| ObjectiveSichuan Province is located in the southwest of China.Plateaus and mountains account for about two-thirds of the province’s area.Natural disasters such as earthquakes and mudslides occur frequently.The province’s economic development level is wide,the population is large,and ethnic minorities are widely distributed.The allocation of health resources has its particularity.This paper firstly analyzes the total amount of major health resources in Sichuan Province from the time series data of Sichuan Province from 2010 to 2016,and observes the status of major health resources allocation in Sichuan Province.The horizontal cross-sectional data of 2016 analyzes 21 cities in the province.Regional differences in the allocation of major health resources in the state.Then,it analyzes the fairness of the allocation of major medical and health resources in Sichuan Province from 2010 to 2016 and the fairness of the allocation of major health resources in 21 cities and prefectures in 2016,and analyzes the time trends and regional differences in the fairness of health resources allocation in Sichuan Province.Then,the efficiency of health resource allocation in 21 cities and counties in the province was measured in 2016,and the regional differences in the allocation efficiency of health resources in Sichuan Province were analyzed.Through a comprehensive analysis of the fairness and efficiency of health resources allocation in Sichuan Province,we found problems in the allocation of health resources in Sichuan Province,and proposed targeted solutions to provide a basis for the optimal allocation of health resources,with a view to improving the allocation of health resources in Sichuan Province.MethodThe descriptive analysis of the total amount of health resources allocation and the status quo,the calculation of the fairness of the allocation of health resources using the Gini coefficient method,the analysis of the efficiency of health resource allocation using the data envelopment analysis method.Result1.Basic situation of health resource allocationAs of the end of 2016,the number of medical and health institutions per 10,000 people in the province was 9.62,and the number of beds for medical institutions per thousand population was 6.28,which was higher than the same level in the whole country and the western region.The number of practicing(assistant)physicians per thousand population was 2.25.The number of registered nurses in the population is 2.51,which is lower than the national level,but higher than the level in the western region;in 2016,the province’s medical care ratio is 1:1.12,which is lower than the medical care ratio of 1:2 specified in the Compilation Principles.Health technicians,especially registered nurses,are inadequate.Although the main health resources are insufficient in quantity,they are on a volatility.The distribution of existing health resources is significantly different among regions,with the most cases in category Ⅰ,followed by category Ⅱ,and the least in category Ⅲ.2.Health resource allocation fairnessThe fairness of the population of various medical and health institutions,health technicians,and medical and health institutions in the province should be significantly better than geographical equity.There are great differences in the fairness of different types of health resources allocation,among which all kinds of health technicians have the worst fairness,followed by the fairness of beds in medical and health institutions,and the best is the fairness of the number of medical and health institutions.The fairness of health resources in different regions is quite different,and the fairness of health resources is inconsistent with the level of economic development.3.Health resource allocation efficiencyThere are only 9 cities and counties in which 21 cities and states have a relatively efficient allocation of health resources,accounting for 42.9%of the province;6 cities and states are in a relatively weak and effective state,accounting for 28.6%of the province;another 6 cities and states are Relatively ineffective,accounting for 28.5%of the province.The six cities and states that are in an ineffective state are all Class Ⅱregions,and three of them are in the stage of diminishing returns to scale.The three ethnic autonomous prefectures in the Ⅲ region have better health resource allocation efficiency,Liangshan Prefecture is relatively effective,and Aba Prefecture and Ganzi Prefecture are relatively weak and effective.Conclusion1.The per capita possession of major health resources is increasing year by year,but there are still some shortcomings.The distribution of health resources is significantly different among regions,with the most cases in category Ⅰ,followed by category Ⅱ,and category Ⅲ.2.Health resource allocation The fairness of population is better than geographical equity.The fairness of all kinds of health technicians is the worst,followed by the fairness of beds in medical and health institutions.The best is the fairness of the number of medical and health institutions,and the fairness of health resources.Inconsistent with the level of economic development.3.The efficiency of health resource allocation is generally good,and existing resources can be effectively utilized.The inefficiency of 21 cities and states is only 28.5%.The differences between regions are more obvious.The utilization level of resources in Class Ⅰ and Class Ⅲ regions is relatively high,and the six cities and states in the relatively ineffective state are all Class Ⅱ regions,and their resource utilization levels need to be further improved.Proposal1.Regional health resource planning will be refined,improve the level of resource utilization,and narrow the regional gap.2.Dig deep into local health resources and improve the geographical equity of health resources allocation.3.Develop medical student order training mode,and increase the number of health technicians.4.Continue to strengthen the support of ethnic minority areas and rationally plan the allocation of resources in ethnic minority areas. |
