Study On The Status Of Resource Allocation Of Community Health Service In Jilin Province In2010

Objectives：The purpose of this study was to understand the resource allocationof community health service in Jilin Province, to optimize community healthresources further and to provide the scientific basis for drawing up reasonable policyof health through comparison of the allocation of hardware facilities, health staffs andthe situation of training health staffs with different districts in Jilin Province.Methods：A multi-stage stratified sampling method was used in this investigation.Community health service institutions and health staffs were surveyed byquestionnaire. The two parts were included in questionnaire. Descriptive analysis wasconducted to present on the status of hardware facilities and health staff, and the indexof health resource allocation in different distracts were compared. Qualitative datawas described by rates and proportions and analyzed by the methods of Chi-squaretest, Fisher’s exact probability, rank sum test for hypothesis test, α=0.05as the testlevel. Lorenz curve and Gini coefficient were applied to explore the equality of healthresources allocation.Results：1. Situation of community health service institutions: The rates of thecommunity health resource allocation of basic hardware facilities are different indifferent districts. The Gini coefficient of general practitioners, beds, utility areas are0.26,0.27,0.20separately. But the Gini coefficient of ten thousand worth of equipmentand financial allocation is0.49,0.67separately, the Gini coefficient was close toinequity danger status. The number of doctors, nurses, public health physicians everyten thousand people is low in different districts of Jilin province.2. Staff ofcommunity health service institutions: The distribution of age, educationalbackground, titles are different in different districts. Most of the health staffs arefemale, accounting for78.54%, but there is not statistically significant amongdifferent regions in terms of gender.3. Staff training of community health serviceinstitutions: The rate of training is only28.29%. There is not statistically significant inthe number of training, training content, training methods and frequency amongdifferent regions. The first three of staff training needs are first aid, psychology andgeneral medicine.31.22%health staffs do not participate in the training because the work is busy, and31.77%because there is no chance.Conclusion:1. The resource allocation of community health service is unfair.The community health service resource is insufficiency. The number of doctors andpublic health physicians every ten thousand people is not yet up to standard.Infrastructure equipment configuration is relatively complete, but there are stillinadequate in some equipment and facilities.2. Most of community health staffs areyoung or middle-aged, female, college degree and intermediate title. There isstatistically significant difference among different districts in the distribution of staff.The problem of gender imbalance and the proportion of health care do not meet thestandard is more prominent.3. The rate of participating in training is low. But theeffect of training is good. The willingness to participate in training is strong. The busyworking and lacking of opportunity is the main influencing factors.