| Objective: First, through the investigation on the allocation of health manpower resources of Xinjiang Kirghiz Kirgiz Autonomous Prefecture’s medical and health institutions to understand the oblast health status of human resources allocation; then, evaluating the fairness of health manpower resources allocation and predicting the development trend of the Oblast population and health manpower; in the end, to explore the current situation of health human resources allocation’s problems and the reasons. At the same time, making useful countermeasures and suggestions and providing a substantial basis for the health human resources allocation and future plans to Oblast. Methods: Using the number of composition ratio, average annual growth rate of the indexs to analysis the health human resources allocation in Oblast’s medical and health institutions; using the Chi-squared test to contrast the current status of human resources in Oblast with the average level of Xinjiang; Using Lorenz curve and Gini coefficient to evaluate health manpower resources of Oblast population and geographic equity evaluation on the allocation; finally, using the Health human population ratio method to forecast the Oblast’s population and the needs of health manpower respectively in 2015 and 2020. Results:(1) The situation of human resources for health: The overall level of average annual growth rate of the health personnel is negative growth, and the numbers of health workers are still insufficient in Oblast in 2010 to 2014. Health technical personnel accounting for 83.39 percent of health workers, health technicians per million people in the number of personnel was 0.53 people, health care ratio of 1: 0.3, with secondary school education, accounting for 74.97 percent of health technicians, professional title as junior titles Lord high: medium: junior titles in the ratio of 1: 3.8: 6.5 that was higher than the WHO recommended 1: 3: 1 ratio, clinical and professional nursing, accounting for 72.67% in 2014.(2) Comparison with the Xinjiang average comparison: Health Personnel in addition to practicing assistant doctors and registered nurses, other health technicians were higher than the total average of Xinjiang, human resources for health per million people per ten thousand square kilometers and the number of health workforce the number of resources were lower than the average level of Xinjiang.(3) Equity Analysis: The population fairness is superior than the geographical fairness, the Gini coefficient practicing assistant doctors by geographic distribution is 0.472, that influences it has a big fairness gap.(4) Health manpower forecasting: The number ot health personnel will reach 6562 and 9365 people, the amount of health technicians who were 5706 and 7796, and the number of health personnel per thousand population will reach 10.87 and 13.8 in 2015 and 2020, it will be higher than the number of health personnel per thousand population(who will reach 6.88 and 8.43 people)of the national standards. Conclusion:(1) Improve the overall quality of health personnel state and strengthen the construction of health personnel to meet the health needs of local residents.(2) To enhance the awareness of health personnel and Mandarin communication skills and promote the development of state health services.(3) Establish and improve mechanisms for medical education, talent introduction policy, training, personnel evaluation system, then improve the remuneration of health workers and prevent the loss of health professionals to address the shortage of health personnel.(4) Encourage multi-stakeholder involvement, the expansion of health financing channels, and increase the state health investment, to achieve the equalization of basic public service objectives.(5) Establish a centered with people, and change the management method of human resources, finally, to inspire the enthusiasm of enployees.(6) Focus on equity in health human resource allocation, and health care, than to reach equilibrium and address health human resource allocation imbalances. |
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