Jin Jian, Wang Jianxiang, Ma Xiaoyi, Wang Yuding, Li Renyong
School of Economics, Hebei University, Baoding, P.R.China.
New Campus Administrative Office, Hebei University, Baoding, P.R.China.
Iran J Public Health. 2015 Apr;44(4):445-57.
The Chinese government is trying to achieve the goal of "universal access to basic health care services". However, the inequality of the distribution of health care resources across the country is the biggest obstacle. This paper aims to explore these inequalities and the extent to which the method of analysis influences the perception.
The indicators of health care resource distribution studied consisted of the number of health care institutions, the number of beds in health care institutions and the number of medical personnel. Data were obtained from the China Statistical Yearbook 2014. The extent of equality was assessed using the Lorenz Curve and Gini Coefficient Method.
Health care resource distribution in China demonstrates inequalities. The demographic Gini Coefficients based on the Lorenz Curves for the distribution of health care institutions, beds in health care institutions and medical personnel are 0.190, 0.070 and 0.070 respectively, while the corresponding Coefficients based on geographical areas are 0.616, 0.639 and 0.650.
The equality of China's demographically assessed distribution of health care resources is greater than that of its geographically measured distribution. Coefficients expressed by population imply there is ready access to healthcare in all regions, whilst the Coefficients by geographical area apparently indicate inequality. This is the result of the sparsity of population.
中国政府正努力实现“基本医疗服务全民覆盖”的目标。然而,全国医疗资源分配不均是最大的障碍。本文旨在探讨这些不平等现象以及分析方法对认知的影响程度。
所研究的医疗资源分配指标包括医疗机构数量、医疗机构床位数和医务人员数量。数据取自《中国统计年鉴2014》。使用洛伦兹曲线和基尼系数法评估平等程度。
中国医疗资源分配存在不平等现象。基于医疗机构、医疗机构床位和医务人员分布的洛伦兹曲线得出的人口基尼系数分别为0.190、0.070和0.070,而基于地理区域的相应系数分别为0.616、0.639和0.650。
中国按人口评估的医疗资源分配平等程度高于按地理区域衡量的平等程度。按人口计算的系数意味着所有地区都能方便地获得医疗服务,而按地理区域计算的系数显然表明存在不平等。这是人口稀少的结果。