Examining Inequality in the Public Health Workforce Distribution in the Centers for Disease Control and Prevention(CDCs) System in China, 2008–2017

作     者：LI Yuan Qiu CHEN Hao GUO Hao Yan LI Yuan Qiu;CHEN Hao;GUO Hao Yan

作者机构：Office of Policy ResearchChinese Center for Disease Control and PreventionBeijing 102206China National Immunization ProgramChinese Center for Disease Control and PreventionBeijing 100050China The National Center for Chronic and Noncommunicable Disease Control and PreventionChinese Center for Disease Control and PreventionBeijing 100050China 

出 版 物：《Biomedical and Environmental Sciences》 (生物医学与环境科学（英文版）)

年 卷 期：2020年第33卷第5期

页      面：374-383页

核心收录：

学科分类：12[管理学] 1204[管理学-公共管理] 120402[管理学-社会医学与卫生事业管理(可授管理学、医学学位)] 1004[医学-公共卫生与预防医学(可授医学、理学学位)] 10[医学] 

基　　金：funded by China CDC’s Public Health and Emergency Response Mechanism Programme 

主　　题：Inequality Public health workforce CDCs Gini coefficient Geographical distribution 

摘      要：Objective Allocation of human resources to address inequalities in the public health system has increasingly attracted societal and political *** the Centers for Disease Control and Prevention(CDCs)system of China as an example,we evaluated inequality in the public health workforce distribution across different regions in China between 2008 and 2017,with the aim of providing information for policymakers to support resource allocation and address growing health *** We used three standard public health workforce inequality indices-Gini coefficient,Theil L,and Theil T-and spatial autocorrelation analysis to explore spatial clusters of the workforce in different provinces,visualized with geographical *** The aggregate workforce-to-population ratio decreased from 1.47 to 1.42 per 10,000 population from 2008 to 2017,and was consistently lower than the National Health Commission’s(NHC)recommended critical shortage threshold of *** workforce distribution inequality indices varied by regional socioeconomic and health system *** clustering of CDCs workforce distribution was evident,with H–H and L–L clusters in western China and the Guangdong-Fujian region,*** Our study addressed key issues for government and policymakers in allocation of public health human *** is an urgent need for careful identification of analytic questions that will help carry out public health functions in the new era,alongside policy implications for an equitable distribution of the public health workforce focusing on the western region and low–low cluster areas.