Analysis of health resources equity in Chinese specialized public health institutions
Objective This study aims to analyze the fairness of health resource allocation in specialized public health institutions in China and provide a reference for further optimizing the allocation of public health resources.Methods The equity of the health resource allocation of specialized public health institutions in China from 2016 to 2020 was analyzed using the Gini coefficient,Thiel index,agglomeration,and radar chart curve.Results From 2016 to 2020,the average annual growth rates of the number of specialized public health institutions,beds,health personnel,practicing(assistant)physicians,and fiscal subsidies in China were-12.63％,4.61％,1.82％,2.35％,and 14.31％respectively.The western region had higher average annual growth rates for beds,health personnel,and practicing(assistant)physicians,while the central region had higher average annual growth rates for fiscal subsidies.The Gini coefficient for population-based allocation was 0.2-0.3,and the Thiel index was between 0.0066 and 0.064 4,indicating overall good equity.The contribution rate within regions was greater than that between regions,and the allocation of health resources varies significantly.In 2020,the agglomeration of health resources in the eastern regions was greater than 1,and the agglomeration in the western regions was less than 1.However,the difference of public health resources in the central and western regions was greater than 0,and the eastern regions were less than 0.The development level of GDP was positively correlated to the financial subsidy income of public health institutions.Conclusions Public health institutions'health resource allocation is fair overall,but regional differences remain.Therefore,targeted adjustments should be made to the allocation of public health institutions'health resources in different regions,paying attention to improving regional fairness,further improving the public health institutions'financial subsidies,and strengthening the sustainability of investment and emphasis of local governments.
Specialized public health institutionsResource allocationGini coefficientThiel indexAgglomeration
NETL
NSTL
万方数据
