通讯作者: 李隆威, 1173929702@qq.com

DOI：10.12201/bmr.202604.00141

A Comparative Study on the Dynamic Trends, Structural Coordination, and Investment Efficiency of Health Resource Allocation in Guangxi

• 摘要：目的：分析2014-2023年广西壮族自治区卫生资源配置的动态趋势、结构协调性及宏观投入效益，识别关键问题，为优化区域卫生规划提供实证依据。方法：基于2014-2023年面板数据，构建“动态趋势-结构协调-宏观效益”三维分析框架，利用广西、贵州及全国的面板数据，采用年均增长率、结构比例指标及投入-产出相对效率指数进行综合分析。结果：2014-2023年，广西卫生资源总量持续增长，但卫生人力资源（执业医师、注册护士）年均增速（5.27%, 6.92%）落后于贵州（7.86%, 9.20%）；结构上，广西“床医比”（2.49）高于全国（2.13），医师负荷较重；其“医护比”（1.38）因医师基数偏低而显性偏高，实际护理人力仍显不足。效益上，广西卫生投入效益呈现“√”型转折，投入-产出相对效率指数由2014-2018年的0.52跃升至2019-2023年的16.63，增长动力从“经费投入驱动”转向“人才与政策效能驱动”。结论：广西卫生资源配置效益虽取得突破性进展，但人力资源总量不足与内部结构失衡问题依然突出。未来应巩固人才驱动模式，强化规划约束，以推动资源配置的持续高质量发展。

  关键词： 卫生资源配置；动态分析；结构协调；投入效益；区域比较; ; ; ; ; 

   

  Abstract: Objective：To analyze the dynamic trends, structural coordination, and macro-efficiency of health resource allocation in the Guangxi Zhuang Autonomous Region from 2014 to 2023, identify key issues, and provide empirical evidence for optimizing regional health planning. Methods：Based on panel data from 2014-2023, a three-dimensional analytical framework of Dynamic Trends - Structural Coordination - Macro-Efficiency was constructed. Utilizing panel data from Guangxi, Guizhou, and national levels, a comprehensive analysis was conducted using the Average Annual Growth Rate, structural proportion indicators, and the Input-Output Relative Efficiency Index. Results：From 2014 to 2023, the total amount of health resources in Guangxi continued to grow. However, the average annual growth rates of human resources for health (practicing physicians and registered nurses) (5.27%, 6.92%) lagged behind those of Guizhou Province (7.86%, 9.20%). Structurally, the Bed-to-Physician Ratio in Guangxi (2.49) was higher than the national average (2.13), indicating a relatively heavier workload per physician. The Nurse-to-Physician Ratio (1.38) appeared high due to the low base number of physicians, while the actual nursing workforce remained insufficient. In terms of efficiency, the health input efficiency in Guangxi showed a √ transition. The Input-Output Relative Efficiency Index jumped from 0.52 during 2014-2018 to 16.63 during 2019-2023, indicating a shift in the growth driver from funding input-driven to human resources and policy effectiveness-driven. Conclusion：Although significant progress has been made in the efficiency of health resource allocation in Guangxi, prominent issues such as the insufficient total volume of human resources and internal structural imbalances persist. Future efforts should consolidate the talent-driven model and strengthen planning constraints to promote the sustained high-quality development of resource allocation.

  Key words: health; resource allocation,dynamic; analysis,structural; coordination,input; efficiency, regional; comparison

  提交时间：2026-04-21

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• 序号	提交日期	编号	操作
  1	2026-03-20	10.12201/bmr.202604.00141V1	下载

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