基于熵权TOPSIS和秩和比法的广东省卫生人力资源配置差异研究

Study on the differences in the allocation of health human resources in Guangdong Province based on entropy weighted TOPSIS and rank sum ratio method

目的分析2016—2021年广东省卫生人力资源配置差异化水平,为优化广东省卫生人力资源配置提供参考依据。方法采用熵权TOPSIS法和秩和比法,选取多个卫生人力资源评价指标,对2016—2021年广东省21个市进行评价,度量各地区卫生人力资源配置差异。结果广东省各地区卫生人力资源配置差异化严重,基于熵权TOPSIS法显示,珠三角地区相对接近度最高值为0.981,最低值为0.369;粤东地区相对接近度最高值为0.137,最低值为0.034;粤西地区相对接近度最高值为0.389,最低值为0.285;粤北地区相对接近度最高值为0.599,最低值为0.296,珠三角、粤西、粤北地区卫生人力资源配置水平明显优于粤东地区。结合秩和比法分档显示,广州、珠海、中山、韶关卫生人力资源配置水平处于档次“好”(Probit>6),档次“差”(Probit<4)为潮州、揭阳、汕尾,其余14个市均为档次“中”(4<Probit<6)。结论广东省医护比例、全科医生资源配置存在明显地区差异,卫生人力资源配置分档结果处于中等水平。对此,应加强注册护士、全科医生人才队伍建设,加强卫生人力资源扩容和区域均衡布局,缩小各地区卫生人力资源配置差异,以改善卫生人力资源配置。

Objective To analyze the differential level of health human resource allocation in Guangdong Province from 2016 to 2021,and provide reference basis for optimizing the allocation of health human resources in Guangdong Province.Methods The entropy weighted TOPSIS method and rank sum ratio method were used to select multiple health human resource evaluation indicators and evaluate 21 cities in Guangdong Province from 2016 to 2021,measuring the differences in health human resource allocation among different regions.Results There was severe differentiation in the allocation of health human resources among different regions in Guangdong Province.Based on the entropy weighted TOPSIS method,the highest and lowest relative proximity values in the Pearl River Delta region were 0.981 and 0.369,respectively.The highest relative proximity value in the eastern region of Guangdong was 0.137,and the lowest value was 0.034.The highest relative proximity value in the western region of Guangdong was 0.389,and the lowest value was 0.285.The highest relative proximity value in the northern region of Guangdong was 0.599,and the lowest value was 0.296.The allocation level of health human resources in the Pearl River Delta,western Guangdong,and northern Guangdong regions was significantly better than that in the eastern region of Guangdong.According to the rank sum ratio method,the allocation level of health human resources in Guangzhou,Zhuhai,Zhongshan,and Shaoguan was in the"good"level(Probit>6),while the"poor"level(Probit<4)were Chaozhou,Jieyang,and Shanwei.The other 14 cities were all in the"medium"level(4<Probit<6).Conclusion There are significant regional differences in the proportion of medical staff and the allocation of general practitioner resources in Guangdong Province,and the results of health human resource allocation are at a moderate level.In this regard,it is necessary to strengthen the construction of talent teams of registered nurses and general practitioners,enhance the expansion of health human resources and regional balanced layout,narrow the differences in health human resource allocation among different regions,and improve the allocation of health human resources.