Equity and Prediction of Bed Allocation of the Department of Stomatology in Chinese Hospitals

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS

ACS Applied Bio Materials Pub Date : 2024-06-04 DOI:10.2147/rmhp.s461085

Hong Tan

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Abstract

Objective: To analyze the equity of bed allocation of the department of stomatology in Chinese hospitals and predict the development in the next 5 years, so as to provide a scientific basis for promoting the development of oral health.
Methods: Data on the beds of the department of stomatology in Chinese hospitals from 2017 to 2021 were obtained from the China Health Statistical Yearbook. The Gini coefficient, Lorenz curve, Theil index and agglomeration degree were used to analyze the equity of the bed allocation, and the grey prediction model GM(1,1) was used to predict the development from 2022 to 2026.
Results: From 2017 to 2020, the Gini coefficient of bed allocation of the department of stomatology in Chinese hospitals was below 0.2 by population. From 2017 to 2021, the Gini coefficient of beds was above 0.6 by geography and between 0.2 and 0.3 by economy. The Theil index of beds ranged from 0.022 to 0.056 by population, from 0.532 to 0.564 by geography, and from 0.042 to 0.047 by economy. The inequity in the allocation by population was mainly from between regions, and the inequity in the allocation by geography and economy was mainly from within regions. Health resource agglomeration degree (HRAD) was greater than 2 in the eastern and central regions and less than 1 in the western region. HRAD/ population agglomeration degree (PAD) was greater than 1 in the northeast, eastern, and central regions and less than 1 in the western region. According to the prediction, the number of beds of the department of stomatology in Chinese hospitals will continue to increase, reaching 47,862.485 in 2026.
Conclusion: The equity of bed allocation was better by population and economy than by geography. The equity of beds in the western region is insufficient equity by population and geography, and the equity of beds in the eastern region is insufficient equity by economy.

Keywords: department of stomatology, beds, equity, prediction, China

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中国医院口腔科床位分配的公平性与预测

目的分析我国医院口腔科床位配置的公平性，预测未来5年的发展情况，为促进口腔卫生事业的发展提供科学依据：从《中国卫生统计年鉴》中获取2017年至2021年中国医院口腔科床位数据。采用基尼系数、洛伦兹曲线、Theil指数和集聚度分析床位配置的公平性，采用灰色预测模型GM（1,1）预测2022年至2026年的发展情况：2017年至2020年，按人口计算，中医院口腔科床位配置基尼系数低于0.2。从 2017 年到 2021 年，按地域划分的床位基尼系数在 0.6 以上，按经济划分的床位基尼系数在 0.2 到 0.3 之间。床位的 Theil 指数按人口分布在 0.022 至 0.056 之间，按地域分布在 0.532 至 0.564 之间，按经济分布在 0.042 至 0.047 之间。按人口分配的不公平主要来自地区之间，按地域和经济分配的不公平主要来自地区内部。东部和中部地区的卫生资源集聚度（HRAD）大于 2，西部地区小于 1。东北部、东部和中部地区的卫生资源集聚度/人口集聚度（HRAD/PAD）大于 1，西部地区小于 1。根据预测，中国医院口腔科床位数将继续增加，2026 年将达到 47862.485 张：按人口和经济划分的床位分配公平性优于按地域划分的床位分配公平性。西部地区的床位公平性在人口和地域上不够公平，东部地区的床位公平性在经济上不够公平。关键词：口腔科；床位；公平性；预测；中国

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来源期刊

ACS Applied Bio Materials Chemistry-Chemistry (all)

CiteScore

9.40

自引率

2.10%

发文量

464