广西卫生人力资源配置的空间分布分析  

Spatial distribution of health human resources allocation in Guangxi

作　　者：刘佩芸 康静 骆宣良 徐诗琦 黄芬[1,2] 江南 冯启明[1,2] 覃娴静 LIU Pei-yun;KANG Jing;LUO Xuan-liang;XU Shi-qi;HUANG Fen;JIANG Nan;FENG Qi-ming;QIN Xian-jing(Center for Policy Research on Hygiene and Health,Guangxi Medical University(Guangxi High-End Think Tank),Nanning,Guangxi 530021,China;不详)

机构地区：[1]广西医科大学卫生与健康政策研究中心(广西高端智库建设培育单位),广西南宁530021 [2]广西医科大学信息与管理学院

出　　处：《现代预防医学》2023年第12期2206-2209,2220,共5页Modern Preventive Medicine

基　　金：2021年度广西特色新型智库联盟重点课题研究(GXZC2021-C3-001173-YZLZ)。

摘　　要：目的 探索广西卫生人力资源和医疗服务效率在空间上分布特征,探究卫生人力资源配置的影响因素。方法 基于2021年面板数据,对广西14个地市的卫生人力资源和医疗服务效率进行全局和局部空间自相关分析,并利用双变量空间自相关分析揭示影响该地区卫生人力资源供给水平的全局性和地方性因素。结果 全局自相关分析显示,广西每千人口卫生技术人员数(Moran's I=0.177 2,Z=2.867 4,P=0.017 4)和出院者平均住院日(Moran's I=0.117 4,Z=2.151 2,P=0.039)呈空间正自相关;局部自相关分析显示,卫生人力资源有7个显著聚集区域,医疗服务效率有4个显著聚集区域。双变量自相关分析提示,广西卫生人力资源与经济发展水平(Moran's I=0.270 7,Z=4.316 2,P=0.001 1)、社会发展水平(Moran's I=0.286 3,Z=4.711 4,P<0.001)均存在极显著的空间正相关性,高-高和低-低聚集是主要类型区域。结论 2021年广西卫生人力资源和医疗服务效率整体上的空间分布呈聚集特征,并具有较弱的空间依赖性。广西各地区经济发展水平差异显著,但区域社会经济的发展可有效缩减其卫生人力资源供给的差异。建议在进行卫生人力资源配置时考虑空间相关性并将社会经济发展因素作为重要参考。Objective To explore the spatial distribution characteristics of health human resources and medical services efficiency in Guangxi,and to explore the factors influencing health human resources allocation.Methods Based on the 2021 panel data,global and local spatial autocorrelation was conducted on the efficiency of health human resources and medical services in 14 Guangxi municipalities,and bivariate spatial autocorrelation was used to reveal the global and local factors affecting the level of health human resources supply in the region.Results The global autocorrelation analysis showed that the number of health technicians per 1,000 population(Moran's I=0.1772,Z=2.8674,P=0.0174)and the average hospital bed days of discharges(Moran's I=0.1174,Z=2.1512,P=0.039)in Guangxi were spatially positively autocorrelated.Local autocorrelation analysis showed that there were seven significant clusters of human resources for health and four significant clusters of efficiency of health care services.The bivariate spatial autocorrelation results suggested that there was a highly significant positive spatial correlation between health human resources and economic development level(Moran's I=0.2707,Z=4.3162,P=0.0011)and social development level(Moran's I=0.2863,Z=4.7114,P<0.001)in Guangxi,and high-high and low-low aggregation were the main types of areas.Conclusion The overall spatial distribution of health human resources and medical services efficiency in Guangxi in 2021 is characterized by aggregation and has a weak spatial dependence.The level of economic development varies significantly among regions in Guangxi,but regional socio-economic development can effectively shrink the differences in their health human resources supply.It is suggested that spatial correlation and socio-economic development factors should be considered as important references when allocating health manpower.

关 键 词：卫生人力资源 空间自相关 双变量空间自相关 

分 类 号：R192[医药卫生—卫生事业管理]