The Analysis Of Fairness And Efficiency Of Public Health Resources Alocationin In Chongqing:a Migration Perspective

ObjectivesRural-urban migration has important impact on the fairness of public health resources allocation.Given the scale and direction of rural-urban migration,the aim of this study was to analyze the equity of the allocation of the public health resources in Chongqing from 2009 to 2012.MethodsExcel2007,SPSS21.00,DEAP2.1 were applied in this research.The statistical description, Gini coefficient,and scale variance were used to analyze the previous allocation and trends of the public health resources and the equity in Chongqing.The BCC model of data envelopment analysis method was used to analyze the efficiency of the allocation public health resources.Results(1)The fairness of public health resources allocation in Chongqing.Firstly, the mean Gini coefficient of public health technical personnel was 0.2122 based on the distribution of registration population,while that of resident population was 0.1771;There was significant difference between registration population and resident population (P<0.05).The mean Gini coefficient of public health expenditure was 0.4800 based on the distribution of registration population,while that of resident population was 0.4133;There was significant difference between registration population and resident population (P<0.05).The mean Gini coefficient of public health space area was 0.3575 based on the distribution of registration population, while that of resident population was 0.2511;There was significant difference between registration population and resident population (P<0.05).Secondly,the county scale variance’s contribution rates of public health technical personnel,public health expenditure,public health space area to the whole regional inequality were 63.35%,57.37% and 79.39% based on the distribution of registration population, while that of resident population were 85.48%,47.18% and 78.11%.(2)The efficient of public health resourses allocation in Chongqing.There were 2 relatively efficient DMUs,1 weakly efficient DMU,and 2 relatively inefficient DMUs in public health resources allocation of public health institutions in the 5 function areas.There were 12 relatively efficient DMUs,7 weakly efficient DMU,and 20 relatively inefficient DMUs in public health resources allocation of public health institutions in the 38 districts or counties.ConclusionsFirstly, there were differences of fairness of public health resources allocation among three class public health resources.Secondly,there were differences of fairness of public health resource allocation between urban and rural.Thirdly,if the scale and direction of rural-urban migration was considered when public health resources were delivered,the fairness of public health resource allocation will be promoted. Fourthly,the variance the disparities among counties were the main factors of regional public health resource disparities in Chongqing.Fifthly, there were differences of scale variance ratio of three class public health resources.The migration has important impact on the differences. Sixthly, the total relative efficiency of public health resources allocation was lacking,and the differences among regions shown significantly. Seventhly,the public health resources allocation deficiency in the developed areas were higher than the developing areas.