ArticleBMC health services research2020
Equity and efficiency of maternal and child health resources allocation in Hunan Province, China.
Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.
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Who cites it
37 citing papers in PubMed.
- Coupling Coordination Analysis of Medical Service Capacity, Residents' Health Level and Regional Economic Development in China.Healthcare (Basel, Switzerland) · 2026Article
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- Evaluation of equity and efficiency in health resource allocation in underdeveloped county areas: empirical research from Guangxi, China.BMC health services research · 2026Article
- Research on equity and utilization efficiency of health resource allocation in Anhui Province.BMC health services research · 2026Article
- Equity in the allocation of oncology bed resources in China: Longitudinal data from 2008 to 2022.PloS one · 2026Article
- An equity-lens analysis of policies on child health in the Democratic Republic of the Congo.Tropical medicine and health · 2025Article
- Measuring the effect of deprivation on primary health care performance using data envelopment analysis and Malmquist Indices.Health care management science · 2025Article
- Evaluation and dynamic evolution of maternal and child health services in township health centers in ethnic minority areas of Guangxi, China.Primary health care research & development · 2025Article
- Spatial differences, dynamic evolution and influencing factors of the coupling and coordination relationship between health resources allocation and health service utilization in China.BMC public health · 2025Article
- A study on equity in the allocation of health human resources in maternal and child health institutions in China (2002-2021) and forecasting the five-year future trends (2022-2026).BMC public health · 2025Article
- The efficiency and productivity-changing trend of PHCIs since the 2009 health reform in China based on a three-stage DEA and Malmquist Productivity Index.Journal of global health · 2025Article
- Equity and efficiency of public health resource allocation in China.BMC public health · 2025Article
- Article
- Based on regional heterogeneity: measurement of hospital service efficiency and analysis of spatial effects.Frontiers in public health · 2025Article
- Evaluation of Health Resource Efficiency and Its Influencing Factors in Ethnic Minority Areas of Guangxi: Data from 2010 to 2022.Risk management and healthcare policy · 2025Article
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- Equity and efficiency of health resource allocation in Sichuan Province, China.BMC health services research · 2024Article
- The allocation and fairness of hospital pharmacist human resources in China: a time-series study.BMC health services research · 2024Article
- Unraveling the drivers of inequality in primary health-care resource distribution: Evidence from Guangzhou, China.Heliyon · 2024Article
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8 authors.
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Abstract
backgroundA reasonable allocation of health resources is often characterized by equity and high efficiency. This study aims to evaluate the equity and efficiency of maternal and child health (MCH) resources allocation in Hunan Province, China.
methodsData related to MCH resources and services was obtained from the Hunan maternal and child health information reporting and management system. The Gini coefficient and data envelopment analysis (DEA) were employed to evaluate the equity and efficiency of MCH resources allocation, respectively.
resultsThe MCH resources allocation in terms of demographic dimension were in a preferred equity status with the Gini values all less than 0.3, and the Gini values for each MCH resources' allocation in terms of the geographical dimension ranged from 0.1298 to 0.4256, with the highest values in the number of midwives and medical equipment (≥ CNY 10,000), which exceeds 0.4, indicating an alert of inequity. More than 40% regions in Hunan were found to be relatively inefficient with decreased return to scale in the allocation of MCH resources, indicating those inefficient regions were using more inputs than needed to obtain the current output levels.
conclusionsThe equity of MCH resources by population size is superior by geographic area and the disproportionate distribution of the number of medical equipment (≥ CNY 10,000) and midwives between different regions was the main source of inequity. Policy-makers need to consider the geographical accessibility of health resources among different regions to ensure people in different regions could get access to available health services. More than 40% of regions in Hunan were found to be inefficient, with using more health resources than needed to produce the current amount of health services. Further investigations on factors affecting the efficiency of MCH resources allocation is still needed to guide regional health plans-making and resource allocation.
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