Equity Analysis Of Human Resource Allocation Of Health Supervision In Henan

ObjectiveThrough the description and analysis of the general situation of health supervision and human resources allocation with the development of health supervision business in Henan province,this article is intended to analysis the equity of human resource allocation of health supervision to understand the general situation of health supervision and differences and equity of human resource allocation.Then the actual situation was combined to find problems of human resources allocation and analyzed what caused those problems.According these results,we provided theoretical basis to allocate human resources of health supervision more fairly,so as to improve the efficiency of health supervision and protect people’s health security.MethodsThe effective data of Henan’s health supervision were obtained from the national health inspection information reporting system and basic data of population,GDP and areas of cities of Henan province were gained from "Henan Statistical Yearbook 2016"and "China City Statistical Yearbook".Methods of descriptive and spatial descriptive were used to describe the general situation of health supervision and human resource,and Lorenz curve,Gink coefficient,Theil index and Agglomeration degree were used for analyzing the equity of human resource allocation.The influencing factors of health supervisor configuration were analyzed through correlation analysis and multiple linear regression analysis and some results were visualized by GIS.Results1.The general situation of institution of health supervisionThere were 183 institutions of health supervision in 2015,which were divided into 1 province,18 cities and 164 counties according to the city level and were divided into 5 administrative levels.2.The general situation of human resources of health supervision(1)In 2015,human resources of health supervision was 5482 people,including 4939 health supervisors and 543 other staff people.In the 18 municipal health supervision institutions,there were 44.11 health supervisors per institution while there were 24.87 health supervisors per institution in the 163 county levels health supervision institutions.An average of 0.42 health supervisors were assigned per 10000 people while 0.029 health supervisors were allocated per square kilometer.(2)There were 5482 human resources of health supervision,including 3783 men and 1744 women,and 4939 health supervisors,including 3394 men and 1545 women.The age distribution of health supervisors concentrated in the 30～39 years old,including 1486 people and 40～49 years old,including 1879 people.Educational background of health supervisors was composed of junior college and undergraduate.3.Work development of health supervision and its comparative analysis(1)Each supervisor was in charged with 35.44 households of supervised unit in Henan in 2015 and the total number of supervised unit is 173710.Meanwhile,114251 samples of product and 242649 samples of non product were monitored,and 12719 law cases were investigated.(2)The number of health supervision frequencies of health care,public health and school health ranked the top three.The number of times supervised by Zhoukou,Zhengzhou and Nanyang occupied the top three in all parts of the cities.There were 7 cities,whose per capita supervised unit were higher than the provincial average and 6 cities,whose per number of monitoring item were higher than the provincial average.4.The equity of human resources allocation in health supervision(1)Equitable analysis of Lorenz curve and Gini coefficient:Lorenz curves of human resources of health supervision and health supervisors were not significant based on service population,service area and the number of supervised units.Gini coefficients of human resources of health supervision and health supervisors were 0.054,0.029(based on service population),and 0.056,0.008(based in service population),and 0.055,0.027(based on supervised units).(2)Fair analysis of the Theil index:Theil L indexes of human resource of health supervision and health supervisors were 0.0191,0.0153,which displayed fairness is good.Contribution rates of the less developed areas,which was highest contribution rate regions,was 59.36%,42.41%,and the interregional contribution rate is 14.42%and 26.48%,based on human resource of health supervision and health supervisors.(3)Equitable analysis of concentration degree:The equity of human resources of health supervision and health supervisors in the middle north and middle east is better than south and west regions.Residents enjoyed higher equity of service of health supervision human resources in six cities including Luoyang,Pingdingshan etc.Supervised units were supervised effectively and comprehensively in Luoyang,Pingdingshan etc.5.Analysis of related factors in configuration of health supervisorsHealth supervisor were significantly correlated with service population,service area and supervised units and the correlation coefficients were0.843(P<0.001),0.620(P=0.006)and 0.841(P<0.001)respectively.The main factor,affecting the allocation of health supervisors,was service population.Conclusion1.Health supervision system was completely structured in Henan and health supervision of law enforcement was effectively implemented,but the health supervisors have not reached the corresponding regulations of the state and there were differences in the distribution between cities.2.Human resources of health supervision were allocated impartially based on service population,service area and supervised units,but there were some differences in the inter regional and different cities.The allocated number of Health supervisors was not enough and the equity is unfairness in Zhengzhou,Kaifeng,etc.