Current situation of health resource allocation in China based on spatio-temporal econometric analysis
SUN Ya-hong1, CHEN Jia-jia3, ZHENG Yan-ling3, NIE Yan-wu2, YANG Zhen2, ZHANG Li-ping3
1. State Key Laboratory of Pathogenesis, Prevention and Treatment of High Incidence Diseases in Central Asia, School of Public Health, Xinjiang Medical University, Urumqi, Xinjiang 830017, China; 2. School of Public Health, Xinjiang Medical University, Urumqi, Xinjiang 830017, China; 3. School of Medical Engineering and Technology, Xinjiang Medical University, Urumqi, Xinjiang 830017, China
Abstract：Objective To make a more comprehensive evaluation on the fairness of medical and health resource allocation in China based on the differences between population equity and geographical equity in China’s health resource allocation from 2013 to 2019. Methods By calculating Gini coefficient and Lorentz curve, the current situation of health resource allocation in China from 2013 to 2019 was analyzed according to population equity and geographical equity by using five indicators, the number of health institutions, the number of beds in health institutions, the number of health technicians, the number of licensed doctors and the number of registered nurses. We used spatial correlation analysis combined with Gini coefficient and Lorentz curve to investigate the fairness of medical and health resource allocation in China. Results The Gini coefficients of population and geography of health resource allocation were 0.055-0.186 and 0.614-0.679, respectively. The allocation of various medical and health resources based on population was relatively fair, while the allocation according to area was relatively unfair. Spatial equity analysis of health resource allocation in China showed that the data of health resources had a certain spatial autocorrelation in the overall spatial distribution. Local spatial autocorrelation analysis displayed that health resources were mainly distributed in the eastern central region according to population and geography, indicating that the allocation of health resources in China was still unbalanced. Conclusion There are regional differences in the allocation of health resources in China. Based on the characteristics of population and regional distribution, we should fully consider all kinds of conditions that affect the allocation of regional health resources, including geographical conditions, demographic factors and economic development, and fully optimize the allocation structure of human resources for health in China.
孙亚红, 陈佳佳, 郑彦玲, 聂艳武, 杨振, 张利萍. 基于时空计量分析方法的我国卫生资源配置现状研究[J]. 实用预防医学, 2022, 29(7): 801-804.
SUN Ya-hong, CHEN Jia-jia, ZHENG Yan-ling, NIE Yan-wu, YANG Zhen, ZHANG Li-ping. Current situation of health resource allocation in China based on spatio-temporal econometric analysis. , 2022, 29(7): 801-804.
2022, Vol. 29 
