Trend and Equity in Maternal and Child Health Resource Allocation in China Since the New Health System Reform: A Nationwide Study from 2008 to 2020.

IF 2.7 4区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Risk Management and Healthcare Policy Pub Date : 2024-08-19 eCollection Date: 2024-01-01 DOI:10.2147/RMHP.S466680

Yuanna Zhou, Lin Han, Wuxing Zhang, Yujun Fan, Wenjian Liu, Muzi Liu, Yishan Fan, Xiaoyuan Qu

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引用次数: 0

Abstract

Purpose: China has made considerable efforts to promote the development of maternal and child health (MCH) care since the new health system reform in 2009. This study aims to evaluate the trend and equity of MCH resources allocation in China from 2008 to 2020 and provide a reference for rational distribution of MCH resources.

Methods: Data were collected from the China Health Statistics Yearbook and China Statistics Yearbook. The number of MCH hospitals, licensed (assistant) physicians, registered nurses and beds were selected for the measurement of the equity of MCH resources allocation. The Health Resource Agglomeration Degree and Theil index were used in evaluating MCH resource allocation equity and to compare differences among regions.

Results: From 2008 to 2020, the average annual growth rates for MCH hospitals, beds, licensed (assistant) physicians, and registered nurses were 0.72%, 6.95%, 5.04%, and 9.57%, respectively. However, regional disparities in the equity of MCH resource allocation have been identified. Although the western region has shown growth in MCH resource allocation by geography, the agglomeration degree of the four indicators remains less than 1, significantly lower than the average value of greater than 2 in the eastern region. Additionally, the equity of human resource allocation in the western region is lower than the equity in the allocation of institutions. In the densely populated eastern region, the equity of MCH resource allocation by population is decreasing, with the agglomeration degree of all four indicators below 1 in 2020. The disparity in healthcare resource allocation within regions is the main cause of inequitable MCH resource allocation in China.

Conclusion: The allocation of MCH resources in China has improved since 2009, however, geographic equity needs further improvement, particularly in densely populated regions. Population and geographic balances should be considered in the development and implementation of MCH resource allocation policies, and improving intraregional equity should be the focus.

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新卫生体制改革以来中国妇幼卫生资源分配的趋势与公平性：2008-2020年全国研究》。

目的：自2009年新的医疗卫生体制改革以来，中国为促进妇幼保健事业的发展做出了巨大的努力。本研究旨在评估 2008-2020 年中国妇幼保健资源配置的趋势和公平性，为合理分配妇幼保健资源提供参考：方法：数据来源于《中国卫生统计年鉴》和《中国统计年鉴》。方法：数据来源于《中国卫生统计年鉴》和《中国统计年鉴》，选取妇幼保健医院数、执业（助理）医师数、注册护士数和床位数作为衡量妇幼保健资源配置公平性的指标。采用卫生资源集聚度和 Theil 指数评价妇幼保健资源配置的公平性，并比较地区间的差异：从 2008 年到 2020 年，妇幼保健医院、床位、执业（助理）医师和注册护士的年均增长率分别为 0.72%、6.95%、5.04% 和 9.57%。然而，在妇幼保健资源分配的公平性方面也存在地区差异。虽然西部地区的妇幼保健资源配置在地域上有所增长，但四项指标的聚集度仍小于 1，明显低于东部地区大于 2 的平均值。此外，西部地区人力资源配置的公平性低于机构配置的公平性。在人口密集的东部地区，按人口计算的妇幼保健资源配置公平性在下降，2020 年四项指标的集聚度均低于 1。区域内医疗资源配置的差异是造成中国妇幼保健资源配置不公平的主要原因：结论：2009 年以来，中国的妇幼保健资源配置有所改善，但地域公平性有待进一步提高，尤其是在人口稠密地区。在制定和实施妇幼保健资源分配政策时，应考虑人口和地域平衡，并将改善区域内公平性作为重点。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Risk Management and Healthcare Policy Medicine-Public Health, Environmental and Occupational Health

CiteScore

6.20

自引率

2.90%

发文量

242

审稿时长

16 weeks

期刊介绍： Risk Management and Healthcare Policy is an international, peer-reviewed, open access journal focusing on all aspects of public health, policy and preventative measures to promote good health and improve morbidity and mortality in the population. Specific topics covered in the journal include: Public and community health Policy and law Preventative and predictive healthcare Risk and hazard management Epidemiology, detection and screening Lifestyle and diet modification Vaccination and disease transmission/modification programs Health and safety and occupational health Healthcare services provision Health literacy and education Advertising and promotion of health issues Health economic evaluations and resource management Risk Management and Healthcare Policy focuses on human interventional and observational research. The journal welcomes submitted papers covering original research, clinical and epidemiological studies, reviews and evaluations, guidelines, expert opinion and commentary, and extended reports. Case reports will only be considered if they make a valuable and original contribution to the literature. The journal does not accept study protocols, animal-based or cell line-based studies.