【摘要】 目的:探究基层医疗机构卫生人力资源的变化与服务量之间的关系，为提升基层医疗服务水平提供参考。方法:利用2010-2021年中国卫生健康统计年鉴数据，使用典型相关分析基层医疗机构卫生人力资源和服务量变化的关联。以基层医疗机构各类卫生人员数量和内部结构的相对指标表征卫生人力资源情况，以基层诊疗人次、入院人数等相对指标表征服务量状况。结果:我国基层医疗机构卫生人力资源与服务量出现相对性下滑，典型相关分析结果表明二者存在显著相关性(P<0.05),其中以卫生技术人员数量占比(0.912)、入院人数占比(0.998)与典型变量的相关性最强，是基层医疗机构卫生人力资源和服务量的主要指标。结论:基层医疗机构卫生人力资源的问题表现为数量相对不足、结构欠合理，其中数量相对不足以卫生技术人员占比为主导因素，结构问题着重体现在医护比、高学历相对比和卫生技术人员的构成比上。更多还原

【Abstract】 Objective: To explore the relationship between the change of health human resources and the service volume of grassroots medical institutions, so as to provide references for improving the level of grassroots medical services. Methods: Canonical correlation was used to analyze the association between grassroots medical human resources and service volume changes based on data from China Health Statistics Yearbook 2010-2021. The relative indicators of the number and internal structure of various grassroots institution health workers were used to characterize the health human resources, and such relative indicators as the number of visits and the number of inpatients were used to characterize the service capacity. Results: The amount of human resources and services in the grassroots medical institutions had declined relatively.The results of canonical correlation analysis showed that there was a significant correlation between the two(P<0.05). Among them, the proportion of medical technicians(0.912) and the proportion of hospital admissions(0.998) had the strongest correlation with canonical variables, which were the main indicators of grassroots medical institution health human resources and services. Conclusion: The problems of grassroots medical institution health human resources are characterized by the relatively insufficient number and unreasonable structure. The relatively insufficient number of health professionals is the leading factor, and the structural problems focus on the ratio of doctors and nurses, the relative ratio of highly educated and the composition ratio of health professionals.更多还原