Unequal distribution of health human resource in mainland China: what are the determinants from a comprehensive perspective?

International Journal for Equity in Health
Dan LiXiao Wang

Abstract

The inequality of health human resource is a worldwide problem, and solving it also is one of the major goals of China's recent health system reform. Yet there is a huge disparity among cities in mainland China. The aim of this study is to analyze the distribution inequality of the health human resource in 322 prefecture-level cities of mainland China in 2014, and to reveal the facets and causes of the inequalities. The data for this study were acquired from the provincial and municipal Health Statistics Yearbook (2014) and Statistical Yearbook (2014), the municipal National Economic Bulletin (2014), and the official websites of municipal governments, involving 322 prefecture-level cities. Meanwhile, Concentration Index was used to measure the magnitude of the unequal distribution of health human resource. A decomposition analysis was employed to quantify the contribution of each determinant to the total inequality. The overall concentration index of doctors and nurses in mainland China in 2014 was 0.1038 (95% CI = 0.0208, 0.1865) and 0.0785 (95% CI =0.0018, 0.1561). Decomposition of the concentration index revealed that economic status was the primary contributor (58.5% and 57%) to the inequality of doctors and nurses, followe...Continue Reading

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Citations

May 22, 2018·The International Journal of Health Planning and Management·Jingxian Wu
Sep 22, 2018·The International Journal of Health Planning and Management·Jingxian Wu, Yongmei Yang
Aug 21, 2019·International Journal of Environmental Research and Public Health·Chenjing FanWensheng Miao
Mar 4, 2020·International Journal of Environmental Research and Public Health·Xiaolin CaoLi Luo
Jun 17, 2018·International Journal for Equity in Health·Min SuXiaolin Wei
Feb 9, 2020·International Journal of Environmental Research and Public Health·Dan LiRashed Nawaz
Feb 4, 2021·International Journal of Environmental Research and Public Health·Liping FuZhengmin Wang
Feb 17, 2021·BMC Health Services Research·Rashed NawazYaru Chen
May 14, 2021·BMC Health Services Research·Huimin YuYuanan Lu
Aug 8, 2021·International Journal of Environmental Research and Public Health·Jian ZhangJianmin Gao
Aug 29, 2020·Computer Methods and Programs in Biomedicine·Xin ChenHua Jiang

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