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Objective To analyze the equity of the allocation of oral medical resources and the accessibility of health service capabilities in Wuhan. Methods The equity of oral medical resources was calculated with Gini coefficient and Theil index, accessibility was assessed by two-step floating catchment area model, and the spatial autocorrelation was used to study the high-low clustering of accessibility. Results The Gini coefficient of oral medical resources based on population level was around 0.3, and the Gini coefficient of oral medical resources based on geographic area was greater than 0.6. Theil index calculation results were similar. In terms of overall accessibility, the area with poor accessibility was 2,428 square kilometers, reaching 28.38% of the total area, while the area with better accessibility accounted for 14.18%. Conclusion The allocation of oral medical care resources based on population distribution was fairer and better than that based on geographic area. Moreover, the geographical accessibility varies greatly between regions, showing the characteristics of high-high cluster and low-low cluster.
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This article summarized the overview of diagnosis related groups (DRGs), the necessity of comprehensively popularizing and applying DRGs in specialized hospitals and general hospitals, the different methods and effects of nursing human resource allocation based on DRGs in specialized hospitals and general hospitals at home and abroad, and analyzed the different challenges and opportunities faced by DRGs in the implementation of human resource allocation in two types of hospitals. According to the types and characteristics of hospitals, this paper put forward some corresponding suggestions and prospects for the future, such as intelligent human resource prediction system and the construction of information sharing platform, so as to provide reference for the comprehensive promotion of DRGs in different types of hospitals in China.
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By the means of stratified sampling survey, six provinces were selected from three regions in China, and the Chinese medicine health resources were evaluated and analyzed by data envelopment analysis (DEA) method in six provinces. The Jiangsu, Guangdong and Guizhou Provinces are in the effective state of DEA, which has been fully utilized in the input-output of TCM health resources, and has reached the best input-output combination. The Anhui, Henan, Gansu Provinces are in an effective state of non-DEA, and the input of health resources has not been fully utilized and the optimal scale of output has not been achieved. There are regional differences in health resources of TCM in public hospitals, and there is still room for further economic development. We hope that TCM service system can interconnect and optimize the regional allocation of TCM resources.
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Objective:Analyzing the inequality and the changing trend of the distribution of health resources in China,and discussing the convergence path of the regional health resources.Methods:Using the Theil index and geographical statistical methods to analyze the inequality and changing trend of health resources.The Beta convergence model of regional health resources was estimated through panel GLS method.Results:The inequality of health resources in the whole country and in the eastern,central and western regions showed a gradual improvement trend.The health resources in the eastern region were richer and more balanced than the central and western regions.If the non-conditioned Beta convergence of regional health resources was not established,the initial health resource differences would not tend to be balanced with time.If the conditioned Beta convergence of regional health resources was established,increased financial expenditure on health care and increased regional financial freedom would drive regional health resources into the convergence path.Conclusion:It was necessary to increase the financial support for local public health,and promote the development of the regional medical and health care.
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Objective:It discussed the decision-making mechanism of medical market on supply side and how the hierarchical medical system help inhibiting the excessive medical behavior.Methods:Establishing medical behavior choice model based on the perspective of supply side and hierachy diagnosis Results and Conclusion:In the case of incomplete information and rigid demand hypothesis,the patient would accept all the supplies doctor offered and there was structural unbalance in both general medical market and advanced medical market which meant the excessive medical treatment existed.Under the hierarchical medical system,distinguishing by primary medical institution,both generalmedical market and advanced medical market reached equilibrium which improved the social resource allocation efficiency and the patients' welfare at the same time.
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Objective To analyze the situation and change trend of health resources allocation of traditional Chinese medicine (TCM).Methods The agglomeration degree is used to analyze the situation and change trend of health resources allocation of TCM in different regionS.Results The regional disparity of health resource allocation of TCM is large,and the equity of health resources allocation according to geography and population needs to be further improved and optimized.Conclusion The availability of health resources of TCM should be improved,and the diversified needs of TCM in different regions be met.
