ArticleBMC health services research2023
The allocation and fairness of health human resources in Chinese maternal and child health care institutions: a nationwide longitudinal study.
Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Inequality in hospital bed supply and utilization across regions and departments: evidence from China.Cost effectiveness and resource allocation : C/E · 2026Article
- Equity in the allocation of professional public health human resources and its improvement path in China.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
- Reducing urban-rural disparities in maternal and child mortality in China: a 33-year analysis and projection to 2030.Journal of global health · 2026Article
- Urban-rural disparities in the trends and causes of maternal deaths in Jinan, 1991-2025: a longitudinal trend analysis.Frontiers in public health · 2026Article
- Regional Differences and Dynamic Evolution of High-Quality Medical Resources in China's Private Hospitals from 2017 to 2022.Risk management and healthcare policy · 2026Article
- Equity in the allocation of oncology bed resources in China: Longitudinal data from 2008 to 2022.PloS one · 2026Article
- Study on regional disparities and influencing factors of public health service supply in China from the perspective of fairness.BMC health services research · 2025Article
- The nexus between healthcare provider distribution and neonatal mortality based on the context of maternal and child healthcare services in Pakistan.Journal of health, population, and nutrition · 2025Article
- Inequality and heterogeneity in medical resources for children with autism spectrum disorders: a study in the ethnic minority region of southern 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
- Evolution of physician resources in China (2003-2021): quantity, quality, structure, and geographic distribution.Human resources for health · 2025Article
- Research on the equity of health manpower resource allocation in the Yangtze River Delta region.Frontiers in public health · 2025Article
- Geospatial disparities in pediatric heart failure care in China: a multicenter cohort study.Frontiers in public health · 2025Article
- Spatiotemporal disparities in maternal mortality and the role of multiscale administrative levels: a 20-year study across Chinese counties.Frontiers in public health · 2025Article
- The allocation and fairness of hospital pharmacist human resources in China: a time-series study.BMC health services research · 2024Article
- Spatiotemporal trends and geographic disparities in spatial accessibility to maternal and child health services in Nanning, China: impact of two-child policies.BMC health services research · 2024Article
- Spatial distribution patterns of human resources allocation in maternal and child healthcare institutions in China from 2016 to 2021.BMC health services research · 2024Article
- Human resource allocation status and equity research of Centers for Disease Control and Prevention in China from 2016 to 2020.Frontiers in public health · 2024Article
- Coupling coordination relationship between health resource allocation and regional economic development: an empirical study based on five provinces in eastern China.Frontiers in public health · 2024Article
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Abstract
backgroundIn response to an aging population, the Chinese government implemented the three-child policy in 2021 based on the comprehensive two-child policy. With the implementation of the new birth policy, people's maternal and child health (MCH) needs will also increase. The allocation and fairness of MCH human resources directly affect people's access to MCH services. The purpose of this study is to analyze the allocation of health human resources in Chinese maternal and child health care institutions, evaluate the fairness of the allocation, to provide a reference for the rational allocation of MCH human resources.
methodsThe data of health technicians, licensed (assistant) physicians, and registered nurses in maternal and child health care institutions nationwide from 2016 to 2020 were included. The health resource density index (HRDI) is used to evaluate the allocation level of MCH human resources. The Gini coefficient (G) and Theil index (T) are used to evaluate the fairness of the allocation of MCH human resources from the perspectives of population and geographic area.
resultsFrom 2016 to 2020, the average annual growth rate of the number of health technicians, licensed (assistant) physicians, and registered nurses in Chinese maternal and child health care institutions was 7.53, 6.88, and 9.12%, respectively. The Gini coefficient (G) of the three types of MCH human resources allocated by population were all below 0.23, and the Gini coefficient (G) allocated by geographical area were all above 0.65. The Theil index (T) of the three types of MCH human resources allocated by population was all lower than 0.06, and the Theil index (T) allocated by geographical area was all higher than 0.53. In addition, the three types of MCH human resources allocated by population and geographic area contributed more than 84% of the Theil index within the group (T
conclusionsChina's MCH human resources were fair in terms of population allocation, but unfair in terms of geographical area allocation. In the future, more attention should be paid to the geographical accessibility of MCH human resources, and the allocation of resources should comprehensively consider the two factors of serving the population and geographical area.
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