Efficient and equitable of health resources allocation in China:Problem discovery and policy path
10.3969/j.issn.1674-2982.2018.03.012
- VernacularTitle:兼顾效率与公平的中国卫生资源配置:问题发现及政策路径
- Author:
Di ZHOU
1
;
Jie-Song YUAN
Author Information
1. 广东外语外贸大学经贸学院 广东广州 510006
- Keywords:
Health resources;
Equity;
Efficiency;
Coordinated allocation;
Policy path
- From:
Chinese Journal of Health Policy
2018;11(3):64-71
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore a fair and efficient way to realize the allocation of health resources that enable all people have equitable access to the public health resources in a fair and effective manner. Methods:Based on the data from 31 provincial regions in China from 2010 to 2014,this paper measured the efficiency of health resources al-location in each area with DEA model of super-efficiency, and investigated the fair allocation of health resources by the per capita financial subsidy incomes obtained by medical and health care institutions in various regions. This study analyzed statically and dynamically the differences of the health equity and efficiency of health resources. Re-sults:The results show that whether within or between regions,both the degree of difference in the fairness(Gini co-efficient) and the degree of consolidation (the curing degree of the equity) of health resources in China are greater than efficiency,and there exist two major problems for the equity of health resources which are insufficiency and irra-tionality. Conclusions:The central government should strengthen the fair adjustment of health resources allocation, supporting those areas with low fairness and low efficiency accurately and forming a stable incentive mechanism to a-chieve a sound development for the health service industry in China.
