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我国中医类医院中医药人力资源时空演进及需求预测分析

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目的 探究2010—2021年我国中医类医院中医药人员增长趋势与空间配置均衡性,预测2022—2025年人员总量的变化趋势,为优化中医药人力资源配置提供参考.方法 运用空间自相关分析衡量资源配置均衡性,采用ARIMA预测模型、GM(1,1)灰色预测模型、指数平滑模型组合预测2022—2025年人员总量变化趋势.结果 2010—2021年,我国中医类医院中医执业(助理)医师、中药师(士)、见习中医师年均增速分别为8.11%、3.95%、1.35%.从空间分布来看,2021年每万人口中医执业(助理)医师高-高聚集地区集中于东部,中药师(士)聚集于天津和黑龙江,见习中医师集中于西南地区.从时间变化来看,"十四五"时期中医类医院中医药人员总量年均增速同比"十三五"时期相对放缓.结论 我国中医类医院中医药人员总体呈增长趋势,省际间中医药人力资源分布不均,存在同属性空间聚类现象,但中医药人员随时间推移在空间上的聚集趋势不一致.
Analysis on Temporal and Spatial Evolution and Demand Prediction of TCM Human Resources in TCM Hospitals in China
Objective Examining the expansion pattern and spatial distribution equilibrium of TCM staff in TCM-style hospitals between 2010 and 2021 in China,as well as projecting the shift in the overall staff's trend from 2022 to 2025,will serve as a guide for maximizing the distribution of TCM human resources.Methods The trend of the total number of employees from 2022 to 2025 was predicted using a combination of the ARIMA forecasting model,the GM (1,1) gray forecasting model,and the exponential smoothing model.Spatial autocorrelation analysis was utilized to determine the balance of resource allocation. Results TCM practitioners (assistant),TCM pharmacists (bachelor),and trainee TCM physicians in TCM-type hospitals in China had average annual growth rates of 8.11%,3.95%,and 1.35%,respectively,between 2010 and 2021.In terms of spatial distribution,in 2021,the high-high concentration of TCM practitioners (assistant) per 10000 population was concentrated in the East,TCM practitioners (sergeants) were concentrated in Tianjin and Heilongjiang Province,and trainee TCM practitioners were concentrated in the southwestern region.In terms of temporal changes,the compared to the"13th Five-Year Plan",the average yearly growth rate of TCM personnel in TCM hospitals during the"14th Five-Year Plan"period was comparatively slower.Conclusion There is a spatial clustering of the same qualities and an unequal overall growth tendency of TCM personnel in TCM hospitals in China.However,the spatial clustering trend of TCM workers over time is not consistent.

Traditional Chinese Medicine Hospitalshuman resourcesevolution of time and spacedemand prediction

袁有树、孙思莹、王志伟

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北京中医药大学中医学院 北京 102400

贵州大学医学院 贵州 贵阳 550025

北京中医药大学国家中医药发展与战略研究院 北京 102400

中医类医院 人力资源 时空演进 需求预测

2024

中国医院管理
中国医院管理杂志社

中国医院管理

CSTPCD北大核心
影响因子:2.15
ISSN:1001-5329
年,卷(期):2024.44(12)