0.10,0.11,0.12respectively, regional Ginicoefficient were0.34,0.32,0.40respectively.Conclusion: There was shortage of primary health personnel, especially communityhealth personnel. The proportion of health technicians, rural doctors and medicalorderly was relatively low. The age structure of health personnel was more reasonable,the education level was relatively low, technical qualification structure wasunreasonable enough. The amount of (assistant) practicing doctors and registerednurses was insufficient and the ratio of doctors to nurses was unreasonable. Thedistribution of health technicians and (assistant) practicing doctors was fair based onpopulation and acreage, while the distribution of registered nurses was fair based onpopulation, but not on acreage, and it reached the alarming level.