Fairness Of Health Resources In Jiangsu Province

Equitable distribution of health resources is one of the key issues of medical system reform. Medical reform in 2009 emphasized the importance of the equalization of basic public health services again. This study describes the status of health resource allocation and health care status of the inhabitants, assesses the equality of health resource allocation, and analyzes problems existing in resource allocation. The purpose is to provide references to enact regional health planning, to optimize the allocation of health resource and promote the development abidingly, concordantly, stably and healthily in Jiangsu Province.This study chooses Jiangsu Province as the object of the research. Lorenz Curve and Gini Coefficient are used in the equality of human and material resources analysis. The Cointegration Test and error-correction model are used in the equality of financial resources for health.With the development of economy, disposable personal income has significantly increased. Health care status of the inhabitants has significantly improved. Average life expectancy is 75.32 years old, higher 1.32 than the national average. The total human resource for health has increased by 52.3 thousand persons from 2004 to 2008. The growth of medical care personnel accounting for overall growth was 90 percent. However, the gap between regions is obvious extremely in the allocation of health resources. Fairness of health human resources in the south of Jiangsu is better than the north of Jiangsu. Gini Coefficient shows the equity of population distribution is better than geographic distribution. Gini Coefficient (G=0.33574) of nurses of geographic distribution is closed to inequity. From 2006 to 2008, number of health institutions and beds per thousand people showed escalating trend; the number of doctors per capita daily outpatients was going up; rate of utilization of hospital beds also rised. The Gini coefficients of population and geographic distribution were both lesser, which showed equity better. The total health expenditure and per capita health expenditure increased year by year, the end of 2008, and reached respectively 5.354 billion yuan and 70.92 yuan, but the total investment proportion of financial expenditure decreased year by year. The proportion investment has been lower than that of the national average, accounting for 1.8 percent, Since 2006. Expenditure on health care relative to GDP growth was 0.8436 in the long-term elasticity coefficient. The growth of expenditure on health care was lower than the level of economic development; The per capita medical costs increase year by year.Firstly, the government should adjust the internal structure of the health workforce to form a reasonable rate between doctors and nurses and improve the geographical equity in health in health human resources. Secondly, give full play to the role of primary care services, strengthen regional exchanges and cooperation between medical institution. the purpose of sharing material resource to health is to improve the efficiency of existing health resources. Thirdly, the government should increase public health spending and health protection goes hand in hand with economic development. Fourthly, the government implements practical and effective method to further reduce health care costs and expenses for medicine and increases the amount of compensation for poor areas and low-income populations.