关键词: 结核/预防和控制, 卫生系统机构, 卫生人力, 评价研究, 北京市

Abstract: Objective  To investigate the situation of human resources of TB prevention and control system at district level in Beijing, and evaluate the fairness of demographic and geographic distribution of health resources.  Methods  All 326 professionals at 18 district level TB institutions were investigated by questionnaires from August to September in 2011, including their age, educational background, and professional title information. The data related to population and geographical acreage was also collected to estimate the fairness by Lorenz Curve and Gini Coefficient.  Results  Among the 326 TB professionals at the district level in Beijing, the mean age was (42.04±5.37) years. Most professionals were graduated from college or below, accounting for 74.85 % (244/326), undergraduate degrees accounted for 21.78% (71/326), master degrees accounted for 3.07% (10/326), no doctoral degrees. 52.15% (170/326）staff had junior titles, 40.18% (131/326) had medium level titles, and only 4.60% (15/326) had senior titles. The average service population per professional was 53 800, and service radius of 4.05 km. According to the demographic and geographic distribution, the Gini Coefficient is 0.49 and 0.62 respectively.  Conclusion  In Beijing district level TB institutions, the education of TB professionals was inadequate, number of staff with medium or senior title was low, and the staffing did not meet the fairness requirement in geographical and population distribution. Therefore, Beijing district level human resources need to be further strengthened.

Key words: Tuberculosis/prevention &, control, Health systems agencies, Health manpower, Evaluation studies, Beijing city