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Abstract：
BACKGROUND: In China, economic, urbanization, and policy differences between the eastern and western regions lead to uneven healthcare resources. This disparity is more pronounced in the west due to fewer healthcare personnel per thousand individuals and imbalanced doctor-to-nurse ratios, which exacerbates healthcare challenges. This study examines the spatial distribution of human resources in maternal and child healthcare from 2016 to 2021, highlighting regional disparities and offering insights for future policy development.
METHODS: The data were sourced from the \"China Health and Family Planning Statistical Yearbook\" (2017) and the \"China Health and Health Statistics Yearbook\" (2018-2022). This study utilized GeoDa 1.8.6 software to conduct both global and local spatial autocorrelation analyses, using China\'s administrative map as the base dataset.
RESULTS: From 2016 to 2021, there was an upward trend in the number of health personnel and various types of health technical personnel in Chinese maternal and child healthcare institutions. The spatial distribution of these personnel from 2016 to 2021 revealed clusters characterized as high-high, low-low, high-low and low-high. Specifically, high-high clusters were identified in Guangxi, Hunan, Jiangxi, and Guangdong provinces; low-low in Xinjiang Uygur Autonomous Region and Inner Mongolia Autonomous Region; high-low in Sichuan province; and low-high in Fujian and Anhui provinces.
CONCLUSIONS: From 2016 to 2021, there was evident spatial clustering of health personnel and various health technical personnel in Chinese maternal and child healthcare institutions, indicating regional imbalances.
METHODS: The data were sourced from the \"China Health and Family Planning Statistical Yearbook\" (2017) and the \"China Health and Health Statistics Yearbook\" (2018-2022). This study utilized GeoDa 1.8.6 software to conduct both global and local spatial autocorrelation analyses, using China\'s administrative map as the base dataset.
RESULTS: From 2016 to 2021, there was an upward trend in the number of health personnel and various types of health technical personnel in Chinese maternal and child healthcare institutions. The spatial distribution of these personnel from 2016 to 2021 revealed clusters characterized as high-high, low-low, high-low and low-high. Specifically, high-high clusters were identified in Guangxi, Hunan, Jiangxi, and Guangdong provinces; low-low in Xinjiang Uygur Autonomous Region and Inner Mongolia Autonomous Region; high-low in Sichuan province; and low-high in Fujian and Anhui provinces.
CONCLUSIONS: From 2016 to 2021, there was evident spatial clustering of health personnel and various health technical personnel in Chinese maternal and child healthcare institutions, indicating regional imbalances.
摘要：
背景：在中国，经济,城市化,东西部地区的政策差异导致医疗资源不均衡。这种差距在西方更为明显，因为每千人的医疗保健人员较少，医生与护士的比例不平衡，这加剧了医疗保健挑战。这项研究考察了2016年至2021年妇幼保健人力资源的空间分布，突出了地区差异，并为未来的政策制定提供了见解。
方法：数据来源于《中国卫生和计划生育统计年鉴》（2017年）和《中国卫生和卫生统计年鉴》（2018-2022年）。本研究利用GeoDa1.8.6软件进行全球和局部空间自相关分析，使用中国的行政地图作为基础数据集。
结果：2016-2021年，中国妇幼保健机构卫生人员和各类卫生技术人员数量呈上升趋势。从2016年到2021年，这些人员的空间分布显示出具有高-高特征的集群，低-低,高-低和低-高。具体来说,广西确定了高-高集群，湖南,江西,和广东省；新疆维吾尔自治区和内蒙古自治区低-低；四川省高-低；福建和安徽省低-高。
结论：2016-2021年，我国妇幼保健机构卫生人员和各类卫生技术人员存在明显的空间集聚，表明区域不平衡。
方法：数据来源于《中国卫生和计划生育统计年鉴》（2017年）和《中国卫生和卫生统计年鉴》（2018-2022年）。本研究利用GeoDa1.8.6软件进行全球和局部空间自相关分析，使用中国的行政地图作为基础数据集。
结果：2016-2021年，中国妇幼保健机构卫生人员和各类卫生技术人员数量呈上升趋势。从2016年到2021年，这些人员的空间分布显示出具有高-高特征的集群，低-低,高-低和低-高。具体来说,广西确定了高-高集群，湖南,江西,和广东省；新疆维吾尔自治区和内蒙古自治区低-低；四川省高-低；福建和安徽省低-高。
结论：2016-2021年，我国妇幼保健机构卫生人员和各类卫生技术人员存在明显的空间集聚，表明区域不平衡。
