RESUMO
Objective To analyze the policy effect of first contact care options of residents under the essential medicine system.Methods The samples were divided into a treatment group and a control group depending whether the policy is implemented.Difference-in-differences model was used to estimate the changes in the First Contact Care choice of residents before and after the implementation.Results The net effect of policy is 6.15％,in which the resident category of the household head and per capita income were statistically significant.Conclusion Though the system promotes the first contact of residents for primary institutions,top-level design of the system calls for optimization,efficiency and equity of the health resource allocation of urban and rural health need to be improved,and the division of responsibilities of the two-level medical institutions needs to be clarified in first contact care system.
RESUMO
Objective: To analyze the fairness of health resource distribution in various cities and provinces in China, to provide policy recommendations for the state to formulate relevant policies. Methods: Using Theil index method to measure the provincial disparity of health resources allocation and analyze the relevant data about regional health resources in 31 provinces from 2003 to 2011 in China. Results: Chinese medical and health technical personnel are seriously uneven distributed; the number of health technical personnel in big cities such as Beijing is denser than that in western areas like Guizhou. At the same time, the medical treatment level between urban and rural residents also exist serious inequality, urban residents have higher spending levels than rural residents. Conclusion:The state is recommended to adopt measures to encourage more medical technical talents to work in western underdeveloped region. At the same time, the state should improve the medical level of rural residents by improving the rural medical insurance reimbursement ratio and other measures.