Abstract
The fairness of health services is an important indicator of the World Health Organization's performance evaluation of health services, and the fairness of health resource allocation is the prerequisite for the fairness of health services. The research in this article aims to explore how to use health and medical resources fairly and effectively to allocate health resources in different fields, populations and projects, in order to achieve the maximization of social and economic benefits of health and medical resources. In the study of the distribution and equity of public health and medical resources, we comprehensively apply Gini coefficient, Theil index, Lorentz curve and difference index, based on the theory of health resource allocation and the theory of health equity, the province's health service resources have been researched and evaluated, combined with regional health planning theories and public health theories, a variety of scientific methods were used to analyze community health service resources at all levels across the country. At the same time, we reviewed the journal literature about the treatment of patients and children, and analyzed the patients admitted to medical institutions in various regions. The research in this paper found that from 2016 to 2020, the Gini coefficient of the province's health institutions according to population distribution has been fluctuating between 0.14 and 0.17. During this 5-year period, the Gini coefficient of the distribution of medical and health expenditures by population shows a downward trend year by year. From 2019, reach below 0.1, this shows that the fairness of the allocation of health resources according to population has a clear trend of improvement.
Highlights
Since the reform and opening up, our country’s health care has developed rapidly, and the health of the people has been greatly improved
The rank sum ratio method (RSR) is a non-parametric evaluation method proposed by Chinese statistician Tian Fengtiao
The Gini coefficient is low, and it seems fair on the surface, but there may be a certain group that over-occupys community health service resources, and there is inequality that is beneficial to this group
Summary
Since the reform and opening up, our country’s health care has developed rapidly, and the health of the people has been greatly improved. With China’s accession to the WTO, the primary problem facing the Chinese government and the medical and health system is how to adapt to the rapid changes in domestic and foreign events and formulate a consistent health policy. The 17th National Congress of the Communist Party of China proposed to build a well-off society in an all-round way, and to create a new situation of socialism with Chinese characteristics as its work goal. The new round of medical reform proposes that medical and health services always maintain a public welfare nature. In order to achieve the goal of everyone enjoying basic medical and health services, this stipulates
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