Equity and efficiency of health resource allocation in the Chengdu-Chongqing Economic Circle of China

作者全名："Wang, Tianqi; Zhou, Ting; Zhou, Leming; He, Yunfei; Wang, Jian; Wang, Yonghong; Huang, Li"

作者地址："[Wang, Tianqi; Zhou, Ting] Chongqing Med Univ, Sch Publ Hlth, Chongqing, Peoples R China; [Zhou, Leming] Chongqing Univ Posts & Telecommun, Coll Comp Sci & Technol, Chongqing, Peoples R China; [He, Yunfei; Huang, Li] Chongqing Med Univ, Dept Personnel, Affiliated Hosp 1, Chongqing, Peoples R China; [Wang, Jian] Chongqing Med Univ, Dept Pathophysiol, Chongqing, Peoples R China; [Wang, Yonghong] Chongqing Qianjiang Cent Hosp, Dept Clin Lab, Chongqing, Peoples R China"

通信作者："Huang, L (通讯作者)，Chongqing Med Univ, Dept Personnel, Affiliated Hosp 1, Chongqing, Peoples R China."

来源：FRONTIERS IN PUBLIC HEALTH

ESI学科分类：SOCIAL SCIENCES, GENERAL

WOS号：WOS:001308131100001

JCR分区：Q1

影响因子：5.2

年份：2024

卷号：12

期号：　

开始页：　

结束页：　

文献类型：Article

关键词：Chengdu-Chongqing Economic Circle; health resource allocation; equity; three stage DEA; Malmquist productivity index

摘要："Objective This study aimed to evaluate the fairness and efficiency of health resource allocation (HRAE) in Chengdu-Chongqing Economic Circle after the new healthcare reform. This study also aimed to identify existing problems, providing empirical evidence for the government to formulate regional health plans scientifically and reasonably.Methods The fairness of health resource allocation was analyzed using the Gini coefficient, Theil index, and agglomeration degree from population and geographical area perspectives. The three-stage data envelopment analysis and the Malmquist productivity index were used to analyze HRAE from static and dynamic perspectives.Results The Gini coefficient for population allocation in Chengdu-Chongqing Economic Circle was 0.066-0.283, and the Gini coefficient for geographical area allocation was 0.297-0.469. The contribution rate within a region was greater than that between regions, and health resources were mainly concentrated in economically developed core areas. The overall fairness of Chengdu Economic Circle was relatively better than that of Chongqing Economic Circle. Moreover, the adjusted mean technical efficiency was 0.806, indicating room for HRAE improvement in Chengdu-Chongqing Economic Circle. Stochastic Frontier Analysis found that different environmental variables have varying degrees of impact on HRAE. The adjusted mean total factor productivity change (Tfpch) was 1.027, indicating an overall upward trend in HRAE since the new healthcare reform. However, scale efficiency change (Sech) (0.997) limited the improvement of Tfpch.Conclusion The fairness of health resources allocated by population was better than that allocated by geographical area. The unfairness of health resources mainly stemmed from intra-regional differences, with considerable health resources concentrated in core areas. Over the past 13 years, HRAE has improved but exhibited spatial heterogeneity and Sech-hindered productivity improvement. The study recommends strengthening regional cooperation and sharing to promote the integrated and high-quality development of the health and well-being in Chengdu-Chongqing Economic Circle."

基金机构：National Social Science Foundation Project [16XRK004]; Chongqing Science and Health Joint Medical Research Project [2021MSXM011]; Social Science Planning Project of Chongqing [2020WT06]

基金资助正文："The author(s) declare financial support was received for the research, authorship, and/or publication of this article This manuscript was supported by the National Social Science Foundation Project (16XRK004), Chongqing Science and Health Joint Medical Research Project (2021MSXM011), and the Social Science Planning Project of Chongqing (2020WT06)."