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首页> 外文期刊>International Journal of Environmental Research and Public Health >Inequality of Paediatric Workforce Distribution in China
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Inequality of Paediatric Workforce Distribution in China

机译:中国儿科劳动力分布不平等

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Child health has been addressed as a priority at both global and national levels for many decades. In China, difficulty of accessing paediatricians has been of debate for a long time, however, there is limited evidence to assess the population- and geography-related inequality of paediatric workforce distribution. This study aimed to analyse the inequality of the distributions of the paediatric workforce (including paediatricians and paediatric nurses) in China by using Lorenz curve, Gini coefficient, and Theil L index, data were obtained from the national maternal and child health human resource sampling survey conducted in 2010. In this study, we found that the paediatric workforce was the most inequitable regarding the distribution of children <7 years, the geographic distribution of the paediatric workforce highlighted very severe inequality across the nation, except the Central region. For different professional types, we found that, except the Central region, the level of inequality of paediatric nurses was higher than that of the paediatricians regarding both the demographic and geographic distributions. The inner-regional inequalities were the main sources of the paediatric workforce distribution inequality. To conclude, this study revealed the inadequate distribution of the paediatric workforce in China for the first time, substantial inequality of paediatric workforce distribution still existed across the nation in 2010, more research is still needed to explore the in-depth sources of inequality, especially the urban-rural variance and the inner- and inter-provincial differences, and to guide national and local health policy-making and resource allocation.
机译:几十年来,儿童健康一直是全球和国家各级的优先重点。在中国,找儿科医生的困难一直以来都是争论不休的问题,但是,评估与人口和地理相关的儿科劳动力分配不平等的证据有限。本研究旨在通过洛伦兹曲线,基尼系数和泰尔L指数分析中国儿科劳动力(包括儿科医生和儿科护士)分布的不平等性,数据来自全国母婴健康人力资源抽样调查在2010年进行的这项研究中,我们发现,就7岁以下儿童的分布而言,儿科劳动力是最不公平的。除中部地区外,儿科劳动力的地理分布突显了全国范围内的严重不平等现象。对于不同的专业类型,我们发现,除中部地区外,就人口和地理分布而言,儿科护士的不平等程度高于儿科医生。区域内部的不平等是小儿劳动力分布不平等的主要根源。总而言之,这项研究首次揭示了中国的儿科劳动力分布不足,2010年全国儿科劳动力分布仍然不平等,还需要更多的研究来探索不平等的深层次根源,特别是城乡差异以及省内和省际差异,并指导国家和地方卫生政策制定和资源配置。

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