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Equity study of resource allocation of general practitioners in China from 2015 to 2019 |
Zhang Jinchi1, Song Jia2, Ma Dongping2, Wang Qiang1, Chen Xi1 |
1 Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, China;
2 School of Management, Weifang Medical University, Weifang, 261053, China |
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Abstract Objective To analyze the distribution differences and allocation fairness of general practitioner resources among- provinces and regions in China from 2015 to 2019, and provide useful references for optimizing resource allocation of general practitioners in China.Methods Data related to general practitioners in China from 2015 to 2019 were collected, and the health resource agglomeration degree (HRAD) was used to calculate the geographic equity and demographic equity in the allocation of general practitioner resources in China.Results From 2015 to 2019, the number of general practitioners per 10 000 population in China increased from 1.37 to 2.61, with an average annual growth rate of 17.95%; HRAD in the eastern region decreased from 5.186 to 4.809, and HRAD-i/PAD-i decreased from 1.348 to 1.245; HRAD in the central region increased from 1.299 to 1.430, and HRAD-i/PAD-i increased from 0.761 to 0.845; HRAD in the western region increased from 0.285 to 0.308, and HRAD-i/PAD-i increased from 0.743 to 0.802.Conclusion There is a shortage of general practitioners in China with uneven regional allocation. It is suggested that on the basis of continuous increase of the volume of general practitioner resources, on the one hand, the allocation of general practitioner resources in each region should be reasonably optimized, and on the other hand, the training system and incentive mechanism of general practitioners should be continuously improved to effectively enhance the quality and ability of general practitioners to serve primary health.
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Received: 24 February 2022
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