دورية أكاديمية
Spatial effects of township health centers' health resource allocation efficiency in China.
| العنوان: | Spatial effects of township health centers' health resource allocation efficiency in China. |
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| المؤلفون: | Meng N; School of Humanities and Management, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China., Shen K; School of Humanities and Management, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China., Zheng X; School of Humanities and Management, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China., Li C; School of Humanities and Management, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China., Lin X; School of Humanities and Management, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China., Pei T; School of Humanities and Management, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China., Wu D; School of Humanities and Management, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China., Meng X; School of Humanities and Management, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China. |
| المصدر: | Frontiers in public health [Front Public Health] 2024 Aug 16; Vol. 12, pp. 1420867. Date of Electronic Publication: 2024 Aug 16 (Print Publication: 2024). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Frontiers Editorial Office Country of Publication: Switzerland NLM ID: 101616579 Publication Model: eCollection Cited Medium: Internet ISSN: 2296-2565 (Electronic) Linking ISSN: 22962565 NLM ISO Abbreviation: Front Public Health Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Lausanne : Frontiers Editorial Office |
| مواضيع طبية MeSH: | Resource Allocation*, China ; Humans ; Rural Health Services/statistics & numerical data ; Rural Population/statistics & numerical data ; Health Care Rationing ; Efficiency, Organizational/statistics & numerical data ; Spatial Analysis ; Models, Econometric |
| مستخلص: | Introduction: China is a large agricultural nation with the majority of the population residing in rural areas. The allocation of health resources in rural areas significantly affects the basic rights to life and health for rural residents. Despite the progress made by the Chinese government in improving rural healthcare, there is still room for improvement. This study aims to assess the spatial spillover effects of rural health resource allocation efficiency in China, particularly focusing on township health centers (THCs), and examine the factors influencing this efficiency to provide recommendations to optimize the allocation of health resources in rural China. Methods: This study analyzed health resource allocation efficiency in Chinese rural areas from 2012 to 2021 by using the super-efficiency SBM model and the global Malmquist model. Additionally, the spatial auto-correlation of THC health resource allocation efficiency was verified through Moran test, and three spatial econometric models were constructed to further analyze the factors influencing efficiency. Results: The key findings are: firstly, the average efficiency of health resource allocation in THCs was 0.676, suggesting a generally inefficient allocation of health resources over the decade. Secondly, the average Malmquist productivity index of THCs was 0.968, indicating a downward trend in efficiency with both non-scale and non-technical efficient features. Thirdly, Moran's Index analysis revealed that efficiency has a significant spatial auto-correlation and most provinces' values are located in the spatial agglomeration quadrant. Fourthly, the SDM model identified several factors that impact THC health resource allocation efficiency to varying degrees, including the efficiency of total health resource allocation, population density, PGDP, urban unemployment rate, per capita disposable income, per capita healthcare expenditure ratio, public health budget, and passenger traffic volume. Discussion: To enhance the efficiency of THC healthcare resource allocation in China, the government should not only manage the investment of health resources to align with the actual demand for health services but also make use of the spatial spillover effect of efficiency. This involves focusing on factors such as total healthcare resource allocation efficiency, population density, etc. to effectively enhance the efficiency of health resource allocation and ensure the health of rural residents. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2024 Meng, Shen, Zheng, Li, Lin, Pei, Wu and Meng.) |
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| فهرسة مساهمة: | Keywords: Spatial Dubin Model; data envelopment analysis (DEA); resource allocation; spatial auto-correlation; township health centers (THCs) |
| تواريخ الأحداث: | Date Created: 20240902 Date Completed: 20240902 Latest Revision: 20240903 |
| رمز التحديث: | 20240903 |
| مُعرف محوري في PubMed: | PMC11363543 |
| DOI: | 10.3389/fpubh.2024.1420867 |
| PMID: | 39220456 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2296-2565 |
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| DOI: | 10.3389/fpubh.2024.1420867 |