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National equity of health resource allocation in China: data from 2009 to 2013.

Liu W, Liu Y, Twum P, Li S - Int J Equity Health (2016)

Bottom Line: The regional contribution rates were lower than that of the inter-regional contribution rates which were all beyond 60 %.The equity of health resource allocation improved gradually from 2009 to 2013.The tough issues of inequitable in health resource allocation should be resolved by comprehensive measures from a multidisciplinary perspective.

View Article: PubMed Central - PubMed

Affiliation: Department of Social Medicine and Health Management, College of Public Health, Shandong University, 44 Culture Road, Li Xia District, Jinan, 250012, Shandong Province, China.

ABSTRACT

Background: The inequitable allocation of health resources is a worldwide problem, and it is also one of the obstacles facing for health services utilization in China. A new round of health care reform which contains the important aspect of improving the equity in health resource allocation was released by Chinese government in 2009. The aim of this study is to understand the changes of equity in health resource allocation from 2009 to 2013, and make a further inquiry of the main factors which influence the equity conditions in China.

Methods: Data resources are the China Health Statistics Yearbook (2014) and the China Statistical Yearbook (2014). Four indicators were chosen to measure the trends in equity of health resource allocation. Data were disaggregated by three geographical regions: west, central, and east. Theil index was used to calculate the degree of unfairness.

Results: The total amount of health care resources in China had been increasing in recent years. However, the per 10, 000 km(2) number of health resources showed a huge gap in different regions, and per 10, 000 capita health resources ownership showed a relatively small disparities at the same time. The index of health resources showed an overall downward trend, in which health financial investment the most unfair from 2009 to 2012 and the number of health institutions the most unfair in 2013. The equity of health resources allocation in eastern regions was the worst except for the aspect of health technical personnel allocation. The regional contribution rates were lower than that of the inter-regional contribution rates which were all beyond 60 %.

Conclusion: The equity of health resource allocation improved gradually from 2009 to 2013. However, the internal differences within the eastern region still have a huge impact on the overall equity in health resource allocation. The tough issues of inequitable in health resource allocation should be resolved by comprehensive measures from a multidisciplinary perspective.

No MeSH data available.


Related in: MedlinePlus

Theil index of health resource allocation from 2009 to 2013. a, b, c and d represents the four kinds of health resources. The figure shows the Theil index changes in the four categories of health resources. X-axis represents the year and Y-axis the Theil index value which was calculated by the formula (1) mentioned above. For details see text
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Fig1: Theil index of health resource allocation from 2009 to 2013. a, b, c and d represents the four kinds of health resources. The figure shows the Theil index changes in the four categories of health resources. X-axis represents the year and Y-axis the Theil index value which was calculated by the formula (1) mentioned above. For details see text

Mentions: The whole Theil index has been divided into 3 parts, eastern, central and western regions. The following Fig. 1 could be more intuitive to reflect the changes of Theil index during the year of 2009–2013. Theil index of the eastern region showed the highest except for the 2nd graph (health technical personnel). In terms of the health care institutions attribution, Theil index remained stable (about 0.08, 0.04 and 0.03 in eastern, central and western respectively) in the 5 years. Western region experienced the lowest extent of equity in health technical personnel distribution. But there was an obvious improvement in recent 5 years, Theil index in central region lower than that in eastern for the first time in 2013. Compared to the other 3 aspects, the improvement of fairness in health technical personnel allocation was the most obvious, with the values fell from 0.0185, 0.0101 and 0.0208 to 0.0122, 0.0048 and 0.0100 respectively in eastern, central and western regions during 2009–2013. For the health investment, the data showed a smooth change during the years of 2009–2013, while Theil index fell sharply into nearly 0 in the 3 regions.Fig. 1


National equity of health resource allocation in China: data from 2009 to 2013.

Liu W, Liu Y, Twum P, Li S - Int J Equity Health (2016)

Theil index of health resource allocation from 2009 to 2013. a, b, c and d represents the four kinds of health resources. The figure shows the Theil index changes in the four categories of health resources. X-axis represents the year and Y-axis the Theil index value which was calculated by the formula (1) mentioned above. For details see text
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4837535&req=5

Fig1: Theil index of health resource allocation from 2009 to 2013. a, b, c and d represents the four kinds of health resources. The figure shows the Theil index changes in the four categories of health resources. X-axis represents the year and Y-axis the Theil index value which was calculated by the formula (1) mentioned above. For details see text
Mentions: The whole Theil index has been divided into 3 parts, eastern, central and western regions. The following Fig. 1 could be more intuitive to reflect the changes of Theil index during the year of 2009–2013. Theil index of the eastern region showed the highest except for the 2nd graph (health technical personnel). In terms of the health care institutions attribution, Theil index remained stable (about 0.08, 0.04 and 0.03 in eastern, central and western respectively) in the 5 years. Western region experienced the lowest extent of equity in health technical personnel distribution. But there was an obvious improvement in recent 5 years, Theil index in central region lower than that in eastern for the first time in 2013. Compared to the other 3 aspects, the improvement of fairness in health technical personnel allocation was the most obvious, with the values fell from 0.0185, 0.0101 and 0.0208 to 0.0122, 0.0048 and 0.0100 respectively in eastern, central and western regions during 2009–2013. For the health investment, the data showed a smooth change during the years of 2009–2013, while Theil index fell sharply into nearly 0 in the 3 regions.Fig. 1

Bottom Line: The regional contribution rates were lower than that of the inter-regional contribution rates which were all beyond 60 %.The equity of health resource allocation improved gradually from 2009 to 2013.The tough issues of inequitable in health resource allocation should be resolved by comprehensive measures from a multidisciplinary perspective.

View Article: PubMed Central - PubMed

Affiliation: Department of Social Medicine and Health Management, College of Public Health, Shandong University, 44 Culture Road, Li Xia District, Jinan, 250012, Shandong Province, China.

ABSTRACT

Background: The inequitable allocation of health resources is a worldwide problem, and it is also one of the obstacles facing for health services utilization in China. A new round of health care reform which contains the important aspect of improving the equity in health resource allocation was released by Chinese government in 2009. The aim of this study is to understand the changes of equity in health resource allocation from 2009 to 2013, and make a further inquiry of the main factors which influence the equity conditions in China.

Methods: Data resources are the China Health Statistics Yearbook (2014) and the China Statistical Yearbook (2014). Four indicators were chosen to measure the trends in equity of health resource allocation. Data were disaggregated by three geographical regions: west, central, and east. Theil index was used to calculate the degree of unfairness.

Results: The total amount of health care resources in China had been increasing in recent years. However, the per 10, 000 km(2) number of health resources showed a huge gap in different regions, and per 10, 000 capita health resources ownership showed a relatively small disparities at the same time. The index of health resources showed an overall downward trend, in which health financial investment the most unfair from 2009 to 2012 and the number of health institutions the most unfair in 2013. The equity of health resources allocation in eastern regions was the worst except for the aspect of health technical personnel allocation. The regional contribution rates were lower than that of the inter-regional contribution rates which were all beyond 60 %.

Conclusion: The equity of health resource allocation improved gradually from 2009 to 2013. However, the internal differences within the eastern region still have a huge impact on the overall equity in health resource allocation. The tough issues of inequitable in health resource allocation should be resolved by comprehensive measures from a multidisciplinary perspective.

No MeSH data available.


Related in: MedlinePlus