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

Corresponding author: Li Juan, juanli@sdfmu.edu.cn

DOI: 10.12201/bmr.202410.00026

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  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; ; ; 

  Submit time: 11 October 2024

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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