The equity of essential health care services in Hainan
10.3969/j.issn.1674-2982.2014.04.012
- VernacularTitle:海南省基本医疗卫生服务均等化分析
- Author:
Xiang CHEN
;
Guizhu WU
;
Zhongjun ZHUANG
- Publication Type:Journal Article
- Keywords:
Essential health care;
Equity;
Gini coefficient;
Health financing
- From:
Chinese Journal of Health Policy
2014;(4):67-72
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze essential health care equity in cities and counties of Hainan in order to provide the basis for its development. Methods:Based on health statistics of Hainan, China and OECD countries, indicators of essential health care equity in cities and counties were analyzed. Results:Equity in distribution of resources, the hospi-tal geographical distance is large difference, physician-to-nurse ratio is 1:1. 2, and the Gini coefficient is more than 0. 3. Equity in financing, health care spending per capita is less than the national level. Cities and counties with high government budgets for health are located in regional centers. The hospitalization costs compensation with new rural co-operative medical scheme is about 50%. Equity in service supply, bed occupancy rate below 90% and drugs accounted for 30% ~40% in most cities and counties. Regional differences in maternal and child health management are small, but below the national level. Conclusions:The situation of essential health care resources is related to the political and economic climate. Financing mechanisms for essential health care are imperfect;and a low supply of basic medical and public health services reduced the quality of essential health care. Suggestions:Rational distribution of essential health care resources should be promoted;essential health care financing should be increased;and the capability of essential health care supply should be improved.
