Study On Rationality Of Distribution Of Health Resources In Chongqing

Objectives: To explore the rationality of health resources in Chongqing and to provide evidences for the rational allocation of health resources and the improvement of decision-making on health services.Methods: 1. The compiled materials on the statistics of ChongQing in 2008 were analyzed to describe the distribution of health resources. The mainly analytical indicators were the classical indicators in the fields of human resources, financial resources and material resources for health. 2. Comparison analysis was done from the views of resource, areas of "three economic development zones" and GDP levels. 3. According to the distribution situation, evaluation on the rationality of health resources in the city was done using relevant indicators.Reasults: On fairness, the Lorenz curves and Gini coefficients were used to assess it on health resources distributed both based on population and on geography. The results showed that the Lorenz curve based on the geographical distribution of health resources was significantly different from that based on population distribution of health resources. And the Gini coefficient based on population distribution of health resources was bigger than that based on the geographical distribution n of health resources. Whether health resources were distributed based on the population or based on the geography,the fairness among nurses were poorer than that among the medical practitioners.On efficiency,the resource efficiency in each areas was different from each other from views of resource distribution, economic circle as well as the GDP per capita.Conclusions:1. The total amount of health resources manpower in the whole Chongqing is relatively less than the average level in the whole nation, The doctor/nurse ratio of fairly smaller than the average level of 1:0.79 for the whole nation reported in the health manpower report in China in 2008. The building of health personnel must be greatly strengthened. Certain perceptions should be reversed. And pertinent principals should be perfected to improve the employed rate of nurses. 2. Medical institutions lack of financial investment. A long-term and stable investment mechanism must be established. 3. Material resources have not been reasonablly arranged. Some medical institutions have poor health infrastructure, while the proportion of facility allocation is relatively higher in certain areas, resulting in the waste of resources. Thus, the distribution of resources must be reasonable and the supervision from the government must be strengthened to increase the using rate of relevant resources.