Chai Yulin, Xian Guowei, Kou Ruxin, Wang Mengxue, Liu Yanxu, Fu Guoqi, Luo Sheng
School of Management, Shandong Second Medical University, Weifang, 261053, Shandong, China.
School of Medicine and Health Management, Tongji Medical College of Huazhong, University of Science & Technology, Wuhan, 430030, Hubei, China.
Arch Public Health. 2024 Oct 7;82(1):175. doi: 10.1186/s13690-024-01407-0.
As the second most populous country in the world, China has a huge demand for health human resources. Over the past decade, the Chinese government has continuously increased investment in the health sector and implemented relevant policies and systems in an attempt to enhance the overall quantity and equity of health human resources. This study aims to analyze the equity and developmental trends in the allocation of health human resources in China from 2012 to 2021, providing reference and theoretical support for the government's further optimization of health human resources allocation.
This study collected health human resources data from 31 provinces, municipalities, and autonomous regions in China from 2012 to 2021. The methods employed included Lorenz curves, Gini coefficients, and agglomeration degree analysis, which examined the developmental trends and equity of health human resources from the perspectives of population and geographical.
This study found that over the past decade, there has been a significant increase in the total quantity of health human resources in China, accompanied by an improvement in equity, although disparities still exist. There are notable variations in the distribution of health human resources based on geographical area, with disparities between different regions. Relative shortages of health human resources are observed in western regions, while some areas in the eastern and central regions exhibit an abundance or surplus of health human resources.
Overall, health human resources in China have experienced stable development, with an incremental improvement in allocation equity, yet there remains considerable room for progress. It is imperative to continue strengthening policy guidance and regulation to facilitate the rational flow of health human resources, narrow regional disparities, and achieve the goal of universal health coverage.
作为世界上人口第二多的国家，中国对卫生人力资源有着巨大需求。在过去十年中，中国政府不断加大对卫生领域的投入，并实施相关政策和制度，以提高卫生人力资源的整体数量和公平性。本研究旨在分析2012年至2021年中国卫生人力资源配置的公平性和发展趋势，为政府进一步优化卫生人力资源配置提供参考和理论支持。
本研究收集了2012年至2021年中国31个省、直辖市和自治区的卫生人力资源数据。所采用的方法包括洛伦兹曲线、基尼系数和集聚度分析，从人口和地理角度考察卫生人力资源的发展趋势和公平性。
本研究发现，在过去十年中，中国卫生人力资源总量显著增加，公平性有所改善，尽管仍存在差距。卫生人力资源的地理分布存在显著差异，不同地区之间存在差距。西部地区卫生人力资源相对短缺，而东部和中部地区的一些地区卫生人力资源充裕或过剩。
总体而言，中国卫生人力资源发展稳定，配置公平性逐步提高，但仍有很大的改进空间。必须继续加强政策引导和监管，促进卫生人力资源的合理流动，缩小地区差距，实现全民健康覆盖的目标。
