ObjectiveTo analyze the status of human resources and revenues and expenditures of Guangxi rural hospitals in 2020 and to provide a reference for Guangxi for introducing policies to strengthen the construction of a grass-roots medical and health personnel. MethodsThe number of staff, officially budgeted posts, staff structure, loss of staff, and revenues and expenditures in Guangxi rural hospitals were analyzed and the construction of a health talented people team in Guangxi rural hospitals was studied. ResultsThere were 84,062 on-the-job employees, 54,111 officially budgeted posts, 45,568 employees on the officially budgeted posts, and a vacancy rate of the officially budgeted posts of 15.79% in Guangxi rural hospitals in 2020. There were 3.12 health technicians, 0.95 practicing (assistant) doctors and 1.07 registered nurses per thousand rural population in Guangxi rural hospitals. The majority of on-the-job employees were 25-34 years old (39.85%), and the majority of health technicians, other technical administrators, and labor technicians were 35-44 years old (41.02%, 37.14%, 34.21%), administrative staff were mainly 45-54 years old (34.07%) in Guangxi rural hospitals in 2020. Most of the on-the-job employees, health technicians, other technical administrators, and administrative staff graduated from junior colleges(accounting for 43.16%, 45.70%, 42.38%, 50.16%, respectively), and labor technicians mostly graduated from high schools and below(accounting for 58.55%) in Guangxi rural hospitals in 2020. A total of 4 633 employees outflowed from Guangxi rural hospitals in 2020, and the outflow ratio was 5.51%. In 2020, 294 Guangxi rural hospitals were in a negative surplus for the revenues and expenditures, accounting for 23.24%; 1 021 Guangxi rural hospitals were in a negative surplus for the medical revenues and expenditures, accounting for 80.71%. ConclusionIn Guangxi rural hospitals, a shortage of officially budgeted staff and a high vacancy rate of the officially budgeted posts coexist and there is a large gap between the number of officially budgeted posts and its actual demand; the health technicians have low professional quality and older ages; economically underdeveloped areas have serious employee loss; there exist low surpluses and high debts. The situation above-mentioned reflects an unsmooth talented people management system, an unstable workforce, a shortage and an unbalanced distribution of high-quality human resources in Guangxi grass-roots medical and health institutions. It is urgent to speed up the introduction of a series of policies and promote the reform of Guangxi grass-roots medical and health personnel guarantee mechanism is imminent.

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