Study On The Status Of Medical And Health Resources Allocation In Longnan City

Objective:Based on the current situation of health resource allocation in Longnan City from 2014 to 2017,this study comprehensively analyzes the fairness and efficiency of health resource allocation in the city,which provides a reference for the development of regional health planning programs.In addition,it can promote the sustainable development of health in Longnan City.Methods:In this paper,descriptive analysis method is used to describe the allocation of health resources in Longnan City;Lorenz curve and Gini coefficient are used to evaluate the fairness of health resource allocation;data envelopment analysis(DEA)is used to analyze the allocation of health resources effectiveness.Results:1.Analysis of the overall allocation of health resources in Longnan City from2014 to 2017:In 2014-2017,the number of health technicians and the number of beds in medical and health institutions in Longnan City increased year by year.By the end of 2017,the number of health technicians in the city reached 10,802 and the number of beds reached 10,961.From 2014 to 2017,the number of medical and health institutions per 1,000 permanent residents in Longnan City was higher than that of Gansu Province.However,the growth rate of health resources in Longnan City was slow.In 2014,the total number of health institutions in Longnan City was 5136.In2017,the total number of health institutions was reduced to 5,102.The number of medical institutions per 1,000 permanent residents dropped from 1.99 to 1.95,and the growth rate was-2.01%.In 2017,the number of health technicians per 1,000 permanent residents in Longnan City and the number of practicing(assistant)physicians per 1,000 permanent residents increased by 8.70% and11.97%.Respectively compared with 2014,the growth rate was lower than the growth rate of corresponding indicators in Gansu Province at the same time.2.Analysis of the Structure of Health Human Resources in Longnan City:In 2017,the number of health technicians per 1,000 permanent residents in Longnan City,the number of practicing(assistant)physicians per 1,000 permanent residents,and thenumber of registered nurses per 1,000 permanent residents were 4.12,1.31,and 1.25,respectively,which were lower than the provincial average for the same period(per thousand The number of health technicians in the permanent population is 5.62,the number of practicing(assistant)physicians per thousand permanent residents is 2.15,and the number of registered nurses per 1,000 permanent residents is 2.23).Longnan City’s 2017 medical care ratio was 1:0.96(3444/3290)which was still in an inverted state.3.Analysis on the Fairness of Health Resource Allocation in Longnan City in 2014 and 2017:In 2014 and 2017,the degree of curvature of the fairness Lorenz curve of the medical and health resources in Longnan City was smaller than that of the geographical area fairness Lorenz curve.Moreover,the calculation results of the 2014 and 2017 Gini coefficients also showed that the Gini coefficient of the population distribution was smaller than the Gini coefficient of the geographical area distribution.In 2017,the average Gini coefficient of the five types of health resources population fairness was 0.192,which was lower than the 0.196 in 2014,indicating that the fairness of health resources population in Longnan City increased compared with2014 in 2017;the average value of the Gini coefficient of geographical equity in five categories of health resources in 2017 It is 0.324,higher than 0.316 in 2014,indicating that the geographical equity of health resources in Longnan City in 2017 is lower than that in 2014.4.Analysis on utilization and allocation efficiency of health resources in Longnan City:The average number of doctors per day for doctors in Longnan City from 2014 to2017 was 9.53,the average hospital bed for doctors was 3.70,and the average bed occupancy rate was 92.82%.Both of them were higher than Gansu Province2014-2017.The average level of the year(the average number of doctors per day for doctors is 7.68,the average hospital bed for doctors is 2.03 per day,and the average bed occupancy rate is 79.85%).The utilization rate of health resources in Longnan City is high.The overall efficiency of health resource allocation in the city has been increasing year by year,and the efficiency of resource allocation in 2014-2017 has been relatively effective.But,there are disparities in the efficiency of health resource allocation among counties.The average overall efficiency of health resource allocation in nine counties in Longnan City is 0.844.The comprehensive efficiency of health resource allocation in only two counties is 1,which is relatively effective inDEA,and the remaining 7 The overall efficiency value of each county is less than 1,which is in a DEA inactive state.Conclusion 1.The health resources in Longnan City have increased year by year,but the growth rate is slow.2.The total amount of health resources in Longnan City is insufficient,and the total supply is lower than the provincial average.3.The structure of health human resources in Longnan City is unreasonable.4.The geographical equity of health resources allocation in all counties and districts of Longnan City is poor.5.The utilization efficiency of health resources in Longnan City is generally high,but there are still differences in the allocation efficiency of health resources between regions.