Administration Office, Luzhou People's Hospital, Luzhou, Sichuan, China
BMJ Open. 2024 Mar 21;14(3):e082721. doi: 10.1136/bmjopen-2023-082721.
To analyse regional differences in health resource allocation in the Chengdu-Chongqing economic circle.
A longitudinal analysis that collected data on health resource allocation from 2017 to 2021.
The number of beds, health technicians, licensed (assistant) physicians, registered nurses and financial allocations per 1000 population in the 42 regions of Chengdu-Chongqing economic circle were used for the analysis.
The entropy weight technique for order preference by similarity to an ideal solution (TOPSIS) method and the rank sum ratio (RSR) method were used to evaluate the health resource allocation.
The number of licensed (assistant) physicians per 1000 population in the Chengdu-Chongqing economic circle (3.01) was lower than the average in China (3.04) in 2021. According to the entropy weight-TOPSIS method, Yuzhong in Chongqing had the largest C-value and the highest ranking. Jiangbei in Chongqing and Chengdu and Ya'an in Sichuan Province had higher C-values and were ranked in the top 10. Jiangjin, Hechuan, Tongnan and Zhongxian in Chongqing and Guang'an in Sichuan Province had lower C-values and were all ranked after the 30th place. According to the RSR method, the 42 regions were divided into three grades of good, medium and poor. The health resource allocations of Yuzhong, Jiangbei, Nanchuan, Jiulongpo and Shapingba in Chongqing and Chengdu and Ya'an in Sichuan Province were of good grade, those of Tongnan, Jiangjin, Yubei and Dazu in Chongqing and Guang'an and Dazhou in Sichuan Province were of poor grade, and the rest of the regions were of medium grade.
The regional differences in health resource allocation in the Chengdu-Chongqing economic circle were more obvious, the health resource allocation in Chongqing was more polarised and the health resource allocation in Sichuan Province was more balanced, but the advantaged regions were not prominent enough.
分析成渝经济圈卫生资源配置的区域差异。
收集 2017 年至 2021 年卫生资源配置数据的纵向分析。
成渝经济圈 42 个地区每千人口床位、卫生技术人员、执业（助理）医师、注册护士和财政拨款数。
采用熵权 TOPSIS 法和秩和比（RSR）法对卫生资源配置进行评价。
2021 年，成渝经济圈每千人口执业（助理）医师数（3.01）低于全国平均水平（3.04）。根据熵权 TOPSIS 法，重庆渝中 C 值最大，排名最高。重庆江北区和成都、四川雅安市 C 值较高，排名在前 10 位。重庆江津区、合川区、铜梁区和忠县、四川广安市 C 值较低，均排在第 30 位以后。根据 RSR 法，将 42 个地区分为优、中、差三个等级。重庆渝中、江北区、南川区、九龙坡区和沙坪坝区以及四川成都和雅安市的卫生资源配置为优级，重庆铜梁区、江津区、渝北区和大足区以及四川广安和达州的卫生资源配置为差级，其余地区为中级。
成渝经济圈卫生资源配置区域差异较大，重庆卫生资源配置两极分化明显，四川卫生资源配置较为均衡，但优势地区不突出。
