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The role of construction of healthcare consortium on the allocation of human resources for primary care resources and its equity in China: A quantitative study.

Authors :
Li S
Liao C
Zhang S
Source :
PloS one [PLoS One] 2024 Aug 30; Vol. 19 (8), pp. e0304934. Date of Electronic Publication: 2024 Aug 30 (Print Publication: 2024).
Publication Year :
2024

Abstract

Objectives: This study aims to measure the effect of Construction of Healthcare Consortium (CHC) on the allocation and equity of human resources (HR) for primary health care (PHC) in China, at the same time, it provides some data to support the government's policies improvement in the next stage.<br />Methods: Changes in the equity of allocation of HR for PHC by population are demonstrated through a three-stage approach to inequality analysis that includes the Gini coefficient (G), the Theil index (T), the Concentration index (CI) and Concentration curves. Trends in resource allocation from 2021 to 2030 were projected using the GM (1, 1) model.<br />Results: The average rate of growth in volume of HR for PHC accelerates following the release of CHC in the 2016. Whilst some regions have seen their G and T rise between 2012 and 2016, their levels of inequality of allocation for resource shave gradually declined in the years following 2016, but there are exceptions, with the regions of northeast and northwest seeing the opposite. Eastern and northern region accounted for a larger contribution to intra-regional inequality. Concentration index and concentration curves indicate HR for PHC is related to economic income levels. GM (1, 1) projects a growing trend in allocation of resources from 2021 to 2030, but different regions differ in the average rate of growth of resources.<br />Conclusions: The inequality of HR for PHC in China is low, however, the inequality between regions has not been eliminated. We still need to take a long-term view to monitor the impact of CHC on the allocation of HR for PHC and its equity in China.<br />Competing Interests: The authors have declared that no competing interests exist.<br /> (Copyright: © 2024 Li et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)

Details

Language :
English
ISSN :
1932-6203
Volume :
19
Issue :
8
Database :
MEDLINE
Journal :
PloS one
Publication Type :
Academic Journal
Accession number :
39213319
Full Text :
https://doi.org/10.1371/journal.pone.0304934