Current situation and equity analysis of center for disease control and prevention health resources allocation in China from 2018 to 2021
Objective To analyze the current situation and equity of center for disease control and prevention(hereinafter referred to as CDC)health resources allocation in China from 2018 to 2021,so as to provide reference for the rational allo-cation of health resources.Methods The number of institutions of CDC,the number and structure of health techni-cians,and the population of each administrative region were sourced from the 2019-2022 China Health Statistical Yearbook;The geographical area of each administrative region came from the National Administrative Division Information Query Platform.The division of eastern,central,and western regions was based on the 2022 China Health Statistics Yearbook.Excel 2010 software was used to analyze data,the composition ratios and growth rates were used to describe the current status of health resource allocation at CDCs in different regions of the country,and Gini coefficient and Theil index were used to analyze the equity of health resource allocation.Results From 2018 to 2021,the number of na-tional,central,and western disease control centers decreased,with only the eastern region experiencing fluctuating growth.From 2018 to 2021,the number of health technicians in China,as well as in the eastern,central,and western re-gions,showed a growing trend.In 2021,the highest number of health technicians from CDC was who have worked for 30 years or more;Education was predominantly undergraduate and associate degrees;Only 16％of personnel had advanced professional and technical qualifications.The number of CDC from 2018 to 2021 was mainly concentrated in the Gini coefficient of 0.2-0.3 according to population allocation,with a total Theil index of around 0.06;The Gini coefficient configured by geographical area was close to 0.5,and the total Theil index was around 0.17.From 2018 to 2021,the Gini coefficient of health technicians according to population allocation was less than 0.2,and the total Theil index was less than 0.03;The Gini coefficient configured by geographical area was mainly concentrated between 0.5 and 0.6,and the total Theil in-dex was around 0.25.Conclusion From 2018 to 2021,the number of CDC in China continued to decrease,with a de-crease followed by an increase in health technicians.The structure of professional titles,educational qualifications,and age has been optimized,but still needs to be improved.The equity of population allocation for health technicians and institu-tions is better than that of geographical area allocation,and the unfairness of population allocation mainly comes from within the region;The unfairness of geographical area allocation mainly comes from inter regional differences.
Center for disease control and preventionResource allocationGini coefficientTheil indexEquity
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