Analysis on regional disparities and dynamic evolution of primary healthcare resource allocation in China under high-quality development:Based on Dagum Gini Coefficient Decomposition and Kernel Density Estimation
10.3969/j.issn.1674-2982.2025.09.008
- VernacularTitle:高质量发展背景下我国基层医疗卫生资源配置的地区差距及动态演进分析
- Author:
Hui-hui HUANGFU
1
;
Hai-yan LI
;
Mo HAO
;
Cheng-yue LI
Author Information
1. 南京中医药大学养老服务与管理学院 江苏 南京 210023;南京中医药大学养老产业学院 江苏 南京 210023;健康风险预警治理协同创新中心 上海 200032
- Publication Type:Journal Article
- Keywords:
Primary healthcare resources;
Regional disparities;
Dynamic evolution;
Dagum Gini Coefficient;
Kernel Density Estimation
- From:
Chinese Journal of Health Policy
2025;18(9):57-66
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the regional equity status and dynamic evolution patterns of primary healthcare resource allocation in China from 2009 to 2023.Methods:Based on statistical data of China's primary healthcare resources,the Dagum Gini coefficient decomposition method was used to analyze regional equity differences in primary healthcare resource allocation in China from 2009 to 2023,and Kernel density estimation was employed to investigate the spatial distribution and dynamic evolution process of resource allocation.Results:From 2009 to 2023,the total volume of primary healthcare resources in China continued to grow,with institutions,beds,and personnel increasing by 15.20%,65.53%,and 101.83%respectively,but significant regional disparities persist.Different types of resource allocation showed divergent equity trends:the Gini coefficient for personnel allocation decreased from 0.14 to 0.07,while the Gini coefficient for bed allocation increased from 0.15 to 0.22,and institutional allocation remained relatively stable.Kernel density estimation revealed that personnel allocation transformed from a bimodal distribution to a concentrated unimodal distribution,while bed allocation became more dispersed.Conclusion:China's primary healthcare resource allocation exhibits a divergent phenomenon with concurrent improvement in personnel allocation equity and deterioration in bed allocation equity.It is necessary to establish a differentiated allocation system with targeted policies,implement regional coordinated development strategies,improve monitoring and evaluation mechanisms,and strengthen technological support.
