An analysis on the evolution trend and spatial equilibrium of human resource allocation in village clinics in China
10.3969/j.issn.1674-2982.2024.09.008
- VernacularTitle:我国村卫生室人力资源配置演进趋势与空间均衡性分析
- Author:
Yin SHI
1
;
Shuai-Qi WANG
;
Guo-Feng GUAN
;
Juan LI
Author Information
1. 山东第一医科大学医疗保障学院 山东济南 250117
- Keywords:
Village clinic;
Human resource allocation;
Markov chain;
Two dimensional decomposition of coefficient of variation
- From:
Chinese Journal of Health Policy
2024;17(9):51-59
- CountryChina
- Language:Chinese
-
Abstract:
Objective:This study aims to analyze the spatial-temporal patterns,evolutionary trends,and regional balance of human resources in village 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 clinics.It explores the characteristics of resource allocation balance,and deconstructs the sources of regional,interregional,and intraregional disparities in human resource structures.Results: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.
