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Outline
To analyze the regional disparities and spatial distribution characteristics of human resource allocation in county-level medical and health sub-centers in Sichuan Province, and to provide a basis for optimizing the allocation of primary health resources.
The Dagum Gini coefficient, Health Resource Density Index (HRDI), and Health Resource Agglomeration Degree(HRAD) were used to evaluate the current status and regional disparities in resource allocation, combined with exploratory spatial data analysis to examine spatial distribution characteristics.
From 2021 to 2023, the overall Gini coefficient for health human resources in Sichuan’s sub-centers decreased from 0.309 to 0.280, indicating an improvement in the equity of resource allocation. However, regional disparities remained prominent. The HRDI in Northeast Sichuan was 1.757, 4.71 times that of Northwest Sichuan. Structural imbalances were evident, with the density of general practitioners in Northwest Sichuan being only 20.3% of that in the Chengdu Plain. In terms of agglomeration, a mismatch was observed between geographical and population distribution. Chengdu showed a high level of geographical agglomeration, while the three autonomous prefectures had an HRAD<1. Based on population distribution, Chengdu had an HRAD/population agglomeration degree(PAD) <1, indicating a relative shortage of resources, whereas Aba and Ganzi were relatively well-resourced. Spatial analysis further revealed significant clustering of resources, forming a polarized pattern with Ziyang-Suining-Meishan as a “High-High” clustering zone and Ganzi-Liangshan as a “Low-Low” clustering zone.
The total quantity and allocation equity of human resources in sub-centers have improved annually, but regional disparities and spatial clustering contradictions persist. Measures such as targeted financial investment, cultivation of local talent, and promotion of resource sharing can help address structural imbalances and promote balanced development of regional health services.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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