Sichuan Province Health Resource Allocation Criteria Evaluation

Objective Regional health planning is not only an important method of governance on the health development, but also an effective way to resolve the unreasonable situation of health resource allocation. How to establish an suitable allocation standards of health resource is the focus of regional health planning. Win or lost is mostly depended on the standards' quality. This article aims at building the evaluation system of the allocation standards, to evaluate the standards and give advice fornext 5-year allocation standards by discussing the method——"health resourcedensity index model"—— which used to establish the standards.Methods To follow the 5 principles which are mentioned by the National Health Department for establish standards: to fit in with the local social economic development; to control gross resource and balance of supply and demand; efficiency; equity; to modify the structure of resource allocation, author sets up the evaluation system to evaluate the standards by Grey model ( GM (1, 1) ), Demand-based allocation way, Gini coefficient compare and Fuzzy-Model etc.Results For fit with the establish principles, the standards basically accord with regional total developing planning and local economic developing level; do well at control gross resource and equity; need to improve at efficiency and modification of the structure of resource allocation. On each kind of resource, health manpower and funds etc need to be allocated in detail; the allocation way needs to be explored in large equipment; resource allocation of paroxysmal public health affairs needs to be added. On the administration effect factors of carry out standards, the local leaders pay much attention to regional health planning, while the extent of attention needs to be improved and administrational maneuver ability needs to be stronger.Conclusion Through the evaluation the author gives advice that when make the next 5 years standards, the revise coefficient in the density index model should be amended by adding the cover rate of health insurance, demand index in health service and the use rate of resource. What's more, more resource should be allocated to publichealth and rural health, while the primary health service resource should be guaranteed in cities. And the assessment of requirement should be added into the standards. Finally, the resource should be carved up by the common resource and paroxysmal-based resource.