Allocation of village-level health resources in Huairou District of Beijing from the perspective of health geography / 中华医院管理杂志

ABSTRACT

Objective:To analyze the physical geography and social and economic geography of Huairou District, Beijing, from the perspective of health geography and based on the science of health policy, and study the implementation effects and existing problems of village-level health resource allocation policy based on household registration system and population number, then put forward relevant countermeasures.Methods:From December 2020 to May 2021, 14 rural townships in Huairou district of Beijing were investigated on the basis of literature review, on the basis of information saturation, through typical case analysis, semi-structured interview and other methods. According to the distribution of physical geography and social economic geography, 15 administrative villages of 3 townships were selected to carry out field observation and in-depth interviews with key insiders on the basic information of village clinics and rural doctors, basic medical and health services, management system and operation mechanism.Results:The characteristics of geographical environment, population change and population density of village-level health institutions in Huairou district made the current situation of village-level health resources allocation highlight the current situation of insufficient policy coordination and supervision, and showed the reality of unbalanced distribution of village-level health institutions. There was a big gap between the geographical distribution of villager health institutions and the allocation of health human resources and the health needs of villagers, and the current situation was worrying. The lack of analysis of health geographical factors in the policy formulation and implementation was an important factor.Conclusions:To realize village-level health allocation, it is necessary to fully consider health geographic factors, break institutional boundaries through policy coordination and differentiation, and gradually optimize village-level health resource allocation starting from optimizing the layout of village-level health institutions.