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Objective:This study aims at exploring the impact of the health resources allocation on healthcare seeking behavior of inpatients with different income in China. Methods:Data at individual level were collected from China National Health Service Surveys conducted in 2008 and 2013 , interlinked with the data of health resources in county level. Multilevel zero-inflated negative binomial regression and multilevel multinomial logit model were respec-tively used to examine the impact of the health resources allocation on inpatient visits and the influence of the choice of healthcare providers by inpatients. Results: The results show that the increase of the number of beds in primary health centers ( PHCs) and physicians in county hospitals increased inpatient visits within counties. The investments in health resources in PHCs had greater impact on improving the likelihood of inpatient visits within counties for the low-income populations than that for the high-income populations. Conclusion: Investments in health resources in PHCs are vital to improve the healthcare seeking behaviors of the low-income populations in China.
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Objective To explore the allocation of resources for diseases control and prevention in Beijing CDC and to put forward related scientific evidence for improvement.Methods To gather and comparatively analyze the human,financial and material resources of Beijing CDC reported by China Information System,from 2010 to 2015.Results Research findings showed that on average,1.43 CDC members served ten thousand people in Beijing in 2015,which was below the set national standard.The proportion of staff with either master/doctor degrees or senior professional titles showed an annual upward trend from 2010 to 2015 (P＜0.05),the proportion was higher in the municipal CDC than that in the District CDCs,in 2015 (P＜0.05).Fiscal deficit had existed for many years.The average capability for different kinds of testings did not reach the national standard.Numbers of instruments and equipment were higher than that of the national standard.The average space of Beijing CDC was 55.9 square meters/person,again had not met the nationally recommended criteria.Conclusions The allocation of CDC human resources was significantly imbalanced in Beijing.The structure of CDC human resources should be improved.We suggested that the Full Funding Security Model'should be unified.And the average space of the Beijing CDC should meet the national standard in the years to come.
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Objective To analyze the equity of health human resource allocation in public hospitals of Zhaotong city during 2008-2012,and to provide theoretical basis for the reasonable allocation of health resources.Methods The statistical description was used to analyze the number of the medical health resource,and Gini coefficient and Theli index were used to analyze the equity of health resource allocation in public hospitals of Zhaotong city.Results The amount of medical health resource showed an increasing tendency with low speed,and gaps among different areas were still existed.From 2008 to 2012,Gini coefficients of three medical health resources including the doctors,nurses and health technicians were all under 0.3.And the fluctuant tendency of the Theli Indexes and Gini coefficients were accordant with no significant increase or decrease as a whole.The combination of differences within region and difference between regions leaded to the inequity of health human resource allocation in Zhao tong city,and within region in the contribution rate of the total Theil index was greater than the difference between regions.Conclusions The quantity of health human resource is not enough in Zhaotong.The equity fluctuation of three health resources has no significatnt change.The differences within region mainly cause the inequity of health resource allocation in public hospitals of Zhao tong city.
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Objective To study the value of objective information transformation by analyzing oral diseases in outpa-tient department of our hospital and the diagnosis and treatment of oral diseases between expert clinic and outpatient clinic. Methods Oral diseases in over 50000 cases who visited the outpatient department of our hospital in 2015 were classified according to the ICD10 and analyzed by Pareto analysis. Results Dental carries, pulpitis, chronic periodontitis and dental crowding were the major diseases detected in outpatient department of our hospital, ac-counting for 80% of the total outpatients, and importance was thus attached to their treatment. Oral diseases re-ceived orthodontic therapy in expert clinic and received tooth implantation in outpatient clinic. Conclusion Hospi-tals should scientifically allocate their medical resources, strengthen the training of their young dentists, bring into full play of their limited medical resources according to the distribution of oral diseases in their outpatient depart-ments in order to meet the increasing demand of oral healthcare.
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Objective To learn the present pre-hospital emergency resources allocation in Liaoning province.Methods Site survey and questionnaire survey were used to survey the basic information,number of pre-hospital emergency ambulances,human resources,and communication/control systems of 19 pre-hospital emergency centers in Liaoning province in 2014.Results The number of pre-hospital emergency sub-stations,ambulances and human resource fall short of demand.Furthermore,these resources are found with such problems as greater service radius of average pre-hospital emergency service and longer average pre-hospital response time in countryside than cities,insufficient and obsolete ambulances short of onboard equipment and communication systems,not to mention shortage of medical workers of higher degrees and academic titles.Conclusions A great gap is found between urban and rural pre-hospital emergency resource allocation in Liaoning province,with poor resources in the countryside.The government is recommended to step up financial support in increasing pre-hospital emergency substations and resources allocation,regularly update pre-hospital emergency vehicles,set up independent title promotion mechanism,perfect communication scheduling system,in order to satisfy the demands of pre-hospital first aid.
