2024年成都市预防接种门诊资源配置现状及均衡性分析
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R192

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四川省“十五五”卫生健康人才高质量发展规划项目(H251112);四川省成都市疾病预防控制中心立项课题(20240205)


Analysis of resource allocation status and equity in immunization clinics in Chengdu in 2024
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    摘要:

    目的:探讨成都市预防接种门诊资源的现状及配置的均衡性,以期为卫生决策部门在合理配置免疫规划资源方 面提供参考依据。方法:通过问卷调查了解全市接种门诊人力资源配置现状,采用基尼系数、集聚度、空间自相关分析等方 法评估接种门诊资源配置的均衡性。结果:2024年成都市每万服务人口接种人员配置比为1.07,工作人员以女性为主,年龄 分布为(36.60±7.62)岁,在编、高学历和高级职称占比少。总体上预防接种资源按人口配置公平性优于按地理面积,其中一、 二圈层资源按地理配置较好甚至过剩,三圈层则按人口配置更好。空间分布上,以三圈层的邛崃市、简阳市为中心向周边辐 射的预防接种资源配置呈高-高聚集,一圈层以及二圈层的西北部地区呈低-低聚集。结论:成都市预防接种门诊在资源配置 方面存在不合理和分布不均衡的问题,需要进行优化。

    Abstract:

    Objective: To understand the current status and equity of resource allocation in immunization clinics in Chengdu, and to provide a basis for health administrative departments to further optimize the allocation of immunization program resources. Methods: A questionnaire survey was conducted to assess the current status of human resource allocation. The Gini coefficient, agglomeration degree, and spatial autocorrelation analysis were employed to evaluate the equity of resource allocation. Results: In 2024, the number of vaccination personnel per 10,000 population in Chengdu was 1.07. The staff were predominantly female, with an age distribution of (36.60±7.62) years old. The proportions of personnel with official establishment, high academic qualifications, and senior professional titles were relatively low. Overall, the equity of immunization resource allocation based on population was superior to that based on geographical area. The resources in the first and second urban circles were well allocated or even surplus in terms of geographical distribution, while the third circle showed better allocation efficiency when measured by population. In terms of spatial distribution, the high-high clustering mainly radiated to surrounding areas with Qionglai City and Jianyang City in the third circle as the core. And the low-low clustering was primarily concentrated in the first urban circle and the northwestern part of the second circle. Conclusion: The resource allocation in vaccination clinics in Chengdu is irrational and unevenly distributed, necessitating further optimization.

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郑敬环;于青松;曾莉;苗蕴琪;李蕾;赵莉.2024年成都市预防接种门诊资源配置现状及均衡性分析[J].川北医学院学报,2026,41(6):764-768.

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  • 在线发布日期: 2026-06-12
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