China's human resources for health: quantity, quality, and distribution
العنوان: | China's human resources for health: quantity, quality, and distribution |
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المؤلفون: | Victoria Y. Fan, Junhua Zhang, Sudhir Anand, Zhe Dong, Lincoln C. Chen, Lingling Zhang, Yang Ke |
المصدر: | The Lancet. 372:1774-1781 |
بيانات النشر: | Elsevier BV, 2008. |
سنة النشر: | 2008 |
مصطلحات موضوعية: | Male, Gerontology, China, medicine.medical_specialty, Inequality, Health Personnel, media_common.quotation_subject, education, Urban Health Services, Humans, Medicine, Health Workforce, Healthcare Disparities, Human resources, Socioeconomics, media_common, business.industry, Public health, General Medicine, Infant mortality, Health Care Reform, Workforce, Educational Status, Female, Rural Health Services, Health care reform, Rural area, business |
الوصف: | In this paper, we analyse China's current health workforce in terms of quantity, quality, and distribution. Unlike most countries, China has more doctors than nurses-in 2005, there were 1.9 million licensed doctors and 1.4 million nurses. Doctor density in urban areas was more than twice that in rural areas, with nurse density showing more than a three-fold difference. Most of China's doctors (67.2%) and nurses (97.5%) have been educated up to only junior college or secondary school level. Since 1998 there has been a massive expansion of medical education, with an excess in the production of health workers over absorption into the health workforce. Inter-county inequality in the distribution of both doctors and nurses is very high, with most of this inequality accounted for by within-province inequalities (82% or more) rather than by between-province inequalities. Urban-rural disparities in doctor and nurse density account for about a third of overall inter-county inequality. These inequalities matter greatly with respect to health outcomes across counties, provinces, and strata in China; for instance, a cross-county multiple regression analysis using data from the 2000 census shows that the density of health workers is highly significant in explaining infant mortality. |
تدمد: | 0140-6736 |
URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d86f5347b31e57da88e854b6e4d04e35 https://doi.org/10.1016/s0140-6736(08)61363-x |
حقوق: | CLOSED |
رقم الأكسشن: | edsair.doi.dedup.....d86f5347b31e57da88e854b6e4d04e35 |
قاعدة البيانات: | OpenAIRE |
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