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| Study on the equity of health resource allocation in Zhangjiakou from the perspective of health poverty alleviation |
| WANG Yuejiao1 ZHANG Pei2 |
1.Finance Office, the First Affiliated Hospital of Hebei North University, Hebei Province, Zhangjiakou 075000, China;
2.Hospital Management and Development Laboratory, the First Affiliated Hospital of Hebei North University, Hebei Province, Zhangjiakou 075000, China |
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Abstract Objective To explore the rationality and fairness of health resource allocation in Zhangjiakou area from the perspective of health poverty alleviation. Methods From January 2013 to December 2016, the number of health care institutions, beds, health technicians, the number of practitioners (assistant doctors) and registered nurses in the region were collected, and the equity of the two dimensions of resident population and geographical area was evaluated by using the curve and Gini coefficient. Results In 2016, the Gini coefficient of resource allocation of health institutions in Zhangjiakou was 0.19, which was in a highly fair state. The Gini coefficient of bed resource allocation in health institutions was 0.28, which was fairer. Gini coefficient of 1000 nurses was 0.43, which was unfair. The Gini coefficient of health resources according to population allocation was 0.43 for registered nurses, 0.34 for doctors, 0.34 for health technicians, 0.28 for beds and 0.19 for health institutions, the allocation of nurses resources was slightly unfair. The average number of medical institutions was 1.04 per 1000 square kilometers, and the Gini coefficient of bed resource allocation was 0.55, which was very unfair; the average number of health technicians was 4.03 per 1000 square kilometers, and the Gini coefficient of professional technicians was 0.61, which was highly unfair. The average number of doctors per thousand square kilometers was 1.49, and the Gini coefficient of doctors per thousand square kilometers was 0.56, which was very unfair. The average number of nurses per thousand square kilometers was 0.12, and the Gini coefficient of nurses per thousand square kilometers was 0.63, which was highly unfair. Except for health institutions the allocation of resources was very unfair. From 2013 to 2016, the Gini coefficient of health resources allocated by population in Zhangjiakou area did not change much. Except for the Gini coefficient of medical and health institutions fluctuated greatly in 2015 and decreased to the previous level in the next year, the Gini coefficient showed a declining trend. The Gini coefficient of doctors according to population distribution showed a slightly higher increase trend, the average Gini coefficient of doctors according to population distribution was 0.27, which was fairer. Gini coefficient of health resources allocated by region was 0.53, showed a very unfair trend. Gini coefficient of nurses decreased significantly compared with 2016, and that of health technicians decreased suddenly in 2014, and increased steadily to the previous level in the next year. The Gini coefficient of health institutions was basically stable, and the Gini coefficient of beds increased slightly. Therefore, the Gini coefficient of health resources allocated by population was better than that allocated by region. Conclusion In recent years, the distribution of medical and health resources in Zhangjiakou has been unfair, the proportion of medical and health care is unbalanced, and the resources are significantly concentrated and unreasonable.
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