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Trends and equity of health human resource allocation in the county-level centers for disease control and prevention in China from 2019 to 2023
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Mile LIN1, Chongyi WANG1, Wuqi QIU1, Ayan MAO1, Shaoqiong LI2, Yujie YANG1
Chinese Journal of Public Health | 2026, 42(2) : 129 - 135
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Chinese Journal of Public Health | 2026, 42(2): 129-135
• Special Report—Strengthening the Public Health Workforce •
Trends and equity of health human resource allocation in the county-level centers for disease control and prevention in China from 2019 to 2023
Full
Mile LIN1, Chongyi WANG1, Wuqi QIU1, Ayan MAO1, Shaoqiong LI2, Yujie YANG1
Affiliations
  • 1Public Health Strategic Intelligence Research Office, Institute of Medical Information, Chinese Academy of Medical Sciences, Beijing 100020, China
  • 2Information Center, Chinese Center for Disease Control and Prevention, Beijing 102206, China
Published: 2026-02-10 doi: 10.11847/zgggws1147301
Outline
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Objective

To analyze the current status and equity of human resource allocation in centers for disease control and prevention (CDCs) at the county level in China, thereby providing reference for promoting the high-quality development of county-level CDCs.

Methods

The data were collected from the National Disease Prevention and Control Integrated Management System and the 2019–2023 Statistical Yearbooks. The Gini coefficient, Theil index, and health resource density index were adopted to analyze the current status and equity of human resource allocation in China′s county-level CDCs in the dimensions of population, geography, and economy.

Results

In 2023, the staff size and ratio in China′s county-level CDCs reached 162 836 and 1.16 per 10 000, respectively, both demonstrating consistent year-on-year growth. The Gini coefficient of all regions was less than 0.2 according to population distribution, less than 0.3 according to economic level distribution, less than 0.4 in eastern and central China and close to 0.6 in western China according to geographical area distribution. The Theil index across regions was approximately 0.36 in the geographical dimension, and 0.02 and 0.07 in the population and economic dimensions, respectively. For population and geographical dimensions, the intra-regional contribution exceeded that between regions, while the opposite pattern held for the economic dimension. The national and regional health resource density index showed an increasing trend year by year.

Conclusions

The staff size in China′s county-level CDCs has shown sustained growth. Their distribution remains relatively equitable across population and economic dimensions, but exhibits weaker equity in the geographical dimension. Efforts should focus on promoting intra-regional coordination and integration of human resources to reduce disparities within regions.

county-level center for disease control and prevention  /  health human resources  /  allocation status  /  equity
林米乐, 王重一, 邱五七, 毛阿燕, 李少琼, 杨玉洁. 中国县级疾控机构卫生人力资源配置趋势及公平性:基于2019—2023年统计数据分析. 中国公共卫生, 2026 , 42 (2) : 129 -135 . DOI: 10.11847/zgggws1147301
Mile LIN, Chongyi WANG, Wuqi QIU, Ayan MAO, Shaoqiong LI, Yujie YANG. Trends and equity of health human resource allocation in the county-level centers for disease control and prevention in China from 2019 to 2023[J]. Chinese Journal of Public Health, 2026 , 42 (2) : 129 -135 . DOI: 10.11847/zgggws1147301
Year 2026 volume 42 Issue 2
175
69
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Article Info
doi: 10.11847/zgggws1147301
  • Receive Date:2025-03-05
  • Online Date:2026-10-23
  • Published:2026-02-10
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History
  • Received:2025-03-05
  • Revised:2025-08-22
  • Accepted:2025-09-16
Affiliations
    1Public Health Strategic Intelligence Research Office, Institute of Medical Information, Chinese Academy of Medical Sciences, Beijing 100020, China
    2Information Center, Chinese Center for Disease Control and Prevention, Beijing 102206, China

Corresponding:

LI Shaoqiong, E-mail:
YANG Yujie, E-mail:
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表12种不同金属材料的力学参数
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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