Journal of Shanghai Jiaotong University (Medical Science)
Volume 35, Issue 8, 2015, Pages 1207-1212

Analysis of the equity of public health resources allocation in Chongqing from the perspective of migration (Article)

Chen F. , Zhang P.-L. , Zheng W.-H. , Zhong X.-N. , Xu X.-L. , Tan H.-W.*
  • a Innovation Center for Social Risk Governance in Health, School of Public Health and Management, Chongqing Medical University, Chongqing, 400016, China
  • b Department of Cost Control Research, Chong Qing Ninth People's Hospital, Chongqing, 400700, China
  • c Department of Cost Control Research, Chong Qing Ninth People's Hospital, Chongqing, 400700, China
  • d Innovation Center for Social Risk Governance in Health, School of Public Health and Management, Chongqing Medical University, Chongqing, 400016, China
  • e Innovation Center for Social Risk Governance in Health, School of Public Health and Management, Chongqing Medical University, Chongqing, 400016, China
  • f Innovation Center for Social Risk Governance in Health, School of Public Health and Management, Chongqing Medical University, Chongqing, 400016, China, Department of Cost Control Research, Chong Qing Ninth People's Hospital, Chongqing, 400700, China

Abstract

Objective: To empirically analyze the equity of the allocation of the public health resources in Chongqing from 2009 to 2012 according to the scale and direction of rural-urban migration. Methods: The Gini coefficient and scale variance were used to evaluate and analyze the equity of the allocation of the public health resources in Chongqing area since healthcare reform from the perspectives of registered population and permanent population. Results: The mean Gini coefficients of public health technical personnel for registered population and permanent population were 0.212 2 and 0.177 1 and the difference was statistically significant (P<0.05). The mean Gini coefficients of public health expenditure for registered population and permanent population were 0.480 0 and 0.413 3 and the difference was statistically significant (P<0.05). The mean Gini coefficients of public health work area for registered population and permanent population were 0.357 5 and 0.251 1 and the difference was statistically significant (P<0.05). The contributions of county scale variance of public health technical personnel, public health expenditure, and public health work area of registered population were 63.35%, 57.37%, and 79.39%. The contributions of county scale variance of public health technical personnel, public health expenditure, and public health work area of permanent population were 85.48%, 47.18%, and 78.11%. Conclusion: The equity of public health resources allocation of urban and rural areas is different. The difference among counties is the main cause of the difference of public health resource allocation in Chongqing. Location of public health resources based on scale and direction of rural-urban migration can promote the equity of regional public health resources allocation. ©, 2015, Editorial Department of Journal of Shanghai Second Medical University. All right reserved.

Author Keywords

Migration Public health resources Gini coefficient Scale variance Fairness

Index Keywords

urban area rural area resource allocation health care distribution health care planning public health service health care policy Article health care personnel health care cost migration
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84947597174&partnerID=40&md5=377e06952bf61e5e2d5be5787d7e0184
ISSN: 16748115
Original Language: Chinese