基于Dagum基尼系数与Kernel密度的河南省卫生人力资源配置均衡性研究

Research on balanced balance of health human resources configuration based on Dagum Gini coefficient and Kernel density estimation

目的对河南省卫生人力配置情况的均衡性进行分析,提出合理化政策建议。方法提取2018—2022年河南省卫生人力数据,采用Dagum基尼系数及核密度(Kernel密度)分析河南省卫生人力的均衡性及动态变化过程。结果2018—2022年河南省卫生人力资源配置水平存在一定差距,差距呈缩小趋势,每千人口卫生人员基尼系数从0.072下降至0.047,每平方公里卫生人员基尼系数从0.319下降至0.314。总体差距主要由地区间差距引起,豫东、豫西地区卫生人力资源增速快、差距逐年缩小,豫南地区增速快、差距逐年增大,豫中地区增速慢、差距较大,豫北地区增速慢、差距增大。结论河南省卫生人员总体呈均衡趋势,应重视地区间卫生人力不均衡问题,重视地区内卫生人力均衡指数升高问题,建立实时监控体系。

Objective To analyze the balance of health and manpower allocation in Henan Province and propose rational policy recommendations.Methods Used Dagum Gini coefficient and Kernel density analysis to examine the balance and dynamic changes of health workforc,based on data of human resources for health in Henan Province between 2018 and 2022.Results There was a certain gap in the allocation level of health human resources in Henan Province from 2018 to 2022,and the gap was narrowing.The Gini coefficient of health personnel per thousand population has decreased from 0.072 to 0.047,and the Gini coefficient of health personnel per square kilometer has decreased from 0.319 to 0.314.The overall gap was mainly caused by regional disparities.The growth rate of health human resources in eastern and western Henan was fast,and the gap was narrowing year by year.The growth rate in southern Henan is fast,and the gap was increasing year by year.The growth rate in central Henan was slow and the gap was large,while the growth rate in northern Henan was slow and the gap was increasing.Conclusion Henan Province's health personnel generally show a balanced trend.The problem of uneven health and human imbalance between regions should be paid to the problem of rising health and human balance indexes in the region,and a real-time monitoring system should be established.