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Analysis on equity of Beijing′s health resource allocation based on Gini coefficient and index of dissimilarity |
Bai Ling |
Beijing Public Health Information Center, Beijing 100050, China |
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Abstract Objective To acquire the current equity situation and development trend of health resource allocation in Beijing so as to provide reference evidence for implementing regional health plan and optimizing health resource allocation. Methods The equity of health resource allocation in population and geography of Beijing in 2005 was assessed by Gini coefficient, HRDI and index of dissimilarity. Results The Gini coefficients for different kinds of health resource ranged from 0.060 to 0.120 in population, from 0.650 to 0.730 in geography and from 0.230 to 0.310 by HRDI. Both Gini coefficient and index dissimilarity of nurses were the highest in population and geography. Gini coefficient and index of dissimilarity in geography allocation of health resources were higher than those in population allocation. Besides, the equity of the hospital bed configuration was better than that of health human resources. Conclusion In 2015, the material resource allocation in health was better than human resource allocation while the nurse allocation equity was poor in Beijing. The population allocation of health resources in health was better than the geography allocation. There were significant gaps among regions. To promote the equity of health resource allocation, it was recommended to increase health investment, strengthen the guidance effect of health policy, optimize the geographic allocation and internal structure of health human resources.
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Received: 17 December 2016
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