Yuchen Yang, Yasuhiro Morii, Kensuke Fujiwara, T. Ishikawa, Hiroko Yamashina, Teppei Suzuki, J. Nakaya, K. Ogasawara
{"title":"Trend of Gini coefficient of healthcare resources in China from 1998 to 2016","authors":"Yuchen Yang, Yasuhiro Morii, Kensuke Fujiwara, T. Ishikawa, Hiroko Yamashina, Teppei Suzuki, J. Nakaya, K. Ogasawara","doi":"10.21037/JHMHP-20-93","DOIUrl":null,"url":null,"abstract":"Background: Healthcare disparities in China are attracting attention not only in the country but also worldwide. However, few studies have evaluated the changes in equality of healthcare resource distribution among provinces in China. This study was conducted to provide healthcare resource allocation advice to government medical management institutions. We aimed to (I) analyze changes in healthcare disparities in China from 1998 to 2016 through data visualization and (II) determine what factors are related to the changes. Methods: We evaluated healthcare disparities in China by collecting statistical data on healthcare in China from 1998 to 2016 and calculating the Gini coefficient of healthcare resource distribution among the provinces, and comparatively observed the trend of Gini coefficient. Data used in this study were taken from the China Statistical Yearbook (1999–2017). Results: From 2008 to 2016, the Gini coefficient for doctors and nurses dropped by 0.048 (39.4%) and 0.058 (40.9%), respectively. The increase rate of number of nurses is the highest (109.0%), and at the same time, the distribution of nurses is also the most significant. On the other hand, since 2002, the Gini coefficient of healthcare institutions has fluctuated between 0.150 and 0.200. few changes were found in number of medical institutions. Conclusions: Since 2004, the distribution of health human resource has been improving due to the abundance of healthcare resources in China; however, the distribution of healthcare institutions has not been improving. We consider that the enrichment of medical resources has a positive impact on the distribution of human resources, but not on the distribution of physical and financial resources. This situation is considered to be one of the results of several health issues in China, such as the existence of super hospitals with thousands of beds in the inland areas, which interferes with the establishment of China’s hierarchical medical system.","PeriodicalId":92075,"journal":{"name":"Journal of hospital management and health policy","volume":" ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"3","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of hospital management and health policy","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.21037/JHMHP-20-93","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 3
Abstract
Background: Healthcare disparities in China are attracting attention not only in the country but also worldwide. However, few studies have evaluated the changes in equality of healthcare resource distribution among provinces in China. This study was conducted to provide healthcare resource allocation advice to government medical management institutions. We aimed to (I) analyze changes in healthcare disparities in China from 1998 to 2016 through data visualization and (II) determine what factors are related to the changes. Methods: We evaluated healthcare disparities in China by collecting statistical data on healthcare in China from 1998 to 2016 and calculating the Gini coefficient of healthcare resource distribution among the provinces, and comparatively observed the trend of Gini coefficient. Data used in this study were taken from the China Statistical Yearbook (1999–2017). Results: From 2008 to 2016, the Gini coefficient for doctors and nurses dropped by 0.048 (39.4%) and 0.058 (40.9%), respectively. The increase rate of number of nurses is the highest (109.0%), and at the same time, the distribution of nurses is also the most significant. On the other hand, since 2002, the Gini coefficient of healthcare institutions has fluctuated between 0.150 and 0.200. few changes were found in number of medical institutions. Conclusions: Since 2004, the distribution of health human resource has been improving due to the abundance of healthcare resources in China; however, the distribution of healthcare institutions has not been improving. We consider that the enrichment of medical resources has a positive impact on the distribution of human resources, but not on the distribution of physical and financial resources. This situation is considered to be one of the results of several health issues in China, such as the existence of super hospitals with thousands of beds in the inland areas, which interferes with the establishment of China’s hierarchical medical system.
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