Research On Optimal Allocation Of Medical Resources In Public Hospitals From The Perspective Of Supply-side Reform

Public hospitals occupy a large number of medical and health resources and are an important carrier for the provision of medical services in China.The allocation of medical resources directly affects the construction and improvement of China’s medical and health service system.Based on the supply-side structural reforms as a guide,a theoretical analysis framework was constructed to analyze the fairness and efficiency of medical resource allocation in public hospitals in Henan Province,and to optimize the allocation of medical resources,improve the operating efficiency of public hospitals.This article uses literature analysis method,descriptive statistics method,Gini coefficient method,data envelopment analysis method and other research methods to integrate the research results of domestic and foreign scholars to describe the current situation and problems of medical resource allocation in public hospitals in Henan Province.The hospital’s medical resource allocation fairness and efficiency level are empirically measured and analyzed,and the supply-side reform path for the allocation of medical resources in public hospitals is proposed.The descriptive statistics show that during the ten years from 2007 to 2016,the total medical resources in public hospitals in Henan Province have been steadily increasing,but the per capita resources are still lower than the national level.There are unequal distribution of resources in urban and rural areas and regions,and the allocation of resource elements is unreasonable.The problem.The degree of equity in the allocation of resources was measured using the Gini coefficient.The results showed that during the three years from 2014 to 2016,the resources of public hospitals in Henan Province were relatively fair,and the distribution of resources by population was more equitable than geographical distribution.The availability of resource allocation is slightly insufficient.The data envelopment analysis method was used to measure the efficiency of resource allocation from longitudinal time series and horizontal comparison of cities and towns.The analysis results showed that only ten years of 2012,2014 and 2016 were valid for DEA allocation for medical resources.The annual allocation of medical resources was reasonable,and the input of resources received the largest output.In the remaining years,the DEA was invalid,and the scale of return before 2011 was increasing,indicating that the investment in medical resources was insufficient,and the returns to scale decreased in 2013 and 2015,indicating medical resources.Redundancy has occurred and it requires reasonable control.Judging from the comparison of cities and cities,only Luoyang and Nanyang are effective for DEA,while other cities are non-DEA effective,of which only scale returns in diminishing in Zhengzhou City,and the scale of compensation in other cities and regions are increasing,indicating that the allocation of medical resources in areas with weak health resources should be increased.,Reasonably control the scale of medical resources investment in Zhengzhou City.Finally,starting from the guiding ideology of supply-side reform,three issues were addressed for optimizing the medical resource allocation: the establishment of overall guidelines,the adjustment of structures,the scientific allocation of medical resources in public hospitals,the improvement of hospital management systems,and the improvement of the quality of medical services.