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中国的医疗和健康人才的时空分布和演变
Lei Zhang1,2, Jie Tang1, Qianqian Zhou1
1School of Economy and Management, Zhejiang Sci-Tech University, Hangzhou, 310018, China.
BMC public health
|January 10, 2025
概括
医疗和健康人才 (MHT) 在中国的分布显示,随着时间的推移,密度和强度不断增加,但规模下降. 空间差异仍然存在,特别是在胡华永线以东,区域差异正在扩大. 需要策略来实现平衡的MHT分配.
科学领域:
- 公共卫生 公共卫生
- 健康劳动力研究 卫生劳动力研究
- 空间流行病学 空间流行病学
背景情况:
- 医疗和健康人才 (MHT) 对于公共卫生紧急支持至关重要.
- 了解MHT分布对于区域卫生公平和应急准备至关重要.
- 中国在平衡分配其MHT劳动力方面面临挑战.
研究的目的:
- 分析MHT在中国的时空分布和演变.
- 为了识别MHT聚集区的区域差异和趋势.
- 提出优化MHT分配的策略.
主要方法:
- 为MHT聚合构建了一个多维索引系统 (TAD,TAS,TAI,TAE).
- 使用1982-2020年省级数据进行了时空空间分析.
- 采用了核心密度估计,空间自相关性 (摩兰的I) 和达格姆吉尼系数进行分析.
主要成果:
- 随着时间的推移,MHT人才聚集密度 (TAD) 和强度 (TAI) 增加;人才聚集规模 (TAS) 减少.
- 在MHT分布中存在显著的地理差异,特别是在黄线以东.
- 区域分布差异在全国范围内扩大,TAD,TAS,TAI和TAE的差异趋势各不相同.
结论:
- 中国的MHT人数正在增加,但空间分布仍然不均.
- 观察到MHT密度,规模,强度和平衡的区域差异很大.
- 需要进一步的研究和有针对性的政策来解决MHT分配不平衡.
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