Abstract:

Objective To analyze the current status and fairness of human resource allocation in Guangzhou disease control and prevention system from 2019 to 2023，and to provide a reference for optimizing human resource allocation in megacities. Methods The statistical indicators such as age and education level of personnel in disease control and prevention institutions in Guangzhou from 2019 to 2023 were collected through the China Disease Prevention and Control Information System. Descriptive analysis，health resource density index（HRDI），Lorenz curve，and Gini coefficient were used to evaluate the current status and fairness of human resources in disease prevention and control institutions in Guangzhou. Results Compared with 2019，the total human resources and the number of disease prevention and control personnel per 10 000 population in Guangzhou disease control and prevention system increased by 10.93% and 10.03%，respectively in 2023，reaching 1 957 people and 1.04/10 000 population，but still failed to meet the national ratio requirements，with a shortage of 1 337 people. The age distribution of the personnel was mainly 26-<35 years old（40.27%），and the category was mainly health technicians（81.35%）. The proportion of postgraduate education had an average annual growth rate of 21.93%，and the professional title structure about 1 ∶ 1 ∶ 1. In terms of fairness，the concentration P value showed that human resources were unevenly distributed，mostly concentrated in central urban areas such as Yuexiu，Haizhu，Liwan，and Tianhe，and weak in suburban areas such as Zengcheng and Conghua. The Gini coefficient showed that health human resources based on population dimensions were better than geographical area configuration. Conclusion The total amount of human resources in the Guangzhou disease control and prevention system continues to grow，and the quality structure of personnel such as age and education is further optimized，but there are problems such as large personnel gaps and uneven regional distribution. It is recommended to leverage policy support and take into account the dynamic balance of population size and geographical space to create a compound talent team with echelon connection.

Key words: Health human resources, Disease control and prevention institutions, Fairness evaluation