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Objective To explore the allocation of resources for diseases control and prevention in Beijing CDC and to put forward related scientific evidence for improvement.Methods To gather and comparatively analyze the human,financial and material resources of Beijing CDC reported by China Information System,from 2010 to 2015.Results Research findings showed that on average,1.43 CDC members served ten thousand people in Beijing in 2015,which was below the set national standard.The proportion of staff with either master/doctor degrees or senior professional titles showed an annual upward trend from 2010 to 2015 (P＜0.05),the proportion was higher in the municipal CDC than that in the District CDCs,in 2015 (P＜0.05).Fiscal deficit had existed for many years.The average capability for different kinds of testings did not reach the national standard.Numbers of instruments and equipment were higher than that of the national standard.The average space of Beijing CDC was 55.9 square meters/person,again had not met the nationally recommended criteria.Conclusions The allocation of CDC human resources was significantly imbalanced in Beijing.The structure of CDC human resources should be improved.We suggested that the Full Funding Security Model'should be unified.And the average space of the Beijing CDC should meet the national standard in the years to come.
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Objective To analysis the basic condition of the health resources in Chongqing ,and to explore the effect of the al‐location of health resources on doctor‐patient relationship .Methods Health statistics yearbook of Chongqing city was collected ,the fairness of the allocation of health resources in chongqing carried on the analysis and evaluation ,using the DEA model to analyze and evaluation the efficiency of the allocation of health resources in chongqing ,self‐designed questionnaire was used;hospitals ,doc‐tors and patients were investigated ,the descriptive and statistical analysis carried on .Results The distribution of health resources in Chongqing was inequitable on a regional .This inequitable distribution had been evaluated to the effect that ,as per the DEA mod‐el ,7 prefectures were effective with another 5 slightly effective and 26 as DEA ineffective .In the 8 hospitals that had been investiga‐ted ,the occurrence of medical disputes was undergoing a surge ,which indicates the tense relation between doctors and patients .Con‐clusion The total amount of health resources in Chongqing is fairly insufficient ,the high quality health resources are scarce .Unbal‐anced allocation of health resources and allocation inefficiency is the main reason for nervous doctor‐patient relationship and contra‐diction focus .
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Objective To understand the status quo of the health statistics human resources in Chongqing municipality. Methods The status quo of the health statistic human resources in Chongqing municipality was investigated by the national health statistics reporting system.The age,seniority,qualifications,specialty,job title,distribution,etc.in the health personnel were ana-lyzed by the SPSS17.0 statistical software.Results 74.89% of health statistic personnel were part-time workers.In the vast ma-jority of medical institutions,the number of health statistician was 1 or 2.As to the education background,73.50% of the total stat-istician number only got the junior college degree even below.Only 216 statistic personnesls′major fitted to the staff positions.Ba-nan district in the major city,Tongnan county and Dazu district in the west area,Wushan county in the east area,Dianjiang county and other counties in central area,and the new urban development area were relatively lack of human resources of the health statistic personnel.Conclusion The health statistic team in Chongqing municipality has low stability,inadequate staff and poor professional quality.The distribution of statistic personnel human resources is uneven among the five functional areas and various districts and counties.
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Objective To evaluate the efficiency of health resources allocation of 31 provinces,autonomous regions and cities in China in 2011,identify the causes for low allocation efficiency and provide suggestions accordingly.Methods By ways of literature research and data envelopment analysis.Results The average efficiency value of these provinces and cities was 0.973.The health resources allocation of 18 provinces and cities were found efficient in general,and that of the other provinces and cities were found non-efficient.They respectively account for 58.1 ％and 41.9％.Conclusion To improve the efficiency of health resources allocation of the 13 provinces and cities,their policymakers should increase government funding support,attract private capital into medical institutions,optimize health investment scale,improve medical management and foster medical and health personnel development.
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Objective To analyze allocation of health resources and utilization of health services,and evaluate the equity of health resources allocation and health services utilization.Methods Concentration curve and concentration index(CI)were used to evaluate the equity of health resources allocation in terms of health professionals,hospital beds,medical institutions,outpatient visits and hospitalizations in China.Results The CI for health professionals,hospital beds,and medical institutions is 0.038,-0.012,and-0.116 respectively.That for outpatient visits and hospitalizations is 0.111 and -0.023 respectively.Conclusion Health resources allocation in hospital beds and health professionals is fair,while the equity of medical institutions and outpatient service utilization needs to be improved.
