Study on the equality of health resource allocation in Beijing based on Dagum Gini coefficient
10.3760/cma.j.cn111325-20230907-00129
- VernacularTitle:基于Dagum基尼系数的北京市医疗卫生资源配置公平性研究
- Author:
Wei LIU
1
;
Chengsen CUI
;
Lu GAO
;
Feng LU
;
Bai ZANG
;
Ping HE
Author Information
1. 北京大学公共卫生学院，北京 100191
- Keywords:
Healthcare resource;
Gini coefficient;
Resource allocation;
Equality;
Core area of Beijing
- From:
Chinese Journal of Hospital Administration
2024;40(4):263-268
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the equality of health resource allocation in functional areas of Beijing from 2012 to 2022, so as to provide reference for optimizing the allocation of health resources during the 14th Five-Year Plan and long-term planning.Methods:According to the new urban master plan and the functional positioning of the capital, 16 districts in Beijing were divided into 4 functional regions(capital core area, urban functional expansion area, urban development new area, and ecological conservation area). Based on the analysis of permanent population, the levels of health resources in each region and each administrative district were compared, and the equity of health resources was measured by using the Dagum Gini coefficient.Results:In 2022, the Gini coefficients of medical and health resources in Beijing, including the number of beds, number of health technicians, and number of practicing(assistant) physicians, were 0.71, 0.65, and 0.63, respectively, with no significant change compared to 2012. While the Gini coefficient for equipment priced over 10 000 yuan was 0.75, slightly lower than 0.79 in 2012. The differences in resource allocation mainly came from different regions. The Gini coefficient of the above four indicators in the urban functional expansion area was the lowest, followed by the capital core area, and the Gini coefficient of the ecological conservation area was the highest. The Dagum Gini coefficient of the four indicators of urban development new area showed a decreasing trend year by year.Conclusions:In recent years, there has been no significant change in the overall equality of medical and health resource allocation in Beijing. Only the Gini coefficient of urban development new area has shown a downward trend. It is necessary to further promote the fair and reasonable allocation of medical and health resources among functional areas in Beijing.
