通讯作者: 李娟, juanli@sdfmu.edu.cn

DOI：10.12201/bmr.202410.00026

Analysis on the evolution trend and spatial equilibrium of human resource allocation in village clinics in China

• 摘要：目的：本研究旨在分析我国村卫生室人力资源时空格局、演进趋势与区域均衡配置情况，为农村医疗卫生体系建设提供现实依据和决策参考。方法：通过多样化时空统计分析方法，考察村卫生室人力资源配置的时空发展状况和分布动态演进趋势，探究村卫生室人力资源配置的均衡性特征，解构区域间和区域内差异及总体差异的人力资源结构来源。结果：在样本考察期内，村卫生室人力资源的总量规模有所下降，但每千人口的人员配置数量和卫生技术人员占比有所提升。各省村卫生室人力资源逐步向双峰分布形态演变，并呈现出空间俱乐部收敛趋势。村卫生室人力资源空间配置差异显著，东部地区内部差异的贡献最大，且无论在地区内部还是地区之间，卫生技术人员的差异逐渐成为村卫生室空间非均衡配置的主要原因。结论：我国村卫生室人力资源配置面临着总量下降的挑战，人员结构优化配置的持续性有待进一步增强，并且卫生技术人员空间配置的均衡性也有点提升，需要重新审视村卫生室人力资源总量管理，推动人员结构优化和区域优势互补，在人员结构优化调整中缩小地区差异。

  关键词： 村卫生室; 人力资源配置; Markov链; 变异系数双维分解

   

  Abstract: Objective: This study aims to analyze the spatial-temporal patterns, evolutionary trends, and regional balance of human resources in village health clinics in China, providing a practical basis and decision-making reference for the construction of rural healthcare systems. Methods: By employing a variety of spatial-temporal statistical analysis methods, this study examines the spatial-temporal development and dynamic distribution trends of human resource allocation in village health clinics. It explores the characteristics of resource allocation balance, and deconstructs the sources of regional, interregional, and intraregional disparities in human resource structures. Results: During the study period, the total scale of human resources in village clinics decreased, but the number of personnel per thousand population and the proportion of health technicians increased. The human resources of village clinics in different provinces have gradually evolved to Twin Peaks, showing a convergence trend of spatial clubs. There is a significant difference in the allocation of human resources in village clinics, and the internal difference in the eastern region contributes the most, both within and between regions, the difference of health technical personnel has gradually become the main reason for the unbalanced allocation of village clinic space. Conclusion: The allocation of human resources in village clinics in China is facing the challenge of decreasing the total amount. The sustainability of the optimized allocation of personnel structure needs to be further enhanced, and the balance of the allocation of health technical personnel space has also been slightly improved, it is necessary to re-examine the total amount of human resources management in village clinics, promote the optimization of personnel structure and the complementarity of regional advantages, and reduce regional differences in the optimization of personnel structure.

  Key words: Village health room；Human resource allocation；Markov chain；Two dimensional decomposition of coefficient of variation; ; ; 

  提交时间：2024-10-11

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2024-06-26	bmr.202410.00026V1	下载

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