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Research on the equity and spatial correlation of human resource allocation in China′s elderly care institutions from 2014 to 2022: a longitudinal study
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Linning WANG, Sida WANG, Anqi JING, Wenbo LI, Xiaoyun LU, Yun LU
Chinese Journal of Public Health | 2025, 41(7) : 809 - 816
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Chinese Journal of Public Health | 2025, 41(7): 809-816
• Survey and Report •
Research on the equity and spatial correlation of human resource allocation in China′s elderly care institutions from 2014 to 2022: a longitudinal study
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Linning WANG, Sida WANG, Anqi JING, Wenbo LI, Xiaoyun LU, Yun LU
Affiliations
  • School of International Pharmaceutical Business, China Pharmaceutical University, Nanjing 211198, China
Published: 2025-07-10 doi: 10.11847/zgggws1146638
Outline
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Objective

To analyze the staffing levels and personnel structure of elderly care institutions in China from 2014 to 2022, assess their equity and spatial distribution, and provide recommendations for optimizing the allocation of human resources in these institutions.

Methods

Panel data on employees in elderly care institutions from 31 provinces in China were collected. Changes in the proportion of male and female employees, the proportion of professional and technical personnel, and the proportion of employees aged 65 and older were calculated for each province from 2014 to 2022. The Theil index and Dagum Gini coefficient, weighted by the elderly population, were used to assess trends in equity and their decomposition effects. Global and local Moran′s I were employed to calculate the spatial clustering of human resources in elderly care institutions across China.

Results

The total number of human resources in elderly care institutions increased by 68.92%, but the number of staff per thousand elderly people showed a negative growth trend. In 2022, the proportion of employees with a bachelor′s degree or above was 8.42%, the proportion of professional and technical personnel was 75.23%, the proportion of employees aged 56 and older was 20.45%, and the proportion of female employees was 62.36%. The regional equity of human resource allocation in elderly care institutions improved, with the overall Theil index decreasing from 0.11 in 2014 to 0.05 in 2022, and the Dagum Gini coefficient decreasing from 0.41 in 2014 to 0.39 in 2022. Spatial autocorrelation analysis revealed a positive spatial clustering trend for human resources in elderly care institutions. The global Moran′s I increased from 0.273 in 2014 to 0.390 in 2022 (P < 0.01 for each year). Local Moran′s I scatter plots showed "high-high" and "low-low" clustering patterns among regions.

Conclusions

The total human resources in China′s elderly care institutions lag behind the growth of the elderly population. While equity has improved, there is a trend of positive spatial clustering. Future efforts should focus on both expanding capacity and improving quality, increasing the proportion of highly qualified and skilled personnel, and promoting inter-regional mobility of human resources in elderly care institutions.

elderly care institutions  /  human resources  /  spatial distribution  /  equity
王琳宁, 王思达, 经安琪, 李文博, 陆筱筠, 路云. 2014—2022年中国养老机构人力资源配置公平性及空间相关性. 中国公共卫生, 2025 , 41 (7) : 809 -816 . DOI: 10.11847/zgggws1146638
Linning WANG, Sida WANG, Anqi JING, Wenbo LI, Xiaoyun LU, Yun LU. Research on the equity and spatial correlation of human resource allocation in China′s elderly care institutions from 2014 to 2022: a longitudinal study[J]. Chinese Journal of Public Health, 2025 , 41 (7) : 809 -816 . DOI: 10.11847/zgggws1146638
Year 2025 volume 41 Issue 7
75
34
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Article Info
doi: 10.11847/zgggws1146638
  • Receive Date:2024-12-12
  • Online Date:2026-10-25
  • Published:2025-07-10
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History
  • Received:2024-12-12
  • Revised:2025-03-23
  • Accepted:2025-05-14
Affiliations
    School of International Pharmaceutical Business, China Pharmaceutical University, Nanjing 211198, China

Corresponding:

LU Yun, E-mail:
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表12种不同金属材料的力学参数
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Family
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Number of
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Number of
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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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