The Research On The Allocation Status And Fairness Of General Practitioners In Anhui Province

Objective: To investigate GPs in Anhui, the article tries to describe GPs on theinter-agency, population, geographical distribution, understand the status quo in Anhui,to analyze GPs’ development needs of health care reform under conditions,to analyzethe differences in the configuration.The paper use the Gini coefficient, Lowrance curvesand Concentration curves to analyze the distribution on population, geography,economy of Anhui16cities. Based on the analysis of the overall balance of GPsconfiguration with absolute index and Gini coefficient in Anhui province,the article useTheil index to analyze Anhui Northern,central,southern regional and area (the intercity)about GPs configuration of equilibrium.The aim is to evaluate shortage of GPs inpersonnel planning, to find the existing problems in the development of Anhui GPsteam,to explore the long-term development mechanism and supporting measures to tryto provide a theoretical basis and policy recommendations for the Government to furtherdevelop and improve GPs team building.Methods:The research is survey Anhui Province who participate in job training andreorientation training to obtain a certificate of GPs. With a comparative analysis ofdifferent regions and cultures GPs configuration conduct comparative analysis. We useLorenz curves Gini and Theil index coefficient to measure the fairness of GPs inaccordance with the demographic and geographic distribution. We also useconcentration curves, Concentration index and Kakwani progressivity index to analyzethe fairness of GPs in different regions of the distribution of economic levels.andanalyze configuration differences between regions by using Theil Index. Results:(1) From Anhui profile point in training GPs, there were10,767medicalpersonnel to get grassroots GPs training certificate, including job training9348,retraining1419.The total number accounts for the proportion of health workers is3.22%,and accounts for the province practicing(assistant) doctors is6.60%;(2) From thedistribution of GPs, every GPs services6410inhabitants in average. Large difference isaround the city. With an average population of at least one GP is a service of Tongling,is1:1958.Most is in Fuyang which is1:11979;(3) In terms of the distribution ofinter-agency, GPs have5001people in the community health service centers, accountingfor46.45%. There are3632people in the community health service stations,accounting for33.73%.There are1495people in township hospital, accounting for13.89%.Many hospitals in the region have an average number of GPs less than1person,and community health service centers is in larger quantities, mostly to reach a dozenpeople, even twenty people.The distribution between institutions is imbalance.(4) From2007to2012,the population configuration of Gini coefficient is respectively0.425,0.384,0.357,0.323,0.285,0.216, the geographical configuration of Gini coefficientis0.501,0.473,0.435,0.419,0.457,0.326. It is showed that a trend of gradually gettingbetter.The population configure fairness is better than geographicconfiguration.According to the concentration index,the economic distribution is0.056.The distribution of GPs is inclined to the rich area. The Kakwani index was0.235which showed that the distribution of GPs is regressive. Based the Theil index show thatthe configuration differences between the city decline.Conclusions: For problems of Anhui GPs team building,like deficiencies quantity, lowlevel of training. Besides,standardized training system is not yet perfect and betweenrural and urban institutions GPs have a big gap between the amount.I made thefollowing recommendations:(1)From the training and retraining, standardized training,relying on medical colleges and other means to train general medical personnel;(2)To improve the training of GPs by strengthening the base and build a system of generalpractitioners to assess the quality of training GPs;(3) To increase staffing, improve theincentive mechanism to solve the difficulties GPs talent introduction;(4) Strengthen thegovernment’s lead, play industry learned a supporting role (5)Rational planning, achievethe optimal allocation for GPs team.