Analysis of the allocation status and influencing factors of general practitioners resources in China based on panel data regression
10.3760/cma.j.cn111325-20240509-00366
- VernacularTitle:基于面板数据回归的我国全科医生资源配置现状及影响因素分析
- Author:
Yifei CAO
1
;
Ting HUANG
1
;
Haoyan DENG
1
;
Xiaomeng TANG
1
;
Wenqiang YIN
1
;
Jinwei HU
1
;
Zhongming CHEN
1
;
Dongping MA
1
;
Hongwei GUO
1
Author Information
1. 山东第二医科大学管理学院,潍坊 261053
- Publication Type:Journal Article
- Keywords:
General practitioners;
Primary health care;
Resource allocation;
Fairness;
Panel data regression analysis
- From:
Chinese Journal of Hospital Administration
2024;40(11):870-875
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the allocation of general practitioners per 10 000 population in China and its influencing factors, so as to provide reference for optimizing the allocation of general practitioners resources in China.Methods:The number of general practitioners per 10 000 population and other relevant data of 31 provinces (except Hong Kong, Macao and Taiwan) in China from 2012 to 2021 were collected from China Statistical Yearbook, China Health Statistics Yearbook, China Health and Family Planning Statistical Yearbook. The geographical area data of 31 provinces (except Hong Kong, Macao and Taiwan) from 2012 to 2021 were retrieved from the website of the Central People ′s Government. The influencing factors of the number of general practitioners per 10 000 population were preset by literature analysis and unstructured interview. Taking the number of general practitioners per 10 000 population as the dependent variable, the correlation between it and the preset influencing factors was analyzed by panel data regression. Results:From 2012 to 2021, the average annual growth rate of the number of general practitioners per 10 000 population in each province of China was greater than 0. The factors affecting the number of general practitioners per 10 000 population included the number of people per square kilometer ( r=3.818, P<0.01), the number of beds in medical and health institutions per capita ( r=2.135, P<0.01), the proportion of the elderly population aged 65 and above ( r=0.180, P<0.01), and the proportion of total expenditure in medical and health institutions to gross domestic product ( r=0.080, P<0.01). Conclusions:The development trend of general practitioners resources allocation in China is good, but the government needs to integrate the population agglomeration and aging trend, the allocation of medical and health resources, the investment support for the development of general practitioners and other influencing factors, optimize the allocation of general practitioners resources according to local conditions, and strengthen policy support for areas and links where the allocation of general practitioners resources is relatively weak.