南京医科大学学报（社会科学版）2025，Vol.25Issue(2)：203-208,6.DOI:10.7655/NYDXBSSS250045
我国基层卫生人力资源配置的区域差异、动态演进及优化策略研究
Regional differences,dynamic evolution and optimization strategies of human resource allocation of primary health care in China
摘要
Abstract
Based on provincial panel data from 2012 to 2022,this study employs an integrated analytical framework combining Dagum Gini coefficient decomposition,kernel density non-parametric estimation,and Markov chain analysis to systematically investigate the spatial disparities and dynamic evolution of primary healthcare human resource allocation in China.Key findings reveal three principal outcomes.First,the kernel density curve shows a rightward shift over the observation period,with the highest average annual growth rate in the western region(2.65%)and the lowest in the central region(1.86%).Second,the Dagum Gini coefficient shows a steady declining trend overall.The central region has the lowest Gini coefficient compared to the eastern and western regions.Third,the Markov chain transition probability matrix reveals strong state stability across allocation tiers,indicating high structural stability.The overall level of primary healthcare human resource allocation in China is generally on the rise,but regional differences are still evident.During the continuous optimization of equity,a balanced development pattern in the central region shows a leading role in achieving equilibrium.However,the high stability of the current allocation status requires dynamic breakthroughs through institutional innovation.To address these challenges,we propose three policy recommendations,including strengthening spatial linkages both within and across provinces to reduce geographical disparities,utilizing government-led macro-interventions to optimize equity in resource distribution,improving the primary healthcare service system,and continuously promoting institutional innovation.关键词
基层卫生人力资源/区域差异/动态演进Key words
human resources for primary health care/regional differences/dynamic evolution分类
医药卫生引用本文复制引用
陆苗,方金勇,刘海荣,张明敏,王国平..我国基层卫生人力资源配置的区域差异、动态演进及优化策略研究[J].南京医科大学学报（社会科学版）,2025,25(2):203-208,6.基金项目
安徽省教育厅人文社会科学研究项目"基于社会期望的公立医院人文关怀制度建设研究"(SK2019ZD19) （SK2019ZD19）
安徽省高校哲学社会科学研究项目"人才引进政策评价与仿真研究——以'紫云英人才计划'为例"(2023AH040236) （2023AH040236）
