Study On The Standards Of Health Resource Allocation In XinJiang Uighur Autonomous Region

The national policy on health reforms and development clearly states that regional health planning should be implemented as one of the most important health reform strategies. The regional health planning can help government regulate the development of health sector and it is crucially and deeply meaning to plan and allocate limited health resources. To carry out "The decision of health reform and development by the CCPC and the State Council", "the guidelines of developing regional health planning " by the State Council and to promote the health resource allocation reasonably in the Xinjiang Uighur Autonomous Region.Officials from Xinjiang Autonomous Bureau of Health proposed the study on the standards of health resource allocation in 2000.The Objectives of the study are as follows:It intends to analyze health status of residents, their health need, demand, potential of medical services and the influenced factors by using the household health services survey data collected from 8 districts in the Xinjiang Uighur Autonomous Region.To analyze the changes of total health resources and health services utilization in Xinjiang Uighur Autonomous Region from 1980 to 2000 and evaluate the efficiency of health services utilization and find out main issues of health resources allocation.To provide the health resources allocation standards for the administrative department in health sectors.To evaluate the equity and feasibility of health resource allocation established in Xinjiang Uighur Autonomous Region.To discuss the guidance action for regional health planning.Mainly methods used as follows:Both quantitative and qualitative methods were used in the study. Health service surveys were conducted to understand residents' health status, need, demand, potential demand and utilization of medical services; The method of demand was adopted to estimate the quantity of clinical physicians and hospital beds; The method of population ratio was used to measure the quantity of health staff working ondiseases control, maternal and child health care and sanitation supervision; The method of average development rate was used to measure the quantity of nurses; Panel discussion and focus group discussion were held to explore the parameter of calculating clinical physicians and hospital beds and how to adjust health resource allocation. Finally Lorenz curve, Gini coefficient and index of dissimilarity were used to evaluate the equity of distribution of health resource allocation established.Some research findings have been explored as follows:1 The morbidity rate of chronic diseases of citizens in Xinjiang was 219.0%. of which the morbidity rate of urban dwellers was 277.6% and that of rural residents was 170.0%. The morbidity rate of chronic diseases was higher than the national average level. There is obvious change in disease pattern of epidemiology and preventive care tactics has had new challenge in Xinjiang.2 The clinical visit rate was 111.1% during the last two weeks in Xinjiang, in which the clinical visit rate of city dwellers was 127.4% and that of rural resident was 97.5%. Rate of no paying a clinical visit of patient was 44.7% during the last two weeks, in which the urban dwellers was 47.4% and that of rural resident was 41.5%. The hospitalization rate of people was 60.9%,in which the hospitalization rate of urban dwellers and rural residents was 70.1% and 53.2%, respectively. The rate of no hospitalization in patients was 30.3%, in which the urban dwellers and rural resident was 30.8% and 29.9%, respectively. Hospitalization service utilization was higher in Xinjiang but the effective demands of medical care of people were restrained.3 In the rural area, approximately 80% of the outpatient was in village port and township hospital, and 20% in the county and provincial hospital. 32% of the inpatient was in the township hospital and 68% in the hospit county and provincial hospital. The potential demand of clinical physicians and hospital beds were estimated in Xinjiang.4 The overall quantity of health human res...