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Objective] By analyzing the human resources allocation fairness in Pudong New Area Health Inspection Agency in 2012, to provide a basis for optimizing allocation of human resources in health inspection area . [ Methods] The human resources situation in 10 health inspection branches were in-vestigated in 2012,and Lorenz curve ,Gini coefficient analysis was done on human resource allocation fair-ness. [ Results] In 2012,the Gini coefficient of the human resources distribution by the total resident population and the total working load of 10 health inspection branches were lower than 0.3, and it were in the perfect status.Gini coefficient in the geographical distribution was about 0.35,which was in the normal state. [ Conclusion] It is important to allocate human resources according to the social requirement . The allocation of human resources in the branches must be done in consideration of serving population , geo-graphic area , and management objects .It is important to strengthen team building and improve health in-spection capabilities and efficiency .
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This paper summed up the medical professionalism as taking patients'interests first , reshaping the medical good faith , improving business ability and promoting social justice .Also proposed that in order to have rea-sonable human resource allocation , ensure the construction of rural health personnel team and stability , the follow-ings are necessary:medical staff at villages and towns setting up the medical ethics , strengthening the altruism spir-it;changing the traditional model of the doctor -patient relationship , adhering to the principle of patient autonomy;cultivating professional sense of responsibility , building moral education;intensive training and striving to improve the level of medical technology;increasing the doctor -patient communication , restoring patients'interests first , re-shaping medical doctor -patient trust integrity , improving business ability and promoting social justice as well as fully exerting the social , moral and cultural supporting factors etc .
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Objective To investigate the pattern of outpatients traffic,orchestra service resources,and optimize service provision,for a harmonized outpatient service.Methods A baseline survey was made at the outpatient department in 30 days(six hours per day,7:00-11:00,and 13:00-15:00).On such basis,data of the hospital's HIS system within the last five years were called into play for statistics analysis and simulation test,for the purpose of shift scheduling and resources allocation optimization.Results This study discovered each January-February as the valley of clinic visits and each July-August as the peak.52-week data analysis of a year found that the days of daily registrations between 4000-5000 are up to 163 days,those over 5000 are up to 86 days,of which Mondays with over 5000 registrations are up to 35 days.Each Monday is found to be a peak of outpatient visits,with significant drop during Saturdays and Sundays; daily registrations peak between 7:00-10:00 in the morning,while the traffic rises again during 13:00-14:00 in the afternoon,yet up to 26 ％of the morning peak only.Conclusion Statistics analysis of the outpatient service and emergency service at the outpatient department can help identify their patterns of operations,for effective improvement of service provision,alleviation of peak hour workload,shorten patient waiting time and better patient satisfaction.
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Objective: To evaluate the relative efficiency of pharmacies in military hospitals, ao as to provide evidence for rational allocation in medicinals resources in hospitals. Metbods: Data envelopment analysis (DEA) was used to evaluate relative efficiencies of 71 pharmacies in military hospitals (also as decision making units, DMUs). The input factors included pharmacy personnela, equipment, areas of pharmacies, and development funds; the output factors included drug charge, clinical pharmaceutical service, pharmaceutical information service,academic achievements and research activities. Decomposition of the pharmacy efficiencies under different economic conditions was performed to evaluate the scale efficiency (SE) , the resource disposal efficiency (DE) and the technical efficiency (TE). Pearson correlation analysis and chi-square teat were used for statistic analysis. Results: DEA results showed that the relative efficiency of the 28 pharmacies was 1, they were DEA effective; the relative efficiency of the 43 DMUs was less than 1 ,indicating the presence of efficiency loss. Multiple linear regression analysis showed that hospital grade, bed number,clinical time of pharmacists, HR flow-in rate, proportions of pharmacists with undergraduate or graduate diploma ,bed utilization rate,etc. were correlated with the 5 output factors. Five multiple linear regression equation were established. We also found that the distribution of pharmacies of SE, DE, and TE non- efficiency were significantly different between hospitals of different grades; the distribution of pharmacies of DE, and TE non-efficiency were significantly different between hospitals located in different regions. Pearson correlation analysis showed that the DEA efficiency of pharmacies was correlated with hospital grade, not with the area or the city where the hospitals located. Conclusioa: The grades of military hospitals and the subsequent effective allocation of resources and technologies may be the key factor to increase the efficiencies of pharmacies.