ArticleInternational journal for equity in health2020
Equity and efficiency of health care resource allocation in Jiangsu Province, China.
Article in International journal for equity in health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers.
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69 citing papers in PubMed.
- Quantitative evaluation of the medical resource allocation policy in China: a PMC-index model approach.Cost effectiveness and resource allocation : C/E · 2026Article
- 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 health resource allocation in Guangdong Province, China, from 2013-2021: research based on the Dagum Gini coefficient and exploratory spatial data analysis.Cost effectiveness and resource allocation : C/E · 2026Article
- Assessing the relationship between the hospital grading system and medical resource utilization: evidence from China.Cost effectiveness and resource allocation : C/E · 2026Article
- High medical costs and resource shortages constrain rural happiness more than physical access in rural China.Frontiers in public health · 2026Article
- Spatial inequalities and contextual correlates of methylphenidate dispensing in Jiangsu Province, China.Frontiers in pharmacology · 2026Article
- Equity of total health expenditure in China, 2015-2021.Scientific reports · 2025Article
- Analysis on the individual and allocation efficiencies of health resources in China: 2008-2021.Cost effectiveness and resource allocation : C/E · 2025Article
- Spatiotemporal evolution and determinants analysis of health resource supply-demand coupling coordination in China.International journal for equity in health · 2025Article
- Regional disparities and influencing factors of health production efficiency: evidence from China.BMC public health · 2025Article
- Equity in the distribution of health resources and services in the West Bank, Palestine: a focus on hospitals and primary healthcare centers.International journal for equity in health · 2025Article
- Three-medical linkage in China: trend evolution and obstacle identification.BMC health services research · 2025Article
- Equity and efficiency of public health resource allocation in China.BMC public health · 2025Article
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- An analysis of factors influencing technical efficiency of health expenditures in China.Health economics review · 2024Article
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- Equity and efficiency of health resource allocation in Sichuan Province, China.BMC health services research · 2024Article
- Accessibility evaluation and multi-scenario optimization of medical services in underdeveloped city driven by multi-source data and latest policies for China.Scientific reports · 2024Article
9 more citing papers are in PubMed but not listed here.
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Abstract
backgroundJiangsu was one of the first four pilot provinces to engage in comprehensive health care reform in China, which has been on-going for the past 5 years. This study aims to evaluate the equity, efficiency and productivity of health care resource allocation in Jiangsu Province using the most recent data, analyse the causes of deficiencies, and discuss measures to solve these problems.
methodsData were extracted from the Jiangsu Health/Family Planning Statistical Yearbook (2015-2019) and Jiangsu Statistical Yearbook (2015-2019). The Gini coefficient (G), Theil index (T) and health resource density index (HRDI) were chosen to study the fairness of health resource allocation in Jiangsu Province. Data envelopment analysis (DEA) and the Malmquist productivity index (MPI) were used to analyse the efficiency and productivity of this allocation.
resultsFrom 2014 to 2018, the total amount of health resources in Jiangsu Province increased. The G of primary resource allocation by population remained below 0.15, and that by geographical area was between 0.14 and 0.28; additionally, the G of health financial resources was below 0.26, and that by geographical area was above 0.39. T was consistent with the results for G and Lorenz curves. The HRDI shows that the allocated amounts of health care resources were the highest in southern Jiangsu, except for the number of health institutions. The average value of TE was above 0.93, and the DEA results were invalid for only two cities. From 2014 to 2018, the mean TFPC in Jiangsu was less than 1, and the values exceeded 1 for only five cities.
conclusionThe equity of basic medical resources was better than that of financial resources, and the equity of geographical allocation was better than that of population allocation. The overall efficiency of health care resource allocation was high; however, the total factor productivity of the whole province has declined due to technological regression. Jiangsu Province needs to further optimize the allocation and increase the utilization efficiency of health care resources.
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