Zhou Minghua
Department of Administration Office, Luzhou People's Hospital, Luzhou, Sichuan, 646000, People's Republic of China.
Risk Manag Healthc Policy. 2025 Jun 11;18:1881-1893. doi: 10.2147/RMHP.S510508. eCollection 2025.
To analyze the equity and efficiency of medical resource allocation in national central cities in China in order to promote the development of medical resources in national central cities.
Data on medical resources in 9 national central cities were extracted from 2018 to 2022, descriptive analysis, health resource density index (HRDI), and health resource agglomeration degree (HRAD) were used to evaluate equity, and data envelopment analysis (DEA) was used to evaluate efficiency.
The HRDI of medical resources in national central cities is higher than the Chinese average from 2018 to 2022. The HRAD for the number of beds in Shanghai, Guangzhou, and Zhengzhou is greater than 14.40, and the HRAD for registered nurses, licensed (assistant) physicians, and health technicians in Shanghai, Guangzhou, and Beijing is greater than 15.80, indicating that the medical resources in these regions are highly concentrated by geographical allocation. The HRAD/PAD for licensed (assistant) physicians, registered nurses, and health technicians in Chongqing is less than 1, indicating that there is a shortage of medical resources in these regions relative to the agglomeration population. The technical efficiency, scale efficiency and overall efficiency in Shanghai, Guangzhou, and Chongqing are all 1, and the DEA is relatively effective. In Beijing in 2018-2020, Zhengzhou in 2020, and Chengdu in 2019-2021, the overall efficiency, scale efficiency, and technical efficiency are not 1, and the DEA is relatively ineffective.
The level of medical resource allocation in national central cities is higher than the Chinese average. The medical resources allocated in the national central cities are highly concentrated by geography. Licensed (assistant) physicians, registered nurses, and health technicians in Chongqing is insufficient relative to the agglomeration population. Except for Shanghai, Guangzhou and Chongqing, the other of the cities have a relatively inefficient allocation of medical resources.
分析中国国家中心城市医疗资源配置的公平性与效率，以推动国家中心城市医疗资源的发展。
提取2018年至2022年9个国家中心城市的医疗资源数据，采用描述性分析、卫生资源密度指数（HRDI）和卫生资源集聚度（HRAD）评估公平性，运用数据包络分析（DEA）评估效率。
2018年至2022年国家中心城市医疗资源的HRDI高于全国平均水平。上海、广州和郑州的床位HRAD大于14.40，上海、广州和北京的注册护士、执业（助理）医师和卫生技术人员的HRAD大于15.80，表明这些地区的医疗资源按地理配置高度集中。重庆的执业（助理）医师、注册护士和卫生技术人员的HRAD/PAD小于1，表明这些地区相对于集聚人口而言医疗资源短缺。上海、广州和重庆的技术效率、规模效率和总体效率均为1，DEA相对有效。2018 - 2020年的北京、2020年的郑州以及2019 - 2021年的成都，总体效率、规模效率和技术效率不为1，DEA相对无效。
国家中心城市医疗资源配置水平高于全国平均水平。国家中心城市配置的医疗资源按地理高度集中。重庆的执业（助理）医师、注册护士和卫生技术人员相对于集聚人口而言不足。除上海、广州和重庆外，其他城市医疗资源配置效率相对较低。
