School of Economics and Management of Jiangxi University of Chinese Medicine, Nanchang, Jiangxi, China.
Jiangxi Provincial People's Hospital, Nanchang, Jiangxi, China.
Int J Health Plann Manage. 2022 Nov;37(6):3205-3217. doi: 10.1002/hpm.3549. Epub 2022 Aug 19.
This study is designed to analyse current allocation equity of medical resources in China for a better distribution of medical resources.
Descriptive statistical methods were used to analyse the overall allocation of Traditional Chinese medicine (TCM) resources between 2012 and 2018. Lorentz curve and Gini coefficient were used to quantitatively analyse the fairness of the allocation from the population and geography two dimensions.
This study revealed an increase of TCM resources for the 6-year period, but the fair allocation of these resources was subjected to the methods used. The Gini coefficients were <0.3 based on population distribution but >0.5 basing on the geography allocation.
Population based analysis for the equity of the TCM resource allocation is superior, more attention for health resource planning is needed to focus on geographical fairness in the future, especially for the less populated rural regions.
本研究旨在分析中国医疗资源配置的现状公平性,以实现医疗资源的合理分布。
采用描述性统计方法分析 2012 年至 2018 年中医药资源的总体配置情况。利用 Lorenz 曲线和基尼系数从人口和地理两个维度定量分析分配的公平性。
本研究表明,6 年来中医药资源有所增加,但资源分配的公平性受到所用方法的影响。基于人口分布的基尼系数<0.3,但基于地理分配的基尼系数>0.5。
人口分析中医药资源配置的公平性更优,未来卫生资源规划需要更加关注地理公平性,特别是在人口较少的农村